FinalReport-Seniors2022

Serving Tennessee's Seniors

Final Report

The Community Foundation of Middle Tennessee appreciates the work you have done to improve the lives of seniors in Tennessee through the Serving Tennessee’s Seniors Grant Program.

Complete the final report. Your report should contain specifics about what was accomplished toward the approved goals and objectives stated and outlined in your grant application and workplan.

IMPORTANT: Review of the questions before you begin. You will be unable to save this document once you begin. You will receive a confirmation email upon submission which will include a copy of your application.

ORGANIZATION*

Address*

Address Line 1

City

State

ZIP Code

COUNTY*

CONTACT PERSON*

First Name

Last Name

CONTACT EMAIL*

GRANT AMOUNT AWARDED* $

Use numbers only, no symbols

GRANT AMOUNT SPENT* $

Use numbers only, no symbols

Report Narrative

Share your program accomplishments supported by this grant funding and include in your answers:

Successes and any challenges that were encountered during the course of the program. Explain how this funding allowed you to achieve the goals and objectives outlined in your application and work plan?
Were the activities conducted as planned and explain? If not, how did you resolve the changes and explain if there is anything you would do differently to mitigate challenges.

Narrative*

Financial Expenditures

Explain how the grant funds were allocated or spent. Have you received other financial support from the community because of this grant?

Financial Expenditures*

Resulting Benefits and Impact

How would you summarize the overall impact of the program on your clients, staff and agency? Have those you serve requested other services, not previously offered by your organization, in response to this particular program? If so, please describe?

Benefits and Impact*

REFLECTIONS

Share one to two brief stories or examples that help explain the success of your work.

Reflections*

Statistics and Demographics

Provide a statistical narrative about the clients you served with this grant. FOR EXAMPLE: You might report on the number homes repaired, rides/trips provided, participants in classes, pounds of food purchased/distributed, etc., or any other program activities.

Statistics*

Demographics

Total Seniors Served (from December 1, 2022 - March 31, 2023)*

GENDER (enter count per category/enter 0 if no count available)

Female*

Male*

Prefer Not to Answer*

Unknown*

AGE (enter count per category/enter 0 if no count available)

60-65*

66-70*

71-75*

76-80*

81 and above*

Unknown*

ETHNICITY/RACE (enter count per category/enter 0 if no count available)

American Indian/Native Alaskan*

Asian*

Black/African American*

Hispanic/Latinx*

Native Hawaiian/Pacific Islander*

White/Caucasian*

Prefer Not to Answer*

Unknown*

COUNTY PARTICIPANTS (List each county and the number of participants per county served)

County Participants*

MEDIA AND PHOTOGRAPHS

Submit one copy of:

any media coverage, press releases, newsletters, copies of social media feeds or other methods used to share information about this award and services available to the seniors in your community.
any photographs of the program or project with captions (emailed, high-resolution digital photos preferred). Include before and after pictures, especially if this was a capital project. Videos are welcome. Because the photographs could be used in digital and printed materials, have all subjects sign the Media/Photo Release located in the Grantee Toolkit.

The information in your report will be shared on Serving Tennessee’s Seniors website in strict accordance with the wishes of the Chancery Court of the State of Tennessee. Final reports due no later than March 31, 2023.

Upload one document containing copies of press/social media you'd like to share

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Upload any photos you'd like to share

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Upload any videos you'd like to share

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Certification and Signature

I/We certify, to the best of our knowledge, information, and belief, neither the organization nor any person serving in a leadership and/or decision-making role (staff, officers, directors) within the organization is affiliated with National HealthCare Corporation ("NHC") or National Health Investors ("NHI") or any of its affiliates, officers or directors. It is YOUR responsibility to ensure that your final report has been submitted correctly. The Community Foundation is not responsible for lost or misdirected final reports or for your failure to push the SUBMIT button.

Signature*

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Use your mouse or finger to draw your signature above

Enter your Name*

First Name

Last Name

Title*

Date/Time*