Pemberton and District Initiative Fund Reporting Form

Seed Funding and Long-Term Agreement Funding PDIF grant reports must be submitted to the SLRD by 4:00 pm, November 15th.

One-Time Funding PDIF grant reports must be submitted to the SLRD within 90 days of the completion of the funded project, program or event.

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Organization Information

Report Date

Community Organization Name

Primary Contact Name

Primary Contact Phone

Address

Address 2

City/Town

Province

Postal Code

Primary Contact Email Address:

Funding Type (Check One)

Funding amount based on chosen type above. $

Report Type (Check All That Apply)

Annual Progress Report (Seed Funding or Long-Term Agreement Funding)

Final Report (Seed Funding and Long-Term Agreement Funding)

Final Report (One-Time Funding)

If this report is for Seed Funding or Long-Term Agreement Funding please confirm the year for this report (skip if not applicable).

1. Program/Project Description

Briefly recount the project or program your organization provided with Pemberton and District and District Initiative Fund (PDIF) grant funds

2. Primary Accomplishments

Describe the primary accomplishments of your project or program, and how these align with the objectives you described in your funding proposal for this period? What evidence do you have to demonstrate your success? If you did not achieve your intended results, why?

3. Program Participation

Describe how many Village of Pemberton and Electoral Area “C” residents were served by your project or program in the reporting period, how many non-residents may have been served, and how the project or program impacted the well-being of the populations or groups that were served.

4. Continuity of Project

If your organization intends for this project or program to be sustained or repeated after the grant period has ended, what actions have your organization and project partners taken and what actions will be taken to facilitate sustainability/continuity of the project or program?

5. Financial Summary

Provide a financial summary of the activity, event or program including how the grant funds and other sources of revenue were used compared to the proposed budget submitted with the application (use the space provided below, or upload as a separate document).

6. Activities to Recognize Contribution

Describe what activities have been carried out to recognize the SLRD’s and Village of Pemberton’s PDIF funding contribution.

7. Workplan for Subsequent Year

Please complete the following section only if you are submitting a progress report for Seed-Funding or Long-Term Agreement Funding Describe your organization’s proposed workplan and use of the funds for the subsequent year. Workplans for subsequent funding years should include the updated information as was included with the original funding application (i.e. annual project outline, updated annual budget, renewed society information, as applicable—use the space below or upload additional pages as may be necessary).

Additional Documents

One file only.
512 MB limit.
Allowed types: pdf.

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