End of Grant Report

Group: / Reference Number:
Name of person filling in form: / Email address:
Phone number:

You were awarded £

Please show us what you have spent from our grant only. If you need more space attach an additional sheet. Please refer back to the budget section of your original application if required.

Date / Item– list items bought with this grant / Total £

You are required to keep itemised records of all the money you spend from our grant including receipts and expenses forms. We reserve the right to audit your accounts.

Please include copies of any receipts for items costing £100 or more.

Please indicate if you have included a cheque for any under-spend by ticking this box

Have you stuck to your original budget?
Please tell us if you have changed your project costs or budget? Did you get permission from us first?
What difference has your project made?
To your group:
To the wider community:
Please tell us what you have included by ticking the relevant box.
Support letter from partner group/agency Feedback sheets/surveys
Photo/film from project in action Promotional material for project
Newsletter Other…………………………………
Please provide 3 quotes from beneficiaries of your group including how this grant has helped them
1)
2)
3)
What is the total number of people who benefited from this project ………….
Have any disabled people benefited from this project? If yes, how many?
Next Steps
What plans does your group have for the future?
We believe that local funding for small local groups is very important; if you had to encourage donors to invest locally what would you say?
If you were to do this project again what would you do differently?
About your contact with us
How would you rate the service you received from Foundation Derbyshire?
Excellent / Good / Average / Poor
Please explain why:
Have you had any difficulties filling in our forms? Please let us know what the difficulties were.

Signed Declaration

  • I confirm that the information on this monitoring form is correct.
  • I understand that failure to supply correct information may result in Foundation Derbyshire (FD) taking action to recover the funding.
  • I agree to information within this report being used to publicise the work of FD.

Name:…………………………………………………………………………………………………………

Position in group:……………………………………………………………………………………………

Signature:……………………………………………………………………Date…………………………

PLEASE NOTE: Information in this form will be used for monitoring purposes. Details may also be recorded on a database, which will be used to gather general information that may be made public. However, individual details will not be made public without permission. If you would like to discuss this further please contact Foundation Derbyshire on 01773 514850

Please remember to:

  • Take a photocopy of this form for your records
  • Send in any receipts
  • Send in any photos or comments
  • Ensure the correct postage fee is paid (or deliver by hand!)

Send this form to:

Foundation Derbyshire

2 Heritage Business Park

Derby Road

Belper

Derbyshire

DE56 1SW