Final Grant Report Northwest RC&D Final Report Form Project Title County Organization Your Senator’s Name Your Representative’s Name What does your organization do? Project Category (choose the category that best fits) Senior Citizen Education Community Disaster/ Health or First Responder Technology Business Improvement Job Training or Creation Tourism, Recreational, or Park Conservation of Natural Resources Number of People Served Number of Events If your project did not host an event, enter 0. How did you spend the money? 1. Project Amount Received from Northwest 2. Dollar Amount Received from other Sources (total)? 3. Total Project Value (add lines 1 and 2) Did Volunteers Donate Time to Project Yes No Approximate Volunteer Hours Completion Date of Project How did the project make an impact in your community? (1 paragraph) If you have a specific example or personal story from a beneficiary, please share. Please include the GPS coordinates for your project if at all possible. We’ll be mapping our projects in the future. If this project involved multiple locations, please add additional coordinates in the optional comments section if possible. Project Address fields Physical Address of Project Physical Address of Project Physical Address of Project Physical Address of Project City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Project Latitude (should be a number similar to -86.963240) Project Longitude (should be a number similar to 34.491349) Add Remove First Name Last Name Phone Email Is this form complete and ready for review? Yes No You must submit Financial Documents and Photos in order to be reimbursed! All Photos must be in jpeg format. Copies of cancelled checks and or bank statements and corresponding receipts along with photos can be uploaded. Be sure to black out account numbers before uploading and never upload social security numbers or other compromising information. You can also send by mail to 909 George Wallace Blvd. | Suite C | Tuscumbia, AL 35674 Drop a file here or click to upload Choose File Maximum upload size: 52.43MB Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)