Final Grant Progress Report - Illinois CancerCare Foundation

We look forward to the final report of progress in your important scientific work. We ask you to complete the Final Report form and submit it upon the close of your grant cycle.

If you have any questions about the report form, please feel free to contact the Foundation Executive Director at 309.243.3422.

Thank you!

Grant Description

Name of Grantee*

Grant Title*

Board Approved Grant Amount*

Name of Person Responsible for Overseeing the Grant with Authority to Acknowledge its Approval*

First Last

Responsible Person's Title

Email*

Phone

Grantee Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Description of Outputs/Outcomes, Lessons Learned, Future Plans

The answers to the questions below provide an overview of the original intent of the grant and compares how the project has done so far versus what was initially intended. They also provide insight into how this grant meets the mission of the Illinois CancerCare Foundation.

Please summarize the most important results of this grant to date.*

What were the primary lessons that you, your staff and/or collaborating researchers learned from the grant during this reporting period?*

Please describe the key challenges you have encountered and how you have adjusted the project.*

Numbers tell a story too. Please describe how the project has made a difference in the lives of people in our community. Include numbers served, etc. or quantify your results in other ways (e.g., pre- and post- project comparison to show improvement in ........)*

Please feel free to upload any documents which help to support the previous sections.

Drop files here or

Max. file size: 50 MB.

Budget Reconciliation

We require detailed budget reconciliation. Please ensure your financial report shows how you specifically used the grant. The originally submitted budget should be directly compared to the actual amount spent on the project and explanations for any variances should be provided. Please note that you may be asked to provide invoices to support your expenditures. Please upload appropriate documentation (itemization of expenditures, summary of patients served, etc.) that support your finals report.

Drop files here or

Max. file size: 50 MB.

Signature*

Grantee asserts that it has complied with all of the terms and conditions of the grant specified in the Grant Agreement previously executed by the Grantee and the Illinois CancerCare Foundation. I declare that I am authorized to sign this report on behalf of the grantee organization and that I have examined the foregoing statements and to the best of my knowledge they are true, correct, and complete.

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