Outcome Report - Greylock Insurance

REPORTING REQUIREMENTS

Organization's formal name

CEO's Name

Address

City

State

Zip

Contact phone number

Contact name
Person completing this outcome form

Contact email address

Date funds were received

1.) Funded Program

Amount funded

Area(s) of focus for this program:
Choose 1-2 only.

Number of people served/attended for each area of focus chosen
(ex: if you chose 2 areas of focus you must give the number of people for each focus)

2.) Funded Program

Amount funded

Area(s) of focus for this program:
Choose 1-2 only.

Number of people served/attended for each area of focus chosen
(ex: if you chose 2 areas of focus you must give the number of people for each focus)

3.) Funded program

Amount funded

Area(s) of focus for this program:
Choose 1-2 only.

Number of people served/attended for each area of focus chosen
(ex: if you chose 2 areas of focus you must give the number of people for each focus)

Demonstration of program/event execution (e.g. media coverage, advertising, photographs)

PLEASE NOTE: Do not attach excel spreadsheets here. Please send separately to areese@greylock.org

Max. of 4 attachments allowed. Send additional attachments to areese@greylock.org.

Select File(s) to Upload

FOR REQUESTS OVER $1,000:

All requirements of previous level; plus

How long has Greylock been a supporter of this program/event?

Have you seen an increase in the number of participants this year?

Yes
No
N/A

If yes, what is driving the increased need?

Did this program/event achieve its desired outcomes or goals stated from the Sponsorship Request?
Please explain.

What are your key performance indicators for the program?
If you can't quantify, please explain.

Will this program/event continue or be repeated?

How did you recognize Greylock's contribution?

Narrative demonstrating how Greylock's involvement contributed to the success of the program/event
(Impact stories)

Have you seen an upward trend in need?

How many sponsors/funders participated in the event?

Please share what progress you have made with your inclusion efforts.
Share a brief story here.

Please share what challenges your have faced. What did you learn? What resources would help with those?

What changes will you plan to implement the next time this program is executed?