Quarterly Program Report

INSTRUCTIONS

All applicants are required to have or create an account to complete and submit your application. Keep your user name and password handy so that you can "save a draft" and return to complete your submission. Also this user name and password will continue to be used for agency reporting and future applications.

  • LOGIN HERE (If you already have a user name and password)
  • CREATE AN ACCOUNT (New users only - an email will be send to you)
  • RESET YOUR PASSWORD (if your email has been used previously, you can reset your password)
  • LOGOUT (Be sure to log out once you have saved your draft or submitted your application)

FY24 (7/1/23 - 6/30/24)

1st Quarter Report Due

October 9th, 2023

2nd Quarter Report Due

January 8th, 2024

3rd Quarter Report Due

April 8th, 2024

4th Quarter Report Due

July 8, 2024

 

*** Incomplete applications will not be accepted. Do not leave any blanks; enter N/A if not applicable.

AGENCY INFORMATION

Agency Information
Please select teh quarter for which you are reporting for.

AGENCY

Agency
Please select which demonstrations of partnership your agency used this quarter.
Please select all that apply
Please select one
Please select one

EXPLANATION OF UNITS OF SERVICE

Explanation of Units of Service

UNITS OF SERVICE

Units of Service
We are looking for specific data relevant to Clinton County ONLY

Location of clients served by the program

Please list the number of clients served by this program.

Please make sure to use UNDUPLICATED numbers

Location of Clients Served by the Program

Age of clients served by the program

Age of Clients Served by the Program

SEX OF CLIENTS SERVED BY THE PROGRAM

Sex of Clients served by the Program

HOUSEHOLD INCOME LEVELS OF CLIENTS SERVED BY THE PROGRAM

Household Income Levels of Clients Served by the Program

VOLUNTEER UTILIZATION

Volunteer Utilization

PROGRAM/AGENCY NEWS

Program/Agency News
i.e. successes or setbacks, the introduction or elimination of programs or services, fundraising activities, staff changes, budget issues, etc.

CONDITIONS

Conditions
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