Nonprofit Grant Fund Usage Questionnaire Nonprofit Grant Fund Usage Questionnaire Provide a detailed breakdown of how the funds will be utilized. Name of Organization Contact Person Name Name Title Title Email address * Email address Include quotes or estimates from vendors or service providers (if applicable). Drop a file here or click to upload Choose File Maximum file size: 134.22MB Describe the monitoring and evaluation plan to track the usage of funds. Provide any additional documentation or evidence supporting the intended use of funds. Provide any additional documentation or evidence supporting the intended use of funds. Drop a file here or click to upload Choose File Maximum file size: 134.22MB Impact Assessment How will you measure the success of the project? Provide any relevant metrics or indicators of success. Drop a file here or click to upload Choose File Maximum file size: 134.22MB Provide any relevant metrics or indicators of success. Explain the long-term impact of the project on your organization and the community. Attachments Project Proposal (if available) Drop a file here or click to upload Choose File Maximum file size: 134.22MB Budget Proposal Drop a file here or click to upload Choose File Maximum file size: 134.22MB Financial Statements Drop a file here or click to upload Choose File Maximum file size: 134.22MB Letters of Support (if any) Drop a file here or click to upload Choose File Maximum file size: 134.22MB Any other relevant documents Drop a file here or click to upload Choose File Maximum file size: 134.22MB Certification I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that any misrepresentation may result in the rejection of this application or the withdrawal of any granted funds. Name of Organization Name of Organization Signature of Representative Signature of Representative Date Date If you are human, leave this field blank. Submit
