CTRecovers Grant Reporting Form

(* Denotes Required Fields)

Please provide the information requested below:
Organization Name: *
Grant Amount:
Grant Funds Expended to Date: *
Please provide copies of invoices, receipts and any other supporting documentation for funds that have been expended to date: 
Documentation Upload #1:
Documentation Upload #2:
Documentation Upload #3:
Is Proposed Project in the Grant Application (Page 1) still on track to be completed as outlined? : *
If No, please explain:
Has the current situation with COVID-19 impacted the proposed project?: *
If Yes, please explain:
If applicable, provide an update on the Funding Sources as outlined in the Grant Application (Page 3). For example, if other grant requests or fundraising was outlined as necessary to complete the proposed project in your grant request, what is the status of any funds that were still pending at the time of application? 
Provide update (or note "No Change"): *
Provide an update on the Funding Uses and Planned Start/Completion Dates for the project as outlined in the Grant Application (Page 3) - or note "No Change": *
Were the funds used by the 12/31/21 deadline?: *
If No, please explain:
Is the proposed project complete at this time?: *
Submitted By
By typing my name below, I certify that to the best of my knowledge and belief the information contained in this report is true and correct. The report has been duly authorized by the governing body of the applicant organization and I am a duly authorized signatory for the applicant organization. 
Full Name: *
Title: *
Email: *