2020 Six-Month Progress Report

Grant recipients are required to submit a progress report about the first six months of operation. The report must follow the format below, and must be submitted electronically to info@hemophiliaalliancefoundation.org by October 15, 2020 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.

The Hemophilia Alliance Foundation Board recognizes that 2020 brought challenges that may require project, budget, and/or deadline changes.

IF YOUR PROJECT HAS BEEN COMPLETED BY OCTOBER 15, 2020, YOU MAY FORGO SUBMITTING A PROGRESS REPORT AND SUBMIT YOUR FINAL REPORT BY OCTOBER 15, 2020. THE FINAL REPORT FORM IS AVAILABLE ONLINE ON THE FOUNDATION WEBSITE.

1. Applicant Type*
2 Contact information
a. Name of organization*
b. Name of main contact*
d. Email of contact person*
f. Phone # for contact person*
c. Name of backup person*
e. Email of backup person*
g. Phone # for backup person*
3. Total # of patients, families, staff or organization (i.e. software purchase) were impacted by this grant funding. Please be as accurate as possible.*
4. Amount awarded*
5. Did you change the grant project due to COVID-19 impact?*
- Yes
- No
Project Description: If you answered "Yes", please describe how you modified the original project.
6. Do you anticipate unused funds from this project?*
- Yes
- No
If you answered "Yes", please describe why and how much:
Generally, funds remaining at the end of the grant 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. Please indicate the requested new deadline and the reason you are requesting the extension.
7. Are you requesting an extension on submitting your final report?*
- Yes
- No
If you answered "Yes", please indicate the new date that you plan to submit the final report and the reason that you're requesting an extension:
Note 1: After clicking the “Submit” button below, a notification email will be sent to the Contact Person’s email address that includes a copy of your report in PDF format. The PDF will be attached to the email.
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”.