Reed and Carolee Walker Fund

Final Report Form

This form can be downloaded from / Date:
Organization Name:
Contact Person / Title:
Address:
Phone: / E-Mail:
Amount of Grant(s): / Over How Many Years?
Date(s) Received: / Grant #(s):
Project Name:

If completing this form electronically, please delete extra space in the boxes after entering your information.

Legacy Program Grantees: / If you received a multi-year grant, please report on all years of your grant award and not just this final year.
All Grantees: / Total # individuals served (unduplicated):
Percentage served who are children:
Percentage served who are parents:
Dollars leveraged, if any
(that is, any additional funds secured as a result of this grant):
What has been the strength of your work on the project?
Describe any changes you have made to the original project, including changes in activities, objectives and projected results (if applicable). Please explain why the changes were necessary.
Describe any unexpected or unanticipated project outcomes, either positive or negative.
Describe any obstacles you have encountered to implementation of your project as planned.
What has been the project’s impact on your organization’s work? For example, has this grant increased collaboration with other organizations, helped attract other funding or other community resources, increased your organizational capacity, provided any learning opportunities, etc.?
Please offer any other comments you think would help us understand the grant’s impact or help the Walker Fund better serve the community.
What are your plans for sustaining the results of the project or continuing the project activities into the future?
Please share with us a story that illustrates your project’s outcome.
This report should be submitted electronically with the following documents.
Legacy Grantees: / (1)Please submit the evaluation matrix you completed at the beginning of your project. The matrix should reflect your original target numbers and percentages AND your actual outcomes.
Responsive Services Grantees: / (1)Please submit a list of the specific project objectives from your grant application. For each objective, note the project’s measurable results and impacts on the population you serve.
All Grantees: / (2)Please attach a project budget that shows income and expenditures to date for the full period of the grant (multiple years if it was a multi-year award). On the same page, describe any variations from the budget submitted with your application.
Thank you.
Final reports are due August 1 (unless your award letter stated otherwise).
Please e-mailyour report and the attachments to:
Please submit the required pieces of your final report in a single document, if at all possible.
If you have questions, please contact:
Amy Cuddy, Southern Oregon Program Officer, 541.773.8987 or
Danae Hutson, Program Associate for Grants, 503.227.6846 or
Michael Achterman,Lead Program Associate for Grants, 503.227.6846 or
Name / Title of Person Completing This Form:
Date Form Completed: