CENTRAL GRANT REPORT FORM
1. YOUR DETAILS
Organisation NameRegistered charity number
Contact Name
Post Held in Organisation
Address including postcode
Telephone number(s)
E-mail address
Website
2. ABOUT THE GRANT
Date grant awarded: Is the project: (please indicate)
Amount awarded:
Grant Number if known: Completed o Ongoing o
3. Budget: Please attach actual income and expenditure for the project, including proof of grant allocation and expenditure.
4. Outline the principal activities that the project has undertaken as a result our grant.
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5. When did these activities happen, how often and for how long? Please be specific and detail the day and time e.g. 30 weeks of the years, every Monday afternoon for 3 hours.
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6. Explain what specific benefits the participants gained. What are the long-term positive outcomes of the project?
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7. How did you monitor and evaluate these benefits? Refer to the measurable signs you outlined in the DMTFYP Grant Application Form and please share any additional information. Please explain your results against the targets and detail the story behind these numbers. Included the reasons why some children and young people may not have experienced these changes. Please provide evidence of this change (such as statistics, feedback or observation).
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8. Did the project meet its aims?
Exceeded /Yes /No / partially (please circle and explain below)
9. Are there any unexpected or negative outcomes of the project?
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10. Will you be running the project again in the future? (If no, please explain why)
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11. Please provide at least one case study of a beneficiary and corresponding photo to with your completed Grant Report Form. Please also include any quotes from staff, young people and parents. Please note any case studies, quotes and photos, may be used by the Foundation in external communications and should have the necessary sign off from your organisation. A copy of our Media Release form, issued with your grant, is available if required.
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12. Wherever possible, we like our grant recipients to forge links with a Hilton hotel(s) in the area(s) of your operations as Hilton Worldwide is one of our key strategic partners. Please give details of any joint activities together with the names and appointments of your principal points of contact. You should also summarise the value to you of such linkage.
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13. If you have feedback or comments as to how DM Thomas Foundation for Young People could improve its procedures to the benefit of its partner charities and beneficiaries, please provide them here.
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14. IMPACT MEASUREMENT MATRIXAll grantees are requested complete the below matrix. Not all areas will be relevant to each project and grantees can leave blank any sections that are not relevant to the specific project undertaken.
The Impact Matrix lists the main outputs and outcomes. The outcomes are conciliated under five impact areas through which DMTFYP aims to help transform the lives of young people.
1. Wellbeing and Health
2. Attitudes and Behaviour
3. Learning and skill development
4. Qualifications, education and training
5. Career management
Key Performance Indicators
A) How many different children and young people have benefited from this project?
B) How many of them were disadvantaged?
(DM Thomas Foundation for Young People generally considers children and young people who are in hospital or with a specific medical condition, disabled, life-limited, those with mental health or learning disabilities and with special educational needs to be most 'disadvantaged’)
C) Age of the disadvantaged children and young people supported
How many were aged 0 to 4
How many were aged 5 to 10
How many were aged 11 to 15
How many were aged 16 to 18
How many were aged 19 to 25
D) Your project outputs:
Number of items of equipment purchased
Number of rooms/areas refurbished or improved
Number of activity courses delivered
Number of workshops delivered
Number of qualifications achieved
Number of respite opportunities
Comment box for further clarification (if required).Expand as necessary
E) In a typical project young people may engage with activities across a range of levels, for some there might be a high level of engagement and for other this might be more light touch. Considering this, of the total number of beneficiaries of your project; how many:
Made a connection through the activities/project (low engagement level)
Made an improvement through the activities/project (medium engagement)
Made a transformation through the activities/project (high engagement level)
Comment box for further clarification (if required).Expand as necessary
F) Of the total beneficiaries, please tell how many achieved the following outcomes and outcomes (Not all outcomes will be relevant to your project. Please leave blank those outcomes that are not relevant. Estimations can be used if exact figures are not known):
No. Outcome
F.1 Experienced a positive change in their health and wellbeing
F.2 Experienced a positive change in attitudes and behaviours
F.3 Experienced learning and skill development
F.4 Undertook training and qualifications
F.5 Increased skills for career development
Comment box for further clarification (if required).Expand as necessary
Impact Measurement Matrix
1. Wellbeing and health outcomes / No. of young people
1.1 Improved physical health and fitness
1.2 Improved emotional health
1.3 Improved management of their medical conditions
1.4 Medical condition cured
1.5 Alleviated negative emotions linked to medical condition
1.6 Increased number of friendships and mutual support
1.7 Improved integration into local community
1.8 Supported through transition periods
1.9 Supported into work placements or employment
1.10 Provided with respite care
1.11 Supported during end of life care
1.12 Granted wishes
Comment box for further clarification (if required).Expand as necessary
2. Attitudes and Behaviour outcomes / No. of young people
2.1 Improved behaviour
2.2 Improved emotional well-being
2.3 Participated in activities
2.4 Reduced isolation
2.5 Built support structures
2.6 Developed coping mechanisms
Comment box for further clarification (if required).Expand as necessary
3. Learning and skill development outcomes / No. of young people
3.1 Improved basic skills in literacy, numeracy and/or IT
3.2 Improved social skills
3.3 Improved self-esteem
3.4 Improved self-confidence
3.5 Improved communication skills
3.6 Improved teamwork skills
3.7 Improved creative & arts skills
3.8 Improved leadership skills
3.9 Improved budgeting skills
3.10 Improved independence/living skills
Comment box for further clarification (if required).Expand as necessary
4. Qualifications, education and training outcomes / No. of young people
4.1 Improved performance at school/college
4.2 Undertook work experience or work training programmes
4.3 Completed a course (non- accredited)
4.4 Gained qualifications (accredited)
4.5 Enrolled in further education
Comment box for further clarification (if required).Expand as necessary
Career management outcomes / No. of young people
5.1 Increased aspirations for the future
5.2 Improved motivation to find work
5.3 Increased career management skills, such as job searching skills
5.4 Increased knowledge of the job market
5.5 Undertook work experience
5.6 Gained employment
Comment box for further clarification (if required).Expand as necessary
15. GRANT REPORT CHECKLIST
Please tick as appropriate.
I have attached a copy of the final project budget with proof of expenditure.I have attached copies of any publicity materials pertaining to the project and this grant.
I understood that any details in this report, including case studies, quotes and photos, may be used by DMTFYP in external communications.
16. STATEMENT
To the best of our knowledge the information referred to in this report is correct.
Signed on behalf of the applicant organisation mentioned below / ......Name (please print) / ......
Position / ......
Organisation / ......
Date / ......
Please return a copy of this Grant Report form by email to and a signed copy with any additional enclosures to: DM Thomas Foundation for Young People, 179-199 Holland Park Avenue, London, W11 4UL
Thank you.
DM Thomas Foundation for Young People – Central Grant Report Form
Revised: January 2017
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