Venture Grant Final Report

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Congratulations on being a recipient of a Venture Grant through the United Way of the Brown County Area. Your twelve-month grant period has come to an end. Grant recipients shall submit a project performance report and a financial statement indicating actual use and results of Venture Grant funds within 30 days of completion of the grant period. Failure to timely submit required reports may result in removal from consideration of future grant opportunities.

If all program or project work has not been completed for this Venture Grant, please contact United Way staff to re-evaluate the grant parameters or apply for a grant extension.

If you have any additional questions, please call/email our office at 507-354-6512 or UnitedWay@newulmtel.net.

Project Name *

Primary Contact's Name *

Contact's Title *

Contact Phone Number *

Contact Email *

Venture Grant Project Report

Date Venture Grant Ended *

Month

Day

Year

Describe how the grant funds were used. *

Please state in measurable terms the realized project outcomes. (numbers served, dollars spent per participant, survey results or other data collected) *

Please upload any supporting documentation, if applicable.

(survey results or quantitative reports)
Files must be less than 2 MB.
Allowed file types: xls xlsx.

How many Brown County residents were served because of this project/program who otherwise would not receive services? *

What conditions or circumstances improved for Brown County residents because of this project/program? *

Upload final budget for the program funded. *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png doc docx xls xlsx.

Any additional comments

Please provide a success story from the project/program funded by this Venture Grant. (Optional)

Form Preparation Information

Form Prepared By (First and Last Name) *

Preparer's Title *

Preparer's Phone Number *

Today's Date *

Month

Day

Year

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Venture Grant Project Report

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