Grant Reporting Form

2024 Grant Report

If you received a grant in 2024 please complete the form below. If you received a grant in 2025, please log in to SurveyMonkey Apply to complete your grant report for 2025.

Name of funding program(Required)

Name of funding program if not listed above(Required)

West Central Initiative Grant Priority Areas(Required)

Select all that apply.

Sustainability

Equity

Democracy

Rural Social Isolation

Name of grantee organization(Required)

Name of contact person(Required)

First Last

Contact person title(Required)

Contact person email(Required)

Contact person phone(Required)

Do you have a fiscal host?(Required)

Yes

EIN number of organization(Required)

Name of fiscal host organization(Required)

Fiscal host EIN number(Required)

Number of people served with grant award(Required)

Counties served(Required)

For example, Becker and Clay Counties

How do you collect/estimate how many people you serve and which counties you serve?(Required)

For example: counted, estimated with factual basis, guessed based on crowd size, etc.

How your project contributed to the Sustainable Development Goals (SDGs)?(Required)

Include which of the Sustainable Development Goals you may have impacted and a measurement. You can learn more by visiting old.wcif.org/sdg-dashboard/

Can we visit your organization or project to learn more about your mission and operations?(Required)

Yes

Is there an event or project you'd like to showcase?

Is there a specific date or dates we should visit?

Project Photos

By uploading images, you are permitting West Central Initiative to use the photos in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the West Central Initiative website or social media.