Grant Evaluation Form

This evaluation form can be used for all grants from Nikau Foundation, including The Tindall Foundation, the Roy and Jan Mace Trust and pass-through grants. Please respond briefly to the questions below.

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* 1. Organisation name

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* 2. Name of person completing this form

(By completing this form you certify that the above information is true and correct and that all donation conditions have been adhered to).

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* 3. Grant amount ($)

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* 4. Purpose of this grant

Please remember that we ask for supporting documentation within 6 months of the grant being made and these can be attached at the end of this form. We suggest you have this ready before completing the form. We also ask for one or two photos of good resolution which we can publish. By attaching the photos you are confirming that Nikau Foundation can publish images and consent has been given by anyone in the photo, and that photos are free of royalties.

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* 5. Was the full donation spent for the purpose requested?

Yes

Please include commentary to explain this if necessary.

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* 6. Tell us about the project and what activities took place?

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* 7. Tell us about the impact of the project/activities? How did the recipients benefit? (We also appreciate stories or quotes that help demonstrate the impact)

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* 8. Did you learn anything from your project that you can share with us?

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* 9. How do you evaluate your organisation and services?

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* 10. Please list other funders involved in the project.

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* 11. How can we improve?

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* 12. Please attach a photograph

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 13. Please attach a photograph

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 14. Other document upload (or additional photograph)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 15. Other document upload (or additional photograph)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 1. Organisation name

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* 2. Name of person completing this form(By completing this form you certify that the above information is true and correct and that all donation conditions have been adhered to).

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* 3. Grant amount ($)

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* 4. Purpose of this grant

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* 5. Was the full donation spent for the purpose requested?

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* 6. Tell us about the project and what activities took place?

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* 7. Tell us about the impact of the project/activities? How did the recipients benefit? (We also appreciate stories or quotes that help demonstrate the impact)

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* 8. Did you learn anything from your project that you can share with us?

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* 9. How do you evaluate your organisation and services?

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* 10. Please list other funders involved in the project.

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* 11. How can we improve?

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* 12. Please attach a photograph

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* 13. Please attach a photograph

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* 14. Other document upload (or additional photograph)

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* 15. Other document upload (or additional photograph)

* 2. Name of person completing this form

(By completing this form you certify that the above information is true and correct and that all donation conditions have been adhered to).