Local Section Diversity, Equity, Inclusion and Respect Grant (DEIR) Final Report Form

Description Text

Sponsoring Local Section: *

Grant Award Year: *

Project Coordinator Information:

Full Name: *

Address: *

Tel: *

Email: *

DEIR Information:

Title of Project: *

Briefly describe the results and impact of the project: *

0/2000 characters

Estimated number of volunteers: *

Estimated number at event/directly reached: *

Optional: Include photos, communications, reports, or other documentation that helps to capture the impact of this project.

Describe any PR generated prior to the event
(i.e. flyers, newspapers ads, emails, website,
and/or direct mail). Please include a website
link, if applicable. *

0/400 characters

Describe any PR generated after to the event
(i.e. flyers, newspapers ads, emails, website,
and/or direct mail). Please include a website
link, if applicable. *

0/400 characters

What type of evaluation process did you use? *

Did the survey provide useful
information about future events?

The grant money
received was... *

List any ACS or non-ACS partnering groups.
How did the partnership(s) work out? *

0/500 characters

Would you do anything differently if you
were to do this program again? Explain briefly. *

0/500 characters

Once completed, did you or do you
plan to nominate this activity for any
ChemLuminary Awards? *

Yes

No

Not Sure

Indicate award name: *

0/300 characters

Please list all major expenditures that were used through this grant. (Note: You do NOT need to attach receipts.)

Item:

Expense:

Justification:

Item:

Expense:

Justification:

Item:

Expense:

Justification:

Item:

Expense:

Justification:

Item:

Expense:

Justification:

Item:

Expense:

Justification:

Project Total:

$0.00

Questions? Contact lsac@acs.org.