Programming Grants Report Form
Please submit this report within two weeks of the conclusion of the program.
Library *
Your answer
Date of Program *
MM
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DD
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YYYY
Title (or short description) of program *
Your answer
1. How many attended the program? *
Your answer
2. How was the program publicized? *
Please send any flyers, brochures, newspaper articles, or other publicity materials.
Your answer
3. Evaluation
If the program was sponsored by Humanities Kansas or another organization with their own evaluation form, please attach a copy. Otherwise, please answer the questions below.
Audience interest (1=Lowest, 5=Highest) *
Overall effectiveness of the program (1=Lowest, 5=Highest) *
Overall effectiveness of the presenter (1=Lowest, 5=Highest) *
4. Please send one or more photographs taken at the program to rcarswell@sekls.org.
Your answer
Expenditures
List expenditures for the program, both grant funds and other funds.
Performer's/speaker's fees
Your answer
Mileage or other travel expenses
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Publicity
Your answer
Refreshments
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Supplies (please explain and include costs)
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Other (please list and include costs)
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Summary
Total spent *
If the total is less than the grant amount, PLEASE REFUND THE DIFFERENCE.
Your answer
Programming Grant Amount granted *
Your answer
Signature of person preparing this report *
Your answer
Email Address *
Your answer
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