NCCC - BDEF Grant Mid-Year Review

Black Disciples Endowment Fund Grant- Mid-Year or Final Report

After the grant is awarded, the grantee must submit this completed report to the Board of Trustees at the mid-way point of the project term or grant period, and upon completion of the project or end of the grant period.

Fields and options marked with an asterisk (*) below are required to complete your application.

APPLICATION INFORMATION

Grantee/Project Name:

Contact Person:

Email Address

Phone Number

Mobile Number

Grant Start Date

End Date

This Report Period

From:

To:

Report Status (Check One):

Mid Report
Year End/Final Report

PART I. PROJECT NARRATIVE

Briefly summarize the progress of the project since the grant award or since the last report. In the project narrative, please address the following:

1. What activities did the grant support and what Black ministry within the Christian Church (Disciples of Christ) are you serving as grantee?

Attach pictures and additional page(s)

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2. What objectives/goals/outcomes has the project achieved so far?

Attach additional page(s)

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3. Beyond the project's direct accomplishments, what was the impact on, or benefit to, your organization, community, discipline/field, target audience, and/or church?

Attached additional page(s)

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Note: We encourage you to include testimonies or human interest stories about the project. You may also include programs, reviews, relevant news clippings, or other evidence of your acknowledgment of BDEF [Black Disciples Endowment Fund] support.

PART II. FINANCIAL STATUS

The Board of Trustees reserves the right to request grantees to provide evidence that BDEF grant award is being used for approved purposes.

Total Grant Amount Awarded:

Total Grant Expenditures (Actual)

Grant Funds Remaining (Balance)

Note: Attach any explanations or financial information/documents/receipts/etc. deemed necessary to show compliance with the proposed budget or changes/deviation from the proposed budget.

Attach Supporting Financial Documents

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PART III. CERTIFICATION

I affirm under penalty of perjury that to the best of my knowledge and belief all information in this report is true, correct, and complete.

Typed or Printed Name and Title of Project Director/Authorized Representative

Signature of Project Director/Authorized Representative

I, the undersigned, agree to the terms above.

Almost done, where should we send the confirmation?

Name

I am representing an organization

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