The John Merck Fund
FINAL GRANT REPORT FORM
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Date: _______________________________
Name of Organization:__________________________________________
Project Title:___________________________________________________
Period that this report covers: ___/___ to ___/___
Grant Amount: $
Instructions: Please limit your report to five pages. Please also provide a complete expense report indicating how the grant award was used.
1. What were the project’s accomplishments?
2. Describe the activities you carried out to meet your project goals and objectives.
3. List your outcomes and deliverables from your original application. Please respond to each specifically, indicating your level of success in fulfilling the deliverables and whether or not you achieved the outcomes. If for any reason you were unable to fulfill your deliverables or outcomes, please explain why.
4. What steps were taken to disseminate the results of the project?
5. How did this project collaborate with or relate to other groups conducting projects with the same objectives?
6. What were the unexpected results or key lessons of your work under this grant? Describe any setbacks you encountered during the grant period.
7. Is there anything else you would like to tell us about the results of your project?
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Grant Report Form