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HRSA Grant Monthly Evaluation Form

HRSA Grant Monthly Evaluation Form

State each specific objective assigned to your work group and give a brief summary of activities/progress supporting each grant objective. For example: Objective 1.1, Description- include Activities/Progress for Objective 1.1 here
Include the following: Location(s)/Virtual: Number of participants: Participants/ Collaborators:
Include the following: Qualitative Data Collected: Quantitative Data Collected: Where is this data housed and how can it be accessed?
Please answer the following questions: Q1: Are the employees and faculty in your department allocated correctly to the grant accounts? Note: this includes federal, match, and salary cap. Q2: Are you on target with your grant budget compared to where you should be this time of the year? If not, please explain why and your corrective action plan.
Provide media releases, publications and presentations. Attach releases below.
Max. file size: 15 MB.
Include any other data/information that does not fit in any of the above categories but should be considered as part of the update.
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Phone: (501) 686-7000
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