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About Us
Board of Directors
FAQ
Meet Our Team
Community Impact Partners
Contact Us
Corporate Changemakers
DEI
Our Work
ALICE
Domestic Violence
Early Learning
Financial Stability
Impact Stories
Get Involved
Emerging Leaders Society
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Quarterly Report
Quarterly Report
Select the quarter you are reporting
Quarter 1 (January, February, March)
Quarter 2 (April, May, June)
Quarter 3 (July, August, September)
Quarter 4 (October, November, December)
Agency and Program
Agency Name
Program Name
Name of Person Completing this Form
Email Address
Select your Impact Area for this Program
Education
Financial Stability
Health
Basic Needs & Crisis Services
Education
IN DETAIL - please provide your EDUCATION outcomes from this quarter
Number of youth served who gained post-secondary employment, further education or credentials
Number of clients who developed essential academic skills
Number of youth who develop essential soft skills
Number of youth served who were connected to a career pathway
Number of clients who participated in academic skills training
Number of clients who participated in employment skills training
Number of student’s who successfully complete the program
Number of school age children who participate in out of school specified attendance rate
Number of students with increased school attendance over past semester
Number of students graduated to next grade
Number of youth who demonstrate targeted behaviors and/or attitudes
Number of youth in middle/ high school who earn passing grades in core subject areas.
Number of clients who met academic goals
Number of youth participating in life/job skills trainings/workshops
Number of students who received a scholarship
Number of students with improved self- esteem, communication skills
Number of referrals to another agency
Financial Stability
IN DETAIL- please provide your Financial Stability outcomes from this quarter
Number of clients who complete financial literacy program
Number of financial education classes held
Number of individuals served who access affordable housing and/or financial products, services and education.
Number of clients participating in financial education program (budgeting, improving credit scores, reducing debt, increasing savings, etc.)
Number of clients who have increased savings/assets
Number of Individuals have the knowledge and tools to successfully manage their finances.
Number of individuals know how to reduce costs and develop a budget.
Number of individuals increase knowledge of affordable and safe housing options
Number of referrals to another agency
Number of case management hours
Number of referrals to another agency
Health
IN DETAIL- please provide your Health outcomes from this quarter
Number of clients served with access to healthcare insurance
Number of uninsured clients
Number of clients served with medication equipment or supplies
Number of individual mental health sessions
Number of individuals served with access to mental healthcare services and support
Number of group sessions
Number of clients supported in recovery
Number of clients who have achieved their treatment goals
Number of clients who have learned skills to cope with problems without turning to drugs/alcohol
Number of medical supplies requests filled
Number of individuals provided life skills assistance
Number of individuals served participating in physical activity and/or health food access/nutrition programs
Number of referrals to another agency
Basic Needs/Crisis Services
IN DETAIL- please provide your Basic Needs/Crisis Services outcomes from this quarter
Number of clients served with access to healthcare insurance
Number of uninsured clients
Number of individuals/families assisted
Number of meals served to # of individuals
Number of individuals that accessed emergency shelter
Number of shelter days/nights provided
Number of clients who stayed in emergency shelter
Number of meals delivered
Number of disaster assistance provided
Number of repeat clients
Number of clients who move into safe and permanent housing
Number of clients who maintain safe and permanent housing for at least 3 months after placement
Number of clients provided information about public benefits for which they may be eligible (SNAP/Food Stamps,
Number of referrals to another agency
Budget Usage
Use of Funds
Please describe what the funds were spent on for this quarter.
Total Allocated for this Quarter
Please type in the total amount allocated for this quarter.
Total Amount Spent for this Quarter
What is the total amount spent for this quarter?
Upload a PDF of all your receipts
One file only.
200 MB limit.
Allowed types: jpg, jpeg, pdf, doc, docx.
Demographics
What Demographic areas were served? (Mark all that Apply)
Race
Age
Gender
Race Served
Caucasian
African American
Native American
Hispanic
Other
Race Served Total:
0
Ages Served
0-12yrs
13-21yrs
21-60 yrs
60 yrs+
Age Served Total
0
Gender Served
Females
Males
Other
Gender Served Total
0
Summary
ACCOMPLISHMENTS and EXPANSIONS. Report on program success this quarter.
CHALLENGES and OBSTACLES. Report on barriers to success.
TECHNICAL ASSISTANCE. Is there non-monetary, technical assistance you need to fulfill your program results?
Leave this field blank
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