Submit Final Evaluation - The Koch Foundation

Koch Foundation requires an evaluation of all funded programs within one year of receiving a grant. If funds are not spent within one year, then a progress report must be provided every six months until such time as funds are expended. If you would like to mail us a paper version instead, please click here to download the Evaluation Form in PDF format, and fill out the information. In this case, you don’t need to submit the online form.

Name*
First Last
Email*
Hidden
Date
MM slash DD slash YYYY
Grant Application Number*
Organization (Grantee)*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Person Administering the Grant*
First Last
Results of Grantee’s Program
How many people were served?*
What was the time and place of principal activities?*
Describe how the evangelization objectives were met:*
How will the program continue after Koch Foundation funding?*
Income and Expenditure Report:*
Please provide a detailed account of how the grant money was spent.
Addendum to the Expenditure Report. Please enter into the calculation form below the total amount in USD ($) received through the Koch grant and which specific project categories were funded through the Koch grant.
Total Grant Funds Received*
Please enter into each field the total amount in USD ($) spent on that category. Please round all dollar figures to nearest whole dollar. Do not use commas, periods, or dollar signs. If a field is not relevant to your project you may leave it blank.
Salaries and Benefits*
Travel and Lodging*
Tuition/Scholarships*
Printing and Postage*
Supplies including Food*
Equipment*
Other Expenitures*
Describe Other Expenditures*
Construction*
Total Amount Spent
NOTE: This number should equal the Total Grant Funds Received.
$0.00
File Upload (PDF)
If you are interested in sending an attachment with your report, please upload your file here.
Accepted file types: pdf, Max. file size: 5 MB.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.