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This form must be completed within 30 days of event or receipt of funding award 2026
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How to use or fill out This form must be completed within 30 days of event or receipt of funding award
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your organization’s name in the designated field. This ensures that your submission is properly attributed.
- Next, provide the name of the event for which you are reporting. This helps contextualize your funding request.
- Indicate how many people participated in the event. Accurate numbers are crucial for evaluating community impact.
- Fill in the percentage of net proceeds that remain in the local community. This information is vital for assessing future support.
- Detail how many persons were served during the event. This metric reflects the outreach and effectiveness of your initiative.
- In the provided space, explain how this event benefited the community. Be thorough and specific to highlight its impact.
- Once completed, review all entries for accuracy before submitting it to Angela Hayes at Summa Health System using the provided contact details.
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