Post Project Report for Community Grants

This form is for projects that have been awarded a Keep Durham Beautiful community beautification grant to report their results and request reimbursement up to the amount awarded. Our grants are designed to support, enhance and expand on our mission to engage and inspire individuals to take greater responsibility for their community environment. Congratulations on the progress of your Community Beautification project.

Please complete and submit the form below, and send supporting documents, including before & after pictures and receipts, to info@keepdurhambeautiful.org.

Community Grant Reporting Form
Date *
Date
Organization & Contact Information
Please provide the organization name and the contact person who acts as the liaison between Keep Durham Beautiful and your organization regarding this grant.
Contact Name *
Contact Name
Address *
Address
Phone *
Phone
The Project
Please be descriptive about the project that have completed
Please be descriptive
Request for Reimbursement
Please provide details of your project expenses so that we may provide the agreed upon reimbursement grant
$
Name for Reimbursement Check *
Name for Reimbursement Check
Address for Reimbursement Check *
Address for Reimbursement Check
When did you complete this portion of the project? *
When did you complete this portion of the project?
Provide an itemized list of expenses, how they were funded, and anticipated future expenses
Provide an itemized list of only the project expenses for which you will be requesting reimbursement from Keep Durham Beautiful. (These should also be included in the previous answer.)
Provide an itemized list of all in-kind or actual donations to this project. This can include volunteer labor not listed in volunteer hours earlier in this form
A project budget itemizing expenses, along with actual receipts for approved expenses, are required for reimbursement. Will you send these by email, fax or mail? *
Check all that apply. Please email receipts to info@keepdurhambeautiful.org with the subject line indicating the season and year that the grant was approved. Example: "Spring 2017 Grant Cycle"
Please email pictures to info@keepdurhambeautiful.org with the subject line indicating the season and year that the grant was approved. Example: "Spring 2017 Grant Cycle"