Final Evaluation Form for Action Grants - April 2016

Dear Action Grant Recipients,

Please fill in this Final Evaluation Form WHEN YOUR PROGRAM OR ACTIVITY HAS FINISHED or, at the latest, by APRIL 30, 2016 .

Note: to complete the on-line evaluation, you will need to know the total amount that you have spent from the grant.

Many thanks to the Sport and Recreation Branch of the Yukon Territorial Government for funding this initiative through the Yukon Active Living Strategy, and for support from ParticipACTION for the Teen Challenge Grants.

Thank you in advance for your time and effort in completing the evaluation, and for your important work in increasing children's physical activity levels!

Sincerely,
Recreation and Parks Association of the Yukon (RPAY)

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* 1. Please skip to question #2. This space is for your Action Grant ID# which will be entered by RPAY once you submit your report.

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* 2. Recipient Contact Information

Organization

Your Name

Title

Telephone

Community

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* 3. Type of Grant Received

Classroom Action Grant (getting kids active during the school day)

After-School Action Grant (getting kids or youth active after school from 3-6 pm)

Teen Challenge Action Grant (getting youth aged 13-19 active)

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* 4. How did you find out about the grant?

Website

Facebook

Twitter

Poster

School Principal

Other staff at your organization

Other (please specify)

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* 5. How would you best describe the purpose of your grant?

Wages for leaders or other support people

Specialist physical activity experience (e.g. gymnastics, dance etc.)

Training

Classroom/Program materials and supplies

Playground materials and supplies

Facility rental

Healthy snacks

Other (please specify)

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* 6. What is the current status of your program?

Program has been completed.

Program has started and is still underway.

Program has not yet started.

Please provide further information on program plans if the program has not yet started.

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* 7. Approximately how many children/youth in each age group have benefited to date from the Action Grant?

Pre Kindergarten

Kindergarten to Grade 3

Grade 4 to Grade 7

Grade 8 and older

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* 8. Please use the questions below to provide more information on activities resulting from your Action Grant that have occurred by the date of this final evaluation.
Since receiving your grant...

How many weeks did you run your program?

How many days each week was it offered?

On average, how many children/youth participated in your program?

Of these, how many are girls?

How many are boys?

How many are First Nations?

How many minutes were children/youth moderately to vigorously active each day? See note below for definitions.

Note:
Moderate intensity aerobic exercise is where you're working hard enough to raise your heart rate and break into a sweat. You're working at a moderate intensity if you’re able to talk but unable to sing the words to a song.
Vigorous intensity aerobic exercise is where you're breathing hard and fast and your heart rate has increased significantly. If you're working at this level, you won't be able to say more than a few words without pausing for a breath.

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* 9. In which time period did the funds impact activity levels of children/youth? Please choose all that apply.

Before school

In classroom

At recess (morning or lunch)

After school

Evenings and/or weekends

Other (please specify)

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* 10. In 2-3 sentences, please describe what has occurred for your Action Grant program. This description will be shared with funders and on RPAY's website. Please ensure that it is well-worded, accurate and concise.

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* 11. If you used the grant differently than described in your application, please explain why. For example, "could not get gym time", "could not find an instructor", "needed different equipment", "grant arrived late", etc.

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* 12. FINANCIAL REPORTING

Please download, complete, sign and submit the "Final Budget Statement Form" available at http://www.rpay.ca/action-grants

Yes! I will download, complete, sign and submit the "Final Budget Statement Form"

What is the total amount from the grant that was spent? This should be identical to the amount you indicated on your "Final Budget Statement".

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* 13. In your opinion, how well has the Action Grant program influenced an increase in opportunities for Yukon children and youth to be physically active? The Action Grants have had...

1 - a significant influence

2 - a moderate influence

3 - some influence

4 - very little influence

5 - no influence

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* 14. On a scale of 1 to 5, where 1 is really easy and 5 is really difficult...

	1-Really easy	2-Easy	3-Okay	4-A little difficult	5-Really difficult
How easy was it to apply for the grant?	How easy was it to apply for the grant? 1-Really easy	How easy was it to apply for the grant? 2-Easy	How easy was it to apply for the grant? 3-Okay	How easy was it to apply for the grant? 4-A little difficult	How easy was it to apply for the grant? 5-Really difficult
How easy was it to use the grant for what you originally intended?	How easy was it to use the grant for what you originally intended? 1-Really easy	How easy was it to use the grant for what you originally intended? 2-Easy	How easy was it to use the grant for what you originally intended? 3-Okay	How easy was it to use the grant for what you originally intended? 4-A little difficult	How easy was it to use the grant for what you originally intended? 5-Really difficult
How easy has it been to report on the grant?	How easy has it been to report on the grant? 1-Really easy	How easy has it been to report on the grant? 2-Easy	How easy has it been to report on the grant? 3-Okay	How easy has it been to report on the grant? 4-A little difficult	How easy has it been to report on the grant? 5-Really difficult

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* 15. Will you be able to also provide photos, anecdotes and testimonials, particularly from children (with a photo release form) or a success story? These help us demonstrate that Action Grants are needed on an ongoing basis. These can be sent to rpay@rpay.ca. Photo release forms are available from rpay@rpay.ca.

Yes

Uncertain

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* 16. If you have any comments or would like to provide further information, please use the space below.

Thank you for completing the final evaluation, and for all of your work to increase the physical activity levels of children and/or youth!

If you would like a copy of this report for your records, please save or print the page now before pressing "DONE" below. The page can also be selected, copied and pasted into Word to save.

If you have any questions, please contact rpay@rpay.ca or call 867-668-3010 or toll free 1-866-961-WALK (9255). Thank you!

Question Title

* 1. Please skip to question #2. This space is for your Action Grant ID# which will be entered by RPAY once you submit your report.

Question Title

* 2. Recipient Contact Information

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* 3. Type of Grant Received

Question Title

* 4. How did you find out about the grant?

Question Title

* 5. How would you best describe the purpose of your grant?

Question Title

* 6. What is the current status of your program?

Question Title

* 7. Approximately how many children/youth in each age group have benefited to date from the Action Grant?

Question Title

* 8. Please use the questions below to provide more information on activities resulting from your Action Grant that have occurred by the date of this final evaluation.Since receiving your grant...

Question Title

* 9. In which time period did the funds impact activity levels of children/youth? Please choose all that apply.

Question Title

* 10. In 2-3 sentences, please describe what has occurred for your Action Grant program. This description will be shared with funders and on RPAY's website. Please ensure that it is well-worded, accurate and concise.

Question Title

* 11. If you used the grant differently than described in your application, please explain why. For example, "could not get gym time", "could not find an instructor", "needed different equipment", "grant arrived late", etc.

Question Title

* 12. FINANCIAL REPORTING Please download, complete, sign and submit the "Final Budget Statement Form" available at http://www.rpay.ca/action-grants

Question Title

* 13. In your opinion, how well has the Action Grant program influenced an increase in opportunities for Yukon children and youth to be physically active? The Action Grants have had...

Question Title

* 14. On a scale of 1 to 5, where 1 is really easy and 5 is really difficult...

Question Title

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* 16. If you have any comments or would like to provide further information, please use the space below.

* 8. Please use the questions below to provide more information on activities resulting from your Action Grant that have occurred by the date of this final evaluation.
Since receiving your grant...

* 12. FINANCIAL REPORTING

Please download, complete, sign and submit the "Final Budget Statement Form" available at http://www.rpay.ca/action-grants