Healing the Planet Final Report Form 2022

Healing the Planet Final Report Form (for grants awarded in 2022)

"*" indicates required fields

Thank you for completing this report form. Understanding the impact that you have in your local community is important to us. The information gathered from this report helps us to better share your story and promote our collective impact across our region.

If you are not able to complete the form in one session, please use the "Save and Continue" link at the bottom of the form. This will give you a link, good for 30 days, to return and continue your form.

Overview

Organization or agency legal name*

Contact name*

Prefix First Last Suffix

Contact email*

Enter Email Confirm Email

Project Name*

Project GPS (latitude/longitude) coordinates*

Please enter the latitude and longitude for the site. If there was more than one site, please enter the main project location.

Date project was completed*

Projects must be completed by June 30, 2023, one year after award.

Project Outcomes

Please provide a short paragraph for each question below.

Please describe the impact of your project in your community.*

Whom did you partner with for this project and how?*

What were the measurable results from your project?

If an items does not apply to your project, just skip it.

# of volunteers

# of rain gardens created

# of rain barrels installed

# of people educated

# of educational signs created

# of cleanups

# of pounds of marine debris removed

Estimated is fine.

Miles of streams/shores cleaned

Estimated is fine.

Miles of streams/shores improved by restoration project

Estimated is fine.

# of water quality samples evaluated

Are there any other measurable results to share from your project?*

Please be specific, i.e planted 12 trees, etc.

Please share the successes that occurred as a result of this grant.*

Please share any challenges that you encountered during your project and how these were approached.*

Project Budget

How did you spend the grant funds and did you use matching funds and/or donated services? Please list specific breakdown.

Total project budget amount*

Funding amount received through Healing the Planet grant*

How did you spend the grant funds? Please list a specific breakdown.*

Did your project budget include matching funds?*

Matching funds are NOT required but are preferred.

Yes

How much cash match was raised?*

What were the sources of the cash matching funds?*

Were goods and/or services donated?*

Yes

What was the total value of donated goods/services?*

Please describe the source(s) of the donated goods/services.*

Volunteer Match

Did your project utilize volunteers?*

Yes

What was the total number of volunteers involved?*

Should match what was entered above.

What was the total number of volunteer hours?*

Ex: If 10 volunteers each worked an average of 4 hours then enter "40" for total volunteer hours.

Volunteer Match Value

Total volunteer hours * $29.95 current rate.
Current rate info.

Did you work with any GIANT employees or a local store?*

Yes

If so, what store and in what capacity?*

Project Promotion

Was there a press release anouncing the grant and/or anything related to your project?*

Yes

Please upload a copy of the press release(s) if available.

Drop files here or

Max. file size: 128 MB.

Did your promotions include any earned media?*

Earned media is publicity that you did not pay for or create yourself, ex: a news publication about your project.

Yes

Please upload a copy of the earned media if available.

Drop files here or

Max. file size: 128 MB.

Photo Upload and Signature

Please upload photos from your project

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

Drop files here or

Max. file size: 128 MB.

Please email any additional information to hpedicone@keeppabeautiful.org. Please include your organization or project name in the subject line.

Is there anything else about your project that you would like to share with us?*

Please include a quote that we can use in the final report or other media*

Please include a name and title to which the quote is attributed. Ex: " Our events were major successes, bringing together volunteers from the community" - Joe Smith, Project Director. Quote may be lightly edited for space.

Signature*

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

Today's date*

MM slash DD slash YYYY