Equity Innovation Fund Report - Payne Consulting

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Contact information

Organization name

Project name

Name of person completing this report

First

Last

Email of person completing this report

Report narrative

Using the Outcomes and Impact section of your proposal as the baseline, provide a comparison of anticipated progress and actual progress with regard to project timeline, numbers served and outcome achievement.

In 7-10 sentences, describe the successes and struggles to date. For struggles, describe steps taken to overcome them.

Any additional information you'd like to report

Participant Demographics

For each demographic category, enter the number of participants. Do not leave any fields blank. Enter 0 when appropriate.

Declined to share = You made an attempt to collect this information and the participant actively chose not to respond.

Unknown = You could not collect this information.

If you have unknown demographic data, include an explanation in the "Additional participant demographic information" box at the end of the demographic section.

Briefly describe who is included in the group of participants whose demographics are reported below.

Clarify who is included...is it youth who attended at least two hours of programming? Community members who attended an in-person event? People who called for information and were connected to a case worker? Etc.

Total unduplicated number of participants to date

Participant Zip Code

The total number entered in this section should match the total unduplicated number of participants to date.

53108

53126

53177

53402

53403

53404

53405

53406

53105

53139

53167

53182

53185

Unknown zip code

Zip code(s) not listed and number of participant(s) from each

Participant age

The total number entered in this section should match the total unduplicated number of participants to date.

0-5 years old

6-17 years old

18-44 years old

45-64 years old

65+

Unknown age

Participant race

The total number entered in this section should match the total unduplicated number of participants to date.

African American/Black

American Indian and Alaskan Native

Asian

Native Hawaiian and other Pacific Islander

White

Two or more races

Other race not listed

Unknown race

Describe the race of participants identified as "other race not listed".

Participant ethnicity

The total number entered in this section should match the total unduplicated number of participants to date.

Hispanic or Latino

Not Hispanic or Latino

Other ethnicity not listed

Unknown ethnicity

Describe the ethnicity of participants identified as "other ethnicity not listed".

Participant gender

The total number entered in this section should match the total unduplicated number of participants to date.

Male

Female

Transgender

Nonbinary

Unknown gender

Other gender not listed

Describe the gender of participants identified as "other gender not listed".

Clarify any data provided above and/or share additional participant demographic information (optional).

Participant economic status

The total number entered in this section should match the total unduplicated number of participants to date.

Use the following information to determine participant economic status. Income levels are based on 2022 Poverty Guidelines for the 48 Contiguous States and the District of Columbia, Federal Register document 87 FR 3315.

2022 Federal Poverty Guideline Information

Extremely low-income

Very low-income

Low-income

Other

Unknown income

Project-specific Data

Data entered should be unduplicated to date.

Total number of mentoring sessions.

Total number of youths enrolled in the program.

A narrative description of the topics covered in mentoring lessons/sessions

Attendance percentage.

Schools attended by enrolled youth.

Total number of community connection speakers.

Number of students in attendance at community speaker events.

Percentage of participants who report an increase in leadership and character-building information and skills

Percentage of participants who report an increase in positive self-awareness, social skills, discipline and confidence

Percentage of participants who report an increase in knowledge of technology careers

A narrative summary that demonstrates knowledge gained and/or behavior changes in participants

A narrative description of the responses received from the pre and post survey, "How do I see myself" assessment.

Narrative reflection on what your organization has learned thus far.

Is this the final report?

Is this your final project report?

Yes

Final report - to be completed within 60 days of completion of the project

This section of the report should be completed only at the end of the grant period.

Describe any deviance from proposed activities to actual activities.

What was innovative about your project/program?

What is the definition of success for a participant/client served by this project/program?

How did you measure success?

Why did you choose this method?

Was the measurement method appropriate?

Using your definition of success, describe the impact the funding had on your clients/participants and/or community.

What’s next for the project/program?

Provide a 2-3 sentence statement of impact that can be used as a stand-alone quote. Include the name and title of the person quoted.

Financial report narrative: Describe any significant deviations from the original budget.

Do you have unspent grant funds?

Yes

Is there any additional information you would like to report?

Upon submitting this report, a confirmation email will be sent to the email of the person who submitted the report. This individual must reply to the confirmation email and attach the following:

Photos that demonstrate the impact of the project/program.
A financial report that documents grant fund expenditures.

Your project report is not considered complete until all information is submitted.

Late and/or incomplete reports will negatively impact the organization’s eligibility for future United Way of Racine County funding.

I will submit the annual report referenced in the funding proposal.

I will attach photos that demonstrate program impact to an email reply to the confirmation email upon submission of this report.

I will attach a financial report that documents grant fund expenditures to an email reply to the confirmation email upon submission of this report.