Innovation Grant – Six-Month Progress Report | Hemophilia Alliance Foundation

INNOVATION – SIX-MONTH PROGRESS REPORT

Grant recipients are required to submit a progress report about the first six months of the project. The report must follow the format below, and must be submitted electronically by February 15th at 11:59 PDT.

As you will see below, this form also serves as a vehicle to request project and budget amendments, and to request a deadline extension. These requests should not be made lightly. The Hemophilia Alliance Foundation Board expects projects to be completed in the grant-year timeline. However, we recognize that unanticipated circumstances may arise, and for this reason we will entertain requests for project, budget, and/or deadline changes.

IF YOUR PROJECT HAS BEEN COMPLETED BY FEBRUARY 15TH, YOU MAY FORGO SUBMITTING A PROGRESS REPORT AND SUBMIT YOUR FINAL REPORT BY FEBRUARY 15TH. THE FINAL REPORT FORM IS AVAILABLE ONLINE ON THE FOUNDATION WEBSITE.

Failure to submit a Progress Report will result in ineligibility to apply for a grant the following year.

Grant-Funded Year*
1. Applicant Type:*
2. Contact Information
2a. Name of Organization*
2b. Name of Main Contact*
2c. Name of Backup Person*
2d. Email for Contact Person*
2e. Email for Backup Person*
2f. Phone for Contact Person*
2g. Phone for Backup Person*
3. Total Number of Patients, Families, Staff or Organization Impacted by Project.*
4. Amount Awarded.*
5. Briefly describe any unanticipated hindrances to the project and if you need to change the grant in any way. *
4. Briefly describe your expectations for the project’s completion.*
6. Briefly describe your expectations for the project’s completion. *
6. Briefly describe your expectations for the project’s completion.*
7. Do you anticipate any unused funds from this project? If yes, please state amount. *
7. Do you anticipate any unused funds from this project? If yes, please state amount.**
- Yes
- No
Number
*Generally, funds remaining at the end of the grant period will be returned to the Alliance Foundation. However, if there were hindrances to the project that were out of your control, you may request an extension of up to six months. Do you anticipate requiring an extension of this project’s end date? If so, what is expected new deadline? PLEASE EXPLAIN WHY YOU NEED THIS EXTENSION.
Date
MM slash DD slash YYYY
Reason for Extension Request
Note 1: After clicking the “Submit” button below, a notification email, along with a link to a PDF of this form submission, will be sent to the email that you’ve entered into the “Email for contact person” field. However, the PDF can only be accessed from the same computer that was used to submit this form. This is a security measure to prevent unauthorized downloads. Therefore, if you’re submitting this form on behalf of someone else and have input their email address into the “Email for contact person” field, then they’ll need to email the PDF link to you so that you can access it from your computer.
Note 2: If, after submitting the form, you don't receive a notification email in your Inbox, then please check your spam folder and whitelist the email address "info@hemophiliaalliancefoundation.org".
Submit Date*
MM slash DD slash YYYY
Name
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