Tennessee Disability Coalition – Discretionary Small Grants Program 
Five Month – Summary of Activities 
Report Sample 


Please Note: This document is only a printable/downloadable sample 

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Final reports are now submitted through JotForm 

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Use the information from your proposal to describe your Goal and your Objectives. 

1. Date 
2. Name of organization 
3. Date of grant award 
4. Reporter name and e-mail 
A. Project Description 
1. Describe the Goal of your project and progress towards that goal. 
2. List your objectives and describe progress to date. 
Objective Progress to date 

B. Challenges and Barriers 
Briefly describe any barriers encountered and strategies to overcome. 

C. Additional comments 
Include additional comments as needed 

D. Budget report 
Provide a brief narrative and complete the attached budget page to indicate how funds have 
been used to date. 

Final Report 
Revision Date: 2.18.2021 


Tennessee Disability Coalition – Discretionary Small Grants Program 
Five Month – Summary of Activities 
Report Sample 


Project Budget Line Items Funds from Tennessee 
Disability Coalition 
Amount 
expended 
to date 
Salaries & Wages 
Benefits & Payroll Taxes 
Consultants/Professional Services 
Staff Development 
Insurance 
Rent/Mortgage 
Building Maintenance 
Equipment 
Equipment Maintenance/Rental 
Technology/Computers 
Program supplies 
Marketing 
Postage/Mailings 
Printing 
Office supplies 
Travel/Mileage 
Utilities/Telephone 
Other (specify): 
TOTAL PROJECT EXPENSES 

Final Report 
Revision Date: 2.18.2021