Report — Union County Cultural Coalition

2023 UCCC Grant recipient report form

A report form is required if you received a grant from the UCCC during the 2023 grant funding cycle (Dec. 2022-Dec. 2023).
Report forms must be submitted by January 15, 2024
Report forms must be submitted if you are applying for a 2024 UCCC Grant. No grants will be dispersed to anyone or any group who fails to complete a report form.
Printed forms can be downloaded here and mailed to:
Union County Cultural Coalition
PO Box 607
La Grande OR 97850

UCCC 2023 Recipient Report

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Title of Project (as it appeared on application)

Year

Indicate the appropriate year for your UCCC Grant report.

2023

2024

Amount of UCCC Award

Amount of matching funds

Source(s) of matching funds

Timeline of the project, including specific dates of any public events or presentations of the work (if applicable)

How was the project performed or presented (if applicable)?

Estimated number of people that benefited from this project:

Brief narrative of the project addressing the goal(s) of the project, its implementation and its outcome.

Signature

I acknowledge that I have executed the project proposed in my application and have used the funds provided me/my organization by the UCCC in the manner initially proposed.

Date

YYYY