Chicago Foundation for Women

Chicago Foundation for Women

Final Reporting Form

Chicago Foundation for Women requires a Final Report.[1] The report is due 30 days following the end of the grant term. The Final Report is an integral part of our evaluation of the organization’s grant.

Download the Final Report from our website to ensure that you are submitting the most current version:

Please submit this completed form toas a Word document.

For questions about the reports, please contact Lora York,Program Officer, at or (312) 577-2814.

Date submitted:
Organization:
Grant Date: / Grant Amount:
Project Title (if applicable):
Fund:
Advocacy Support Advocacy & Direct Service Support Direct Service Support
Report Prepared By:
Name: / Title:
Email: / Phone:

Please answer the following questions. Gray boxes will expand to fit your answers.

1. Project Description: Provide a brief description of your project and key goals. If you modified this project during the grant period, please explain. Limit answer to approximately 100 words.

2. Organizational Changes and Challenges: Please state any significant organizational changes, developments, or challenges during the grant period that impacted the project or the general operations of your organization. Include all changes to staff, board, service area, population served, project or organization’s budget, and funding sources. If the organizational changes affect the project or its success, please explain. Limit answer to approximately 150 words.

Please complete the appropriate section(s), according to the type of funding the organization received.

Direct Service Support

3a. Outcomes:Please complete the following table as accurately as possible.

The Directly Impacted Populations column is intended to capture individuals and organizations that have participated in programming and/or partnered with the organization. Use the Population Descriptions row to describe participating organizations. Please enter participant demographicsin the chart on page six.

The Indirectly Impacted Populations column is intended to capture individuals and organizations that benefit from the organization’s work, but may not be involved in primary programming activities. Use the Population Descriptions row to explain how the organization defines indirectly impacted populations. (Examples include: attendance totals for public education panels; participation at community events; readership for mass media publications.)

Directly Impacted Populations / Indirectly Impacted Populations
# of People
Impacted
# of Organizations
Impacted
Population
Descriptions

If data is available, please indicate how the number of impacted populations has changed from the beginning of the funding period to the end of the funding period:

What was the difference that the project made in the community for the population(s) listed above? Limit answer to approximately 300 words.

3b. Strategies:

Please explain theplan of action or actionable stepsthe organization took over the course of the funding period. What strategies were employed to impact the population(s) listed above? Limit answer to approximately 300 words.

Advocacy Support

4a. Outcomes:Please complete the following table as accurately as possible.

Directly Impacted Populations / Indirectly Impacted Populations
# of People
Impacted
# of Organizations
Impacted
Population
Descriptions

If data is available, please indicate how the number of impacted populations has changed from the beginning of the funding period to the end of the funding period:

What was the difference that the project made in the community for the population(s) listed above? Limit answer to approximately 300 words.

4b. Strategies:

Outcomes: Please select the most relevant categories:

Shift in Social Norms

Strengthened Organizational Capacity

Strengthened Alliances

Strengthened Base of Support

Improved Policies

Other: ______

Please explain the plan of action or actionable steps the organization took over the course of the funding period. What strategies were employed to impact the population(s) listed above? Limit answer to approximately 300 words.

5. Your Story: We understand the power of personal connections and the importance of capturing qualitative data. Please include any examples or brief narratives about how this grant or project affected a particular person, family or community. If the organization would like to include pictures or other forms of media, please submit any additional items with the final report. Limit answer to approximately 350 words.

6. Goal Achievement: Please indicate how successful you were in achieving your goal(s).

Goal #1:

Exceeded expectations Met expectations Did not meet expectations

Explain factors that inhibited or accelerated success. Limit answer to approximately 100 words.

Goal #2:

Exceeded expectations Met expectations Did not meet expectations

Explain factors that inhibited or accelerated success. Limit answer to approximately 100 words.

Goal #3:

Exceeded expectations Met expectations Did not meet expectations

Explain factors that inhibited or accelerated success. Limit answer to approximately 100 words.

Goal #4:

Exceeded expectations Met expectations Did not meet expectations

Explain factors that inhibited or accelerated success. Limit answer to approximately 100 words.

7. Evaluation: Please explain how the work was evaluated. Does the organization have plans for integrating any lessons learned into the program? Are there plans for dissemination? Limit answer to approximately 250 words.

8. Future WorkandNext Steps: Will this organization continue this project/program? If not, why? If yes, describe the next steps. Limit answer to approximately 150 words.

9.Demographic Chart

Paid Staff / Board Members / Clients/Participants
IN PROPOSED PROGRAM / Members or Volunteers
(if applicable)
Number
# / Percentage
% / Number
# / Percentage
% / Number
# / Percentage
% / Number
# / Percentage
%
Female
MALE
Transgender/ Gender non-conforming
African
American
arab american/ middle eastern
Asian/
Pacific Islander
European American/
Caucasian
Latina/
Latino
Native
American
Multi-
Racial
Other
LGBTQ
Military Service/Veteran
Disabled
Total / n/a / n/a / n/a / n/a

Please check the appropriate categories:

Age group(s) program/project served:

Girls (0-11)

Adolescent Females (12-18)

Young Women (19-25)

Adult Women (26-59)

Older Women (60+)

All age groups

Income level(s) of population served:

Below Poverty Level

Lower Income

Middle Income

Upper Income

Geographic area(s) program served:

County/-ies served:

Cook

Kane

McHenry

DuPage

Lake

Will

City of Chicago; Neighborhood(s) in Chicago (e.g. Englewood, Uptown), please specify:

Suburb(s)/Township(s), please specify:

Statewide

10. Financial Report: Please submit the organization’s most recently completed audit or 990 form.

11. Program/Project Budget, if applicable (please type or paste into box below, including all revenue and expenses):

If there is a positive balance from the grant, please indicate the amount and explain:

[1] Chicago Foundation for Women’s Final Report incorporates measures from the Women’s Funding Network evaluation form ( as well as recommendations from the Annie E. Casey Foundation’s A Guide to Measuring Advocacy and Policy (