Affiliate Mini-Grant Final Report

If you are not able to complete the report in one session, click the “Save and Continue Later” link at the bottom of each page. You will receive a unique link to continue later, which will only be valid for 30 days.

Affiliate Name(Required)

Grant amount awarded(Required)

Please enter a number from 0 to 500.

Name of person filling out report(Required)

First Last

Email(Required)

Phone(Required)

Did you register and report an event as part of this grant in the online Pick Up PA Report Form?(Required)

Yes

Thank you for reporting! Please enter your Event ID from your Pick Up PA registration.(Required)

What was the name of your project that used the mini grant funds?(Required)

What was the date of your event?(Required)

For approximately how many hours did your event last?(Required)

Please enter a number from 1 to 50.

How many volunteers participated?(Required)

Enter 0 if this was not a volunteer event.

Please enter a number from 0 to 300.

Type of event(Required)

Illegal Dump Cleanup

Education Event

Special Collection/Recycling Event

Beautification Event

Other

What were the project's goals or purposes?(Required)

What were the project's outcomes?

Please use numbers if appropriate, ex: number of trees planted, number of trash bags of litter, number of people educated, etc.

Did you use any paid vendors?(Required)

Yes

If so, please list the vendors.(Required)

Did you have any participating partners?(Required)

Yes

If so, please list participating partners.(Required)

Did you secure any in-kind donations?(Required)

Yes

List in-kind donations secured(Required)

Please upload photos from your event plus any press releases or earned media.(Required)

In the file names, please include your organization or project name so we can match them with your report. Pictures may be used by KPB in press releases, and social media, and other promotions.

We'd love to highlight your project in our newsletters, social media, and on our Affiliate Fund page!

Drop files here or

Max. file size: 128 MB.

Applicant signature(Required)

By typing your name here, you are signing the report and confirming that the information provided in this report is complete and accurate to the best of your knowledge.

Today's Date(Required)

For questions, please contact Kylie McCutcheon at kmccutcheon@keeppabeautiful.org or 724-836-4121 ext. 114.