The Education Fund : What We Do : Programs : Ideas with IMPACT : Final Report Form: Adapter Grant

If you received an Ideas with IMPACT Adapter Grant during the 2016-2017 school year, please complete this form and upload copies of all receipts associated with this grant by Monday, May 1, 2017.

Should you have any questions, please contact Edwina Lau, Ideas with IMPACT Program Director, at 305.558.4544, ext. 113 or elau@educationfund.org

Ideas with IMPACT Adapter Grant Final Report Form

First Name (Required)

First Name

Last Name (Required)

Last Name

Email (Required)

Grant Title (Required)

Grant Title

School Name (Required)

School Name

Number of students involved with this grant (Required)

Number of students involved with this grant

Grade level of students (Required)

Grade level of students

1. Describe any changes or additions you made to the IMPACT II idea you adapted. (Required)

1. Describe any changes or additions you made to the IMPACT II idea you adapted.

2.(a) List one or more objectives you wanted to accomplish through this project (Required)

2.(a) List one or more objectives you wanted to accomplish through this project

2.(b) Please indicate to what extent your objectives were accomplished. (Required)

2.(b) Please indicate to what extent your objectives were accomplished.

2.(c) Comment on the overall success of the project (Required)

2.(c) Comment on the overall success of the project

3. Did the grant help low-performing students? (Required)

3. Did the grant improve student learning in any component of the Common Core/Florida Standards or in a general subject area? Be specific and cite the Common Core/Florida Standards or subject area and provide any statistics, such as how many students improved. Include the measurement that you used.

4. Please share an anecdote of how your project significantly benefited one or more of your students. (Required)

4. Please share an anecdote of how your project significantly benefited one or more of your students.

Photos, news articles, student thank you letters, and other relevant materials

Please upload any photos, news articles, student thank you letters and other relevant materials.

Expenses

Please list and upload copies of all receipts associated with this grant. If you have more than 10 receipts, please contact Edwina Lau at elau@educationfund.org

Receipt #1: Date

Receipt #1: Item Supplier (Required)

Receipt #1: Amount (Required)

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Receipt #2: Date

Receipt #2: Item Supplier

Receipt #2: Amount

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Receipt #3: Date

Receipt #3: Item Supplier

Item #3: Amount

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Receipt #4: Date

Receipt #4: Item Supplier

Receipt #4: Amount

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Receipt #5: Date

Receipt #5: Item Supplier

Receipt #5: Amount

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Receipt #6: Date

Receipt #6: Item Supplier

Item #6: Amount

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Receipt #7: Date

Receipt #7: Item Supplier

Item #7: Amount

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Receipt #8: Date

Receipt #8: Item Supplier

Receipt #8: Amount

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Receipt #9: Date

Receipt #9: Item Supplier

Receipt #9: Amount

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Receipt #10: Date

Receipt #10: Item Supplier

Receipt #10: Amount

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Grant Award Amount $ (Required)

Total Expenses $ (Required)

Difference $ (Required)

Explanation of Difference

If there are funds remaining from your grant award, please contact Edwina Lau at 305.558.4544, ext. 113 or elau@educationfund.org.

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Please click here to upload any additional items associated with this grant.