Evaluation and Grant Acquittal Form For those who have already had a youth grant awarded ; PROJECT INFORMATION Applicant Name (required) Applicant Address (required) Telephone Number (required) Grant Amount (required) EVALUATION What did you use the grant for? How was the grant helpful? If the grant was not helpful? Why? What would you do differently? Date activity/s occurred Please detail what you spent the grant on: Enter one item per line: $xxx.xx(amount) Total Amount: $xxx.xx(amount) Example: Bags: $40.00 T-shirts: $40.00 Pens: $40.00 Pads: $40.00 Total Amount Sought: $160.00 We Need Your Support! Youth Barossa is a Not-For-Profit organisation that relies on the generosity of its sponsors and volunteers. Stories from successful grant applicants help fund grants for future applications. Would you be willing to give a testimonial for marketing purposes? If yes, please put a testimonial in the text box below and upload a photo we can use of you and your grant activity (e.g you with your driving instructor and vehicle, or holding your licence) that we can use for marketing purposes with your permission. Photo 1: Photo 2: DECLARATION I hereby declare that the project as outlined above has been satisfactorily completed in accordance with the conditions under which the grant was awarded. Date:
