Follow Up Grant Application
Thank you for taking the time to let us know how your project went.
Contact Information
Name of Organization:
Contact Name:
Title:
Email:
Telephone:
Mailing Address:
City:
State:
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CA
CO
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DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
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LA
MA
MD
ME
MI
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NC
ND
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NJ
NM
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NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
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Zip Code:
Proposal Information
Project/Program Name funded:
Total Funding Amount Received from Unum:
Total Project/Program Budget:
Is this a multi-year grant?
Select one
No
Yes
If yes, indicate the number of years:
Please state the exact number of people impacted in your grant:
Describe the end results as compared to the anticipated goals/outputs:
Were there any obstacles encountered during the grant implementation? If so, how were they handled?
Please describe the audience reached in terms of population size, demographics, socioeconomic status, age, gender and diversity and specify the percentage of received funding and outputs that benefit each demographic:
How did your program address increasing equity in underserved populations, and directly address efforts of diversity and inclusion?
Did you reach out to Unum for any volunteer opportunities around this funded program? If so, what opportunities were granted to Unum employees?
How have you evaluated the success of the program/project?
If funded again, is there anything you’d like to do differently?
If you'd like to include photos, please attach.
I certify that my organization does not have a written policy of discrimination on the basis of race, color, religion, national origin, age, disability, genetic information, military or protected veteran status, gender, sexual orientation, gender identity or expression.
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