Wisconsin Environmental Education Grant
Periodic Report Summary Form
For Period Ending _____________

 

Log #:
Phone/ID #:

 

Project Director:
Organization:
Mailing Address:
City, State, Zip:

 

Total grant: $ ____________
Expended/Encumbered to date: $ ____________
Balance: $ ____________

 

Guaranteed minimum match: $ ____________
Match to date: $_____________

Number of individuals served this period: ________
Total number of individuals served to date: ________
Total paid staff hired: ________
Total number of volunteers involved this period: ________
Total number of volunteers to date: ________
Volunteer hours this period: ________
Total number of volunteer hours to date: ________

 

Project Accomplishment Narrative

(Summarize what you have accomplished to date. Please limit comments to the space provided below.)

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