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Thank you for completing this final report. Please answer all of the questions that apply to your project. Please attach receipts with the budget section. If you need assistance or have any questions, please contact Community Connections at 313-782-4042. Date of report: _______________ Name of organization that received grant: Organization address: _____________________________________________Zip___________ Project address: Name of person submitting report/contact person for project: Phone: _______________________ Email Address: Address if different from above: ________________________________________Zip_________

1. Basic Project Information

Project name:

Grant amount awarded: $ Project start and end date(s):

Project activities days and times: (example: Wednesdays, 4-6 p.m.) ______________________________

_____________________________________________________________________________________ Where did the project take place? (check as many as apply)

Child care center Neighborhood center

Home daycare Outdoors

Community center School

Community business Work site

Church or other religious institution Other ______________

College campus

Community Connections Child-centric

FINAL REPORT

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Children in the Project

If children participated in your project, please complete this section. Please indicate the number of children participants in the following categories:

Total number of child participants:_____________

Please explain any ‘other’ responses_________________

Did all children live in the city of Detroit? Yes No

If ‘no,’ please explain

Did any children in your project have a physical or cognitive disability? Yes No If yes, please describe and state how many children: ________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

African American

Arabic Hmong Latino White Other

Age 0 Male

Female

Age 1 Male

Female

Age 2 Male

Female

Age 3 Male

Female

Age 4 Male

Female

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Parent Participants in the Project

If parents participated in your project, please complete this section. Please indicate the number of parent participants in the following categories:

African

American Arabic Hmong Latino White Other

Age 17 & under

Male

Female

Age 18-24 Male

Female

Age 25-34 Male

Female

Age 35-54 Male

Female

Age 55-69 Male

Female

Age 70+ Male

Female

Please explain any ‘other’ responses_________________

Total number of parent participants__

Number of parent participants with 2 parents involved________________

Number of single mother participants (Without involvement of a second parent) __________

Number of single father participants (Without involvement a second parent)___________

Number of caregiver participants (such as grandparents, aunties, etc.)________________

Did any parents identify as LGBT+? Yes No If ‘yes,’ how many?

Were any participants pregnant? Yes No If ‘yes,’ how many?

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Leaders Involved in the Project

Please indicate the number of project leaders in the following categories:

African

American Arabic Hmong Latino White Other

Age 17 & under

Male

Female

Age 18-24 Male

Female

Age 25-34 Male

Female

Age 35-54 Male

Female

Age 55-69 Male

Female

Age 70+ Male

Female

If “Other,” please specify _________________

Total number of leaders in the project __________________

Did your project provide opportunities for inter-generational interaction? Yes No

If yes, please describe: _______________________________________________________________________

__________________________________________________________________________________________

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2. Goals and Activities A. Please list the goals for your project (taken from the application) and rate the level of accomplishment you

achieved on each of them on the following scale:

1 Not at all

2 A small degree of accomplishment

3 A moderate

degree of accomplishment

4 A high degree of accomplishment

5 A very high degree of accomplishment

Rating

Goal 1:

Goal 2:

Goal 3:

B. Summarize your project briefly (maximum 10 sentences):

3. Project Reflections

C. In what ways did this grant help you to implement your ideas?

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D. Did your project promote access to opportunities, resources, or experiences for children, parents, or childcare providers? (For example, field trip experiences, health care resources, training for providers,

opportunities to network with other parents, etc.) Yes No If ‘yes,’ explain:

E. Give up to 3 examples of how family members changed after learning new information.

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At times, parents experience challenging circumstances and behaviors that can affect parenting. Did any of the parents in your project experience the following challenges? (Check if ‘yes’)

For any ‘yes’ responses, did participating in your program impact any of the above issues? Yes No If ‘yes,’ how?

Characteristic Check if ‘yes’ How Many?

Persons living under the poverty line

Persons experiencing homelessness

Persons with no income

Persons experiencing addiction to alcohol or drugs

Persons currently abusing alcohol or drugs

Pregnant moms currently using alcohol or drugs

Pregnant moms NOT taking prenatal vitamins

Pregnant moms currently smoking cigarettes

Pregnant moms NOT receiving prenatal medical care

Persons experiencing domestic violence

Survivors of domestic violence

Persons with serious mental illness

Persons with physical disabilities

Persons with cognitive disabilities

Persons with a partner in prison or jail

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F. Did your project have an impact on any of the following healthy practices in childcare? (Check if ‘yes’) (When explaining how your project impacted a healthy practice, keep it simple, e.g. ‘7 mothers learned how to properly use car seats.’)

Healthy Practice Check if

‘yes’

In what way?

Safe sleep for babies

Getting prenatal care

Prenatal nutrition

Reducing drug or alcohol use in

pregnancy

Child nutrition

Child safety

Well baby medical visits

Reading to children

Stimulating experiences for young children

Postpartum health of moms

Community support for moms and/or

dads

Regular sleep schedules for young

children

Maternal/infant bonding

Father/child bonding

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Child safety

Other

H. How did your project promote the health, development, and well-being of children? I. How did your project support parents and caregivers as children’s first teachers and champions? J. Did your project increase the overall quality of your program or ideas? (if applicable)

Yes No If ‘yes,’ in what way?

K. What barriers, if any, did you encounter during your project? (Check any that apply):

Transportation

Parent commitment/buy-in

Attracting enough participants

Communication/collaboration with partners or sites

Scheduling conflicts

Funding

Lack of commitment from some assigned leaders

Other (describe)_______________________________________________________________

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How did you address these barriers?

L. What pleasant surprises, if any, arose during your project? M. What lessons did you learn from doing this project and how will you use them to inform

future projects like this?

I. Please provide any quotes, personal statements, personal stories, etc. from your project here (you may attach a separate page if needed):

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6. Organizational Partners

P. What organizations and groups were involved in this project and what role(s) did they play?

Name Role or Contribution

_____________________________________ ________________________________________

_____________________________________ ________________________________________

_____________________________________ ________________________________________

_____________________________________ ________________________________________ (continue on a separate page, if necessary)

7. Grant Reflection A. Please give us some feedback on your experience with the Community Connections Grant Program: B. How would you change or improve this type of grant or the grant funding process? What would you

leave the same?

Did your group get any help or guidance in planning or doing this project? (Check as many as apply)

Advice, coaching, or mentoring from Community Connections staff

Advice, coaching, or mentoring from a Community Connections panelist Please name: ________________________________________________

Advice, coaching, or mentoring from an experienced Community Connections grantee Please name: ________________________________________________

Attended trainings or workshops Please name or describe: ____________________________________________________________

Other Please name or describe: ____________________________________________________________

How did this assistance help? What did you get from it? ____________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

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Final Community Connections Grant Project Budget

Please Provide a breakdown of monies used. Your budget should match your original or revised budget. Please attach receipts (copies are okay). If any money is left over, please contact the Community Connections office at 313-782-4042.

LIST EXPENSES FOR PROJECT PAID FOR BY W.E. GRANT

DOLLAR AMOUNT OF EXPENSES (PROVIDE

RECEIPTS)

TOTAL:

$

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We are asking the next questions because we would like an idea of the true size and cost of projects. This information will be helpful for future grants.

Please list any other sources of monetary income for the project (including donations, fees, other grants, etc.

What was your total income for the project, including the Child-Centric Grant?

If you had income other than the Child-Centric Grant, what was it used for?

Describe in-kind (donated) support for your project and an estimated dollar value if you can:

Name of organization receiving grant ________________________________________________ Name of person filling out this report ________________________________________________ Current phone number for person filling out this report ________________________________________________ Signature of person filling out this report ________________________________________________

Return this

Community Connections Grant

Final Report to:

Community Connections communityconnections@preventionnetwork.org

2727 2nd Ave, Suite #144

Detroit, MI 48201 Phone (313) 782-4042 Fax (313) 782-4044