(All fields with * must be completed)
 
You and Your Grant Summary

Organisation Name *

Name of Project funded by the Earls Court Community Fund *

Grant received for this project (£) *

Charity or CIC number *

Organisation Address *

Date Awarded *

Date completing this form *

 
Project Progress

Provide a brief summary of your project's progress to date. At this stage is your project going to plan? *

Have there been any changes to your original plan e.g. change in demographics of participants, change in activities, timescale, budget, intended outcomes etc. (Max 5000 characters)
5000
 
Total participants engaged in your project so far *

Total attendees at events or activities (if applicable)

Address(es) of where your project was based (please include postcodes) *

Which priority area(s) does your project focus on?

Please select all that apply

Key outcomes and evidence

Please list in the next 3 questions the three outcomes you ticked in the application form (attached in the email with this link was your original application form).
 

First outcome (from application form/email *

Please write the first outcome here

First outcome - Number of people benefitting *

First outcome - Number of first-time participants *

First outcome - Total sessions delivered *

First Outcome - Comments and Evidence *
Please share with us any data you have collected, for example:

- Survey results e.g. '95% of participants said they felt less lonely since joining the group'
- Quotes e.g. "Since joining the chair-based exercise group, my balance has really improved and I feel much stronger"
- Facts and figures e.g. "17 out of the 25 young people who completed the course went on to find job within six months” (Max 5000 characters)
5000

Second outcome (from application form/email) *

Please write the second outcome here

Second outcome - Number of people benefitting *

Second outcome - Number of first-time participants*

Second outcome - Total sessions delivered*

Second Outcome - Comments and Evidence *
Please share with us any data you have collected, for example:

- Survey results e.g. '95% of participants said they felt less lonely since joining the group'
- Quotes e.g. "Since joining the chair-based exercise group, my balance has really improved and I feel much stronger"
- Facts and figures e.g. "17 out of the 25 young people who completed the course went on to find job within six months” (Max 5000 characters)
5000

Third outcome (from application form/email) *

Please write the third outcome here

Third outcome - Number of people benefitting *

Third outcome - Number of first-time participants *

Third outcome - Total sessions delivered *

Third Outcome - Comments and Evidence *
Please share with us any data you have collected, for example:

- Survey results e.g. '95% of participants said they felt less lonely since joining the group'
- Quotes e.g. "Since joining the chair-based exercise group, my balance has really improved and I feel much stronger"
- Facts and figures e.g. "17 out of the 25 young people who completed the course went on to find job within six months” (Max 5000 characters)
5000

Any additional outcomes from the attached list (even if you didn't tick them on the application form)

Please provide how many sessions were delivered and how many people benefitted from each outcome, with comments and evidence (Max 2000 characters)
2000
 

Impact of grant on this project and your organisation *

Would the project have gone ahead without the funding? Has this grant benefited your organisational development? (Max 2000 characters)
2000
 

Finances

Please provide a financial breakdown of how the grant was spent, in the following format *

Operational/activity costs: £
Staff Costs: £
Volunteer costs: £
Capital Costs (equipment): £
Office, overhead, premises costs: £
Publicity costs: £
Other (please specify): £
5000

Are there any significant variances from your original project budget? * (Max 2000 characters)
2000
 
If there are any funds remaining when will they be fully spent? * (Max 2000 characters)
2000
 

Reflections & Feedback

What changes or benefits has this project delivered for participants and the community? Were there any unexpected outcomes or challenges? *

Please provide one case study and at least one quote which demonstrate the difference this project/grant has made. These are a really important tool we use to demonstrate impact to our supporters, so please only provide ones you are happy for us to share publicly (in donor reports, social media, website, newsletters etc.).

To help bring the case study to life, please include details such as:
- The name and age of the individual described (this can be a pseudonym)
- A description of their situation before your involvement, what you did, and how this helped them
We would love it if you could also provide some photos. If so, please email them to [email protected].

Has this grant supported your organisational growth or sustainability? Please provide examples. *

List any other organisations that contributed to your project and describe their role.

Include a participant quote that demonstrates the value of your project. *

 
Supporting evidence
Please send to [email protected] the following: Photos, Videos or testimonials from participants. Reports or feedback from partners or stakeholders. Any other documents illustrating the impact or progress of the project.
 

Final Questions and Report Submissions

We plan to grow and learn from you. So, do let us know if you have any feedback about the process, things that worked well, less well or could be improved. *

What improvements could be made to the grant process? Is there any additional support you would have found beneficial? (Max 2000 characters)
2000

 
I am the above named person who is authorised to represent the grant recipient organisation, and certify that the statements in this report are accurate to the best of my knowledge. *

Yes

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