Reporting - Geyser Community Foundation

Outcome Reporting

Please complete and submit the form below. Deadlines are as follows:

The Tindall Foundation reporting – complete before 31 January 2023

Before you start the form, ensure you have saved any files you wish to upload in a handy place.
You may like to prepare your answers in advance, and copy and paste them into the form.

Please note that you will need to complete the form in one sitting. (Please allow 2 hours to complete).

Should you have any questions, please contact grants@geysercf.org.nz

Which Fund?(Required)

Use the drop-down to select which fund you received a gift from.

Name of Organisation:(Required)

Name of Initiative / project:

Contact Person:(Required)

Email Address:(Required)

Funding Amount Allocated:(Required)

Initiative Outcomes

In the following section please describe your top three outcomes/goals and how you achieved them.

Outcome #1: What were you trying to achieve for participants / communities / environment?(Required)

Outcome #1: Describe how successful you were at achieving these goals.(Required)

Outcome #1: How did you measure your success?(Required)

Outcome #2: What were you trying to achieve for participants / communities / environment?(Required)

Outcome #2: Describe how successful you were at achieving these goals.(Required)

Outcome #2: How did you measure your success?(Required)

Outcome #3: What were you trying to achieve for participants / communities / environment?(Required)

Outcome #3: Describe how successful you were at achieving these goals.(Required)

Outcome #3: How did you measure your success?(Required)

Challenges

Challenges(Required)

Tell us about what you’ve learnt or any challenges that occurred.

Did you spend the entire gift amount?(Required)

Yes

If no, why not? Are you returning any of the gift?

Any unspent funds will need to be returned to Geyser Community Foundation.

Impact Stories

Impact(Required)

Tell us about the impact and changes for participants/communities/environment that have resulted from your initiative. You are encouraged to share case studies or personal stories. We will send these to The Tindall Foundation (if applicable) and also include these stories in our own media releases and online.

Photos

Please upload any photos of your successful project. If you would like to send any video, please send to grants@geysercf.org.nz These photos and videos may be used for media purposes so please ensure you have consent from those pictured.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 10.

Declaration

Please confirm you adhered to all of the below conditions of your award.(Required)

Yes – we spent the gift for the purposes specified in our application.

Yes – these purposes were all charitable in nature.

We can confirm there were no changes made to our outcomes and purposes as outlined in our application OR we informed Geyser Community Foundation or The Tindall Foundation if these circumstances changed.

Do you have any other comments or feedback?

Declaration(Required)

I certify that the above information is true and correct and that all donation conditions have been adhered to.

I agree with the declaration stated above, for and on behalf of the Organisation.

Name(Required)

First Last

Position

Date

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Outcome Reports

Outcome Reporting

Initiative Outcomes

Challenges

Impact Stories

Declaration

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