ICAN Mini Grant Award Final Report 2023/2024

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* 1. Project/program funded with mini grant:

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* 2. Time period covered under grant funding:

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* 3. IMPLEMENTING AGENCY/DEPARTMENT - the unit, department, division, organization or agency responsible for maintaining general oversight of the project’s implementation and grant administration, including submission of all required data and reports

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* 4. PROJECT DIRECTOR - the person responsible for the daily management and oversight of the grant funding and implementation (PLEASE PROVIDE NAME AND EMAIL ADDRESS)

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* 5. PROJECT DESCRIPTION:

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* 6. PROJECT GOALS (please list the goals you proposed in your mini grant application)

Goal #1

Goal #2

Goal #3

Goal #4

Goal #5

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* 7. PROJECT RESULTS: (please list ALL OUTCOMES including percentages, numbers, etc. based on your proposed goals and how they were met or not)

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* 8. PLEASE PROVIDE US WITH YOUR COLLECTED NOMS DATA FROM YOUR PROJECT

Please upload a document with all of your NOMS data collected, broken out per program/project or program goal

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. SUPPORTING DOCUMENTATION

Please upload any documentation to support your program/project - this could include training materials, student give aways, inforgraphics, assessment reports, survey documents, coalition documentation, etc. PLEASE LET ERIC OR LISA KNOW IF YOU HAVE QUESTIONS ABOUT SUPPORTING DOCUMENTATION

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 10. Person completing this report:

Name:

Title:

Email:

Phone Number: