Submit Final Evaluation

The Koch Foundation requires an evaluation of all funded programs within 30 days of the approved project end date. If funds are not spent within the approved project dates, then the grant recipient must request an extension from the Foundation and provide regular progress reports 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(Required)

First Last

Email(Required)

Grant Application Number(Required)

Organization (Grantee)(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Person Administering the Grant(Required)

First Last

Results of Grantee’s Program

How many people were served?(Required)

What was the time and place of principal activities?(Required)

Describe how the evangelization objectives were met:(Required)

How will the program continue after Koch Foundation funding?(Required)

Income and Expenditure Report:(Required)

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 amount in USD ($) 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(Required)

Travel and Lodging(Required)

Tuition/Scholarships(Required)

Printing and Postage(Required)

Supplies including Food(Required)

Equipment(Required)

Other Expenditures(Required)

Describe Other Expenditures(Required)

Construction(Required)

Total Amount Spent

NOTE: This number should equal the Total Grant Funds Received.

File Upload (PDF, JPG, PNG)

If you are interested in sending an attachment with your report, please upload your file here.

Drop files here or

Accepted file types: pdf, png, jpg, Max. file size: 5 MB.

Submit Final Evaluation

Results of Grantee’s Program

Application Process & Guide Links

Additional Resources

Koch Foundation, Inc

(352) 373-7491