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 March 15th at 11:59 PDT.

As you will see below, this form also serves as a communication tool 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 MARCH 15TH, YOU MAY FORGO SUBMITTING A PROGRESS REPORT AND SUBMIT YOUR FINAL REPORT BY MARCH 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. Name of Organization*
3. Contact Information
3a. Name of Main Contact*
3b. Email of Main Contact*
3c. Phone of Main Contact*
3d. Name of Backup Person*
3e. Email of Backup Person*
3f. Phone of Backup Person*
4. Name of Project*
5. Total Number of Patients, Families, Staff or Organization Impacted by Project.*
6. Amount of Grant Awarded.*
7. Briefly describe any unanticipated obstacles to the project and if you need to change the grant in any way.*
8. Briefly describe your expectations for the project’s completion.*
9. Do you anticipate any unused funds from this project? If yes, please state amount.*
- Yes
- No
Amount
10. Generally, funds remaining at the end of the grant period will be returned to the Alliance Foundation. However, if there were obstacles 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?*
- Yes
- No
# Months requested for extension
Please explain why you need this extension.
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.
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Submit Date*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

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