Corvallis Community Thrift Shop Grant Evaluation Form

All Grant recipients must submit a Grant Evaluation Form. This form must be submitted by April 1. Failure to submit the Grant Evaluation Form disqualifies applicants from being awarded a grant in the coming year.

Name of Organization(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Contact Person(Required)

Contact Person Title(Required)

Amount of Grant(Required)

Date Received(Required)

Funding Information

Based on the objectives and activities you outlined in your grant application, describe who was served by this grant and how have they benefited(Required)

Describe in detail how the money was spent and attach receipts for your expenditures.(Required)

Upload Receipts

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Max. file size: 64 MB.

By electronically signing this form, I certify that the information in this application is true and correct.

Applicant's Printed Name(Required)

Signature Date

Signature(Required)

This field is for validation purposes and should be left unchanged.

Corvallis Community Thrift Shop Grant Evaluation Form

Funding Information

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