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Fond du Lac Area
Women's Fund
Community Catalyst Grant Report
Community Catalyst Grant Report
Grantee Organization Name
(Required)
EIN
Project/Program/Initiative Title
(Required)
Is the project complete?
Yes
No
In progress
Project/Program/Initiative Impact
Please provide examples of how the funds you received made a positive impact on the population of women and/or girls you serve.
Do you have future plans for this program/project/initative?
Please provide any plans for ongoing work related to what you received funding for.
Please describe any partnerships or relationships in the community that were developed or strengthened as a result of implementation of the program/project/initiative that you received funding for.
Quotes and/or specific stories
Please provide specific examples and/or quotes that can be shared to demonstrate the positive impact that your organization made for women and/or girls because of the funds received.
Estimate of the number of women impacted by the funding received:
Estimate of the number of girls (under age 18) impacted by the funding received:
Upload any documents, press releases, or signage that help to tell the story of the positive impact that was made.
Max. file size: 50 MB.
If there are issues uploading items in this form, they can be emailed to info@fdlawomenfund.org making sure to indicate the title of the program/project/initiative in the email.
Consistent with your organization's confidentiality and/or photo release policy, please submit electronic photos in .jpg or .png format that the Women's Fund is authorized to use in print and electronic publications.
Max. file size: 50 MB.
If there are issues uploading items in this form, they can be emailed to info@fdlawomenfund.org making sure to indicate the title of the program/project/initiative in the email.
Authentication of Submission
By completing this section, you confirm that all the information provided on the form is accurate. Additionally, you grant the Fond du Lac Area Women’s Fund permission to use the submitted details in our social media posts and communications with donors, stakeholders, and the general public. We deeply appreciate everything you and your organization do for the community and thank you for taking the time to complete this form!
Name and title of person completing the evaluation report:
(Required)
Signature (Re-Type Name)
(Required)
Date
(Required)
MM slash DD slash YYYY
Email
(Required)
Phone
Name of Executive Director or Program Leader, if different from person filling out the form: