KCDD Project Evaluation Survey

Project Evaluation Face Sheet

Question Title

* 1. Project Title

Question Title

* 2. Grantee Agency/Organization's Legal Name

Applicant Agency

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 3. Authorizing Official/Project Director

Question Title

* 4. Grant Reporting Period

Question Title

* 5. Fiscal Year End Date

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* 6. Approved Grant Budget

Question Title

* 7. Grant Funds Expended in Current Reporting Period

Question Title

* 8. Total Grant Funds Expended to Date

Question Title

* 9. Council Goal Area(s) Addressed by Proposal

Self Advocacy

Employment

Education

Quality Assurance

Question Title

* 1. Project Title

Question Title

* 2. Grantee Agency/Organization's Legal Name

Question Title

* 3. Authorizing Official/Project Director

Question Title

* 4. Grant Reporting Period

Question Title

* 5. Fiscal Year End Date

Question Title

* 6. Approved Grant Budget

Question Title

* 7. Grant Funds Expended in Current Reporting Period

Question Title

* 8. Total Grant Funds Expended to Date

Question Title

* 9. Council Goal Area(s) Addressed by Proposal

Question Title

* 10. Kansas Counties to be served by Project