Final Report Form

Final Reports are required for both Neighborhood Association and Community Improvement Grants and are due no later than one month after completion of a cleanup project. Grant awards are not distributed until Final Reports are submitted and approved.

Name of Group:
Contact Person:
Telephone Number:
E-mail Address:
Mailing Address:
City, State, Zip:
Project Date Completed:
Location of Cleanup:

Number of Volunteers(including planning and organization):
Total Volunteer Hours*:
*Total person-hours spent planning, organizing and implementing the project. Example: 2 people spent 4 hours planning and 10 people spent 2 hours implementing the project. Total hours are 28 [(2x4)+(10x2)=28].

* Area Cleaned (litter clean ups only): Mark map with area cleaned and return to KLLCB Coordinator.

Materials Cleaned Up
Item Amount Units
Garbage/Trash
Paper
Plastic
Aluminum
Glass
Scrap Metal
Appliances
Batteries
Tires
Brush
Other
Other

Expenses:
(Required for Neighborhood Association Grants only. Community Improvement Grants do not need to list expenses.)
 
Item/Service: Company Paid: Expense Amount:
Item/Service: Company Paid: Expense Amount:
Item/Service: Company Paid: Expense Amount:
Item/Service: Company Paid: Expense Amount:
Item/Service: Company Paid: Expense Amount:
Item/Service: Company Paid: Expense Amount:
Total Expenses: $
Other Organizations Involved:

In-kind Contributions and Donations
(food & drink, tools, vehicles, gas, printing/advertisement, etc.)
Item Value
$
$
$
$
Total $

Project Wrap-up: Answer the following two questions:
1. Were there any significant changes to the project from the original application?
2. How did this project benefit your community?

Additional comments (including ideas and suggestions for improvement):

Pictures and volunteer waivers MUST be submitted with the Final Report. Email both to

By checking this box you confirm the information in this report is accurate. Incomplete applications will be returned.

Thank you for keeping our community clean, healthy and safe!
Partial funding for this program is provided by the Nebraska Department of Environmental Quality and the City of Lincoln.