REGIONAL INITIATIVE FINAL REPORT (FY19 & FY20)

Please note, when using SurveyMonkey, you will not be able to save and return later. You must be prepared to complete this final report in its entirety once you begin. Visit the REGI Final Report web page to review questions and to obtain the required forms.

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* 1. Grantee Name

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* 2. Contact number

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* 3. Email Address

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* 4. Grant Amount Received

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* 5. Project start date and end date

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* 6. List the cities/towns/Region where your project took place

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* 7. List any CT partnerships and/or any CT artists that contributed to the success of your REGI Project

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* 8. Was your project made accessible to people with disabilities? If so, how?

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* 9. Briefly describe the success of your project? If Applicable, explain any major changes that you may have had to make compared to what was submitted in your original plan. Please also explain any significant budget changes compared to the original budget you submitted.

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* 10. What was the impact of your project in the region it took place and with your intended target audience?

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* 11. Upload your final project budget. The budget form is available on the REGI Final Report web page.

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

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* 12. Upload the National Standards Data Form. This form is available on the REGI Final Report web page.

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

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* 13. (Optional) Upload any work samples from your project that you wish to share with us

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

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* 14. Certification: By checking yes on this certification box, you are indicating that all of the information contained in this final report and all additional attachments are true and correct to the best of your knowledge and that all expenditures were incurred solely for the purpose of the grant.

Yes