Six-Month Progress Report

Grant recipients are required to submit a progress report on the first six months of operation. The report must be submitted electronically by October 15, 2019, 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.

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

IF YOUR PROJECT HAS BEEN COMPLETED BY OCTOBER 15, 2019, YOU MAY FORGO SUBMITTING A PROGRESS REPORT AND SUBMIT YOUR FINAL REPORT BY OCTOBER 15, 2019.

IF YOU HAVE COMPLETED YOUR PROJECT, AND ARE SUBMITTING YOUR FINAL REPORT IN LIEU OF A PROGRESS REPORT, PLEASE USE THE FINAL REPORT FORMAT.

Please note that all fields are required and the form will not submit unless all fields have been filled out.

1. Contact information
a. Name of organization*
b. Name of project*
c. Amount received*
d. Name of contact person*
e. Email for contact person*
f. Phone for contact person*
g. Authorized Person’s signature*
2. Briefly describe the progress of your Hemophilia Alliance Foundation grant project and/or patient/consumer financial assistance.*
2. Briefly describe the progress of your Hemophilia Alliance Foundation grant project and/or patient/consumer financial assistance.*
3. Briefly describe any unanticipated hindrances to the project.*
3. Briefly describe any unanticipated hindrances to the project.*
4. Briefly describe your expectations for the project’s completion.*
4. Briefly describe your expectations for the project’s completion.*
5. Do you anticipate having any unused funds from this project?*
5. Do you anticipate having any unused funds from this project?*
6. 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. Do you anticipate:
a. returning unused funds? If so, roughly how much?*
b. requesting an extension of up to 6 months on the grant’s deadline? If so, what is the requested new deadline?*
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”.