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YES Fund Grant Report Form
Grantees may complete the online grant report any time after the grant period, but no later than December 15, 2023.
Organization Information
Use this form to apply for a scholarship for one of your program applicants. All scholarships for programs must first be applied for on a case-by-case basis. Enter the information for each unique applicant below.
Legal Name of Organization
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Organization Website
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Federal Tax ID
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Agency Contact
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Contact Person Title
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Contact Person Email
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Executive Director/CEO Name
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Executive Director Email Address
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Program Information
Total amount of grant from the YES Fund?
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Provide the total number of children/youth who directly benefited from this grant
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Explain how the children/youth benefited from this grant, including progress toward achieving goals and outcomes described in your proposal to the Grantor.
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0/250 words
Explain how you measured the success of your program
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0/250 words
Submit a success story/stories related to the beneficiary of the funded work (up to one page)
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0/500 words
Funded Participant Information
Complete the following PERSONAL INFORMATION online for each funded participant (up to 30 participants).
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
1.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
2.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
3.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
4.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
5.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
6.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
7.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
8.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
9.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
10.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
11.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
12.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
13.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
14.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
15.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
16.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
17.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
18.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
19.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
20.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
21.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
22.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
23.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
24.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
25.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
26.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
27.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
28.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
29.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
30.
Participant Last Name
Participant First Name
Gender
Race/Ethnicity
Year of birth
School
Complete the following PROGRAM INFORMATION online for each funded participant (up to 30 participants).
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
1.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
2.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
3.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
4.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
5.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
6.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
7.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
8.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
9.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
10.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
11.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
12.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
13.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
14.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
15.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
16.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
17.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
18.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
19.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
20.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
21.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
22.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
23.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
24.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
25.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
26.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
27.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
28.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
29.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
30.
Participant Last Name
Participant First Name
Activity
Total Cost of Program
Scholarship Amount
Comments (if any)
Describe any special circumstances that should be taken into consideration for any of the above participants.
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0/500 words
Please submit either a Free or Reduced Lunch Approved Letter, or the most recent Federal Tax Return for each funded participant - up to 10 files per attachment. Sensitive information on the tax forms such as Social Security numbers MUST be blacked out.
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Please submit either a Free or Reduced Lunch Approved Letter, or the most recent Federal Tax Return for each funded participant - up to 10 files per attachment. Sensitive information on the tax forms such as Social Security Numbers MUST be blacked out.
Please submit either a Free or Reduced Lunch Approved Letter, or the most recent Federal Tax Return for each funded participant - up to 10 files per attachment. Sensitive information on the tax forms such as Social Security Numbers MUST be blacked out.
Photo Release
If possible, submit photos related to your work. We can accept photo prints or digital files. Upon request, we will provide a photo release form template for your participants to sign, which you will keep on file, if your organization does not have one.
I hereby grant to The Oak Park-River Forest Community Foundation the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of related photographs or videotaped images of the undersigned individual for use in connection with the activities of the Foundation or for promoting, publicizing or explaining the Foundation or its activities. This grant includes, without limitation, the right to publish such images in the Foundation's reports, visual presentations about the Foundation, the Foundation's web site, and other public relations or promotional materials, such as marketing publications, or advertisements. These images may appear in any of the wide variety of formats and media now available to the Foundation and that may be available in the future, including but not limited to print, broadcast, videotape, CD-ROM and electronic/online media. All photos taken are without compensation to me (the undersigned). All electronic or nonelectronic negatives, positives, and prints are owned by the Oak Park-River Forest Community Foundation.
Submission Information
Name of Agency Representative submitting report
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Title
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Email of Agency Representative submitting report
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Signature of Agency Representative submitting the report:
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clear
Date
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