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Thank you for completing this final report. Please answer all of the questions that apply to your project. Please attach receipts with the budget section. If you need assistance or have any questions, please contact Community Connections at 313-782-4042. Date of report: _______________ Name of organization that received grant: Organization address: _____________________________________________Zip___________ Project address: Name of person submitting report/contact person for project: Phone: _______________________ Email Address: Address if different from above: ________________________________________Zip_________
1. Basic Project Information
Project name:
Grant amount awarded: $ Project start and end date(s):
Project activities days and times: (example: Wednesdays, 4-6 p.m.) ______________________________
_____________________________________________________________________________________ Where did the project take place? (check as many as apply)
Child care center Neighborhood center
Home daycare Outdoors
Community center School
Community business Work site
Church or other religious institution Other ______________
College campus
Community Connections Child-centric
FINAL REPORT
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Children in the Project
If children participated in your project, please complete this section. Please indicate the number of children participants in the following categories:
Total number of child participants:_____________
Please explain any ‘other’ responses_________________
Did all children live in the city of Detroit? Yes No
If ‘no,’ please explain
Did any children in your project have a physical or cognitive disability? Yes No If yes, please describe and state how many children: ________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
African American
Arabic Hmong Latino White Other
Age 0 Male
Female
Age 1 Male
Female
Age 2 Male
Female
Age 3 Male
Female
Age 4 Male
Female
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Parent Participants in the Project
If parents participated in your project, please complete this section. Please indicate the number of parent participants in the following categories:
African
American Arabic Hmong Latino White Other
Age 17 & under
Male
Female
Age 18-24 Male
Female
Age 25-34 Male
Female
Age 35-54 Male
Female
Age 55-69 Male
Female
Age 70+ Male
Female
Please explain any ‘other’ responses_________________
Total number of parent participants__
Number of parent participants with 2 parents involved________________
Number of single mother participants (Without involvement of a second parent) __________
Number of single father participants (Without involvement a second parent)___________
Number of caregiver participants (such as grandparents, aunties, etc.)________________
Did any parents identify as LGBT+? Yes No If ‘yes,’ how many?
Were any participants pregnant? Yes No If ‘yes,’ how many?
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Leaders Involved in the Project
Please indicate the number of project leaders in the following categories:
African
American Arabic Hmong Latino White Other
Age 17 & under
Male
Female
Age 18-24 Male
Female
Age 25-34 Male
Female
Age 35-54 Male
Female
Age 55-69 Male
Female
Age 70+ Male
Female
If “Other,” please specify _________________
Total number of leaders in the project __________________
Did your project provide opportunities for inter-generational interaction? Yes No
If yes, please describe: _______________________________________________________________________
__________________________________________________________________________________________
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2. Goals and Activities A. Please list the goals for your project (taken from the application) and rate the level of accomplishment you
achieved on each of them on the following scale:
1 Not at all
2 A small degree of accomplishment
3 A moderate
degree of accomplishment
4 A high degree of accomplishment
5 A very high degree of accomplishment
Rating
Goal 1:
Goal 2:
Goal 3:
B. Summarize your project briefly (maximum 10 sentences):
3. Project Reflections
C. In what ways did this grant help you to implement your ideas?
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D. Did your project promote access to opportunities, resources, or experiences for children, parents, or childcare providers? (For example, field trip experiences, health care resources, training for providers,
opportunities to network with other parents, etc.) Yes No If ‘yes,’ explain:
E. Give up to 3 examples of how family members changed after learning new information.
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At times, parents experience challenging circumstances and behaviors that can affect parenting. Did any of the parents in your project experience the following challenges? (Check if ‘yes’)
For any ‘yes’ responses, did participating in your program impact any of the above issues? Yes No If ‘yes,’ how?
Characteristic Check if ‘yes’ How Many?
Persons living under the poverty line
Persons experiencing homelessness
Persons with no income
Persons experiencing addiction to alcohol or drugs
Persons currently abusing alcohol or drugs
Pregnant moms currently using alcohol or drugs
Pregnant moms NOT taking prenatal vitamins
Pregnant moms currently smoking cigarettes
Pregnant moms NOT receiving prenatal medical care
Persons experiencing domestic violence
Survivors of domestic violence
Persons with serious mental illness
Persons with physical disabilities
Persons with cognitive disabilities
Persons with a partner in prison or jail
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F. Did your project have an impact on any of the following healthy practices in childcare? (Check if ‘yes’) (When explaining how your project impacted a healthy practice, keep it simple, e.g. ‘7 mothers learned how to properly use car seats.’)
Healthy Practice Check if
‘yes’
In what way?
Safe sleep for babies
Getting prenatal care
Prenatal nutrition
Reducing drug or alcohol use in
pregnancy
Child nutrition
Child safety
Well baby medical visits
Reading to children
Stimulating experiences for young children
Postpartum health of moms
Community support for moms and/or
dads
Regular sleep schedules for young
children
Maternal/infant bonding
Father/child bonding
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Child safety
Other
H. How did your project promote the health, development, and well-being of children? I. How did your project support parents and caregivers as children’s first teachers and champions? J. Did your project increase the overall quality of your program or ideas? (if applicable)
Yes No If ‘yes,’ in what way?
K. What barriers, if any, did you encounter during your project? (Check any that apply):
Transportation
Parent commitment/buy-in
Attracting enough participants
Communication/collaboration with partners or sites
Scheduling conflicts
Funding
Lack of commitment from some assigned leaders
Other (describe)_______________________________________________________________
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How did you address these barriers?
L. What pleasant surprises, if any, arose during your project? M. What lessons did you learn from doing this project and how will you use them to inform
future projects like this?
I. Please provide any quotes, personal statements, personal stories, etc. from your project here (you may attach a separate page if needed):
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6. Organizational Partners
P. What organizations and groups were involved in this project and what role(s) did they play?
Name Role or Contribution
_____________________________________ ________________________________________
_____________________________________ ________________________________________
_____________________________________ ________________________________________
_____________________________________ ________________________________________ (continue on a separate page, if necessary)
7. Grant Reflection A. Please give us some feedback on your experience with the Community Connections Grant Program: B. How would you change or improve this type of grant or the grant funding process? What would you
leave the same?
Did your group get any help or guidance in planning or doing this project? (Check as many as apply)
Advice, coaching, or mentoring from Community Connections staff
Advice, coaching, or mentoring from a Community Connections panelist Please name: ________________________________________________
Advice, coaching, or mentoring from an experienced Community Connections grantee Please name: ________________________________________________
Attended trainings or workshops Please name or describe: ____________________________________________________________
Other Please name or describe: ____________________________________________________________
How did this assistance help? What did you get from it? ____________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
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Final Community Connections Grant Project Budget
Please Provide a breakdown of monies used. Your budget should match your original or revised budget. Please attach receipts (copies are okay). If any money is left over, please contact the Community Connections office at 313-782-4042.
LIST EXPENSES FOR PROJECT PAID FOR BY W.E. GRANT
DOLLAR AMOUNT OF EXPENSES (PROVIDE
RECEIPTS)
TOTAL:
$
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We are asking the next questions because we would like an idea of the true size and cost of projects. This information will be helpful for future grants.
Please list any other sources of monetary income for the project (including donations, fees, other grants, etc.
What was your total income for the project, including the Child-Centric Grant?
If you had income other than the Child-Centric Grant, what was it used for?
Describe in-kind (donated) support for your project and an estimated dollar value if you can:
Name of organization receiving grant ________________________________________________ Name of person filling out this report ________________________________________________ Current phone number for person filling out this report ________________________________________________ Signature of person filling out this report ________________________________________________
Return this
Community Connections Grant
Final Report to:
Community Connections [email protected]
2727 2nd Ave, Suite #144
Detroit, MI 48201 Phone (313) 782-4042 Fax (313) 782-4044