Local Community Projects Fund Monitoring Form

Use this form to tell us what you achieved through the delivery of your local community project

Organisation name *

Contact information: Salutation *

eg: Mr, Mrs, Miss etc

Contact information: First name *

Contact information: Surname *

Position in organisation *

Contact email address *

Amount awarded

Please give a brief outline telling us what you delivered with a grant *

Please provide an itemised breakdown of how the grant was spent and in no more than 500 words, please tell us what you delivered with a grant and the people that benefited as a result.

How many people benefited directly from the grant *

Of the above, if applicable, how many people saw an improvement in their nutrition? *

Of the above, if applicable, how many saw an improvement in their amount of exercise? *

Of the above, if applicable, how many people saw an improvement in their mood? *

Of the above, if applicable, how many people saw an improvement in inclusion / reduction in isolation? *

How many additional volunteers have become involved? *

Which year was the grant awarded (e.g 2020) *

Privacy Notice *

I have read and agree with your Privacy Notice

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Local Community Projects Fund Monitoring Form

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Local Community Projects Fund Monitoring Form

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CONTACT DETAILS