grants

Grant Activity Report Form

Grant Activity Report Form

Complete this form at the conclusion of a grant program activity.

Questions? Contact Joy Schwarz at schwarz@winnefox.org

Funding for this grant program came from the additional library system funding Winnefox received in the 2017 – 2019 biennial budget, which was earmarked for lifelong learning, job creation, and broadband access.

First name *

Last name *

E-mail Address *

Library *

Grant purpose *

Check all that apply

Lifelong Learning

Job Creation

Broadband Access

Activity title *

Activities start date *

Month

Day

Year

Activities end date *

Month

Day

Year

WLS grant funds used * $

Libraries may receive up to $1000

Local funds used $

Attendance

For events: total number of people who attended

Additional information you'd like to tell us

Leave this field blank

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Grant Activity Report Form

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