Tom & Virginia Seely Foundation
Grant Report Form

Fill out the form below to finalize your grant information

Contact Jan Wilkins at (304)258-9794 or seinc1@frontier.com with questions about this report.

If you need to come back and finish your application later, please scroll down, select Save and Continue Later, and enter your e-mail when prompted.

NOTE: If you close this window without submitting, your input will be lost.

Seely Foundation Grant Report Form

Today's Date(Required)

Date Awarded(Required)

Organization Name(Required)

Your Name(Required)

Your Phone(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Amount Awarded(Required)

Description of Program(Required)

Organizational objectives(Required)

Project/program objectives(Required)

Include original objectives and any variances which may have occurred. (Any substantial variances should include an explanation.)

Degree to which objectives have been realized(Required)

(Please provide evidence to support your conclusions.)

Factors which contributed to or impeded your project's/program's success:(Required)

Fiscal Report(Required)

Include: Schedule of budgeted amounts per original proposal; actual expenditures and variances; accounting of the use of funds. (Any substantial variances should include an explanation.)

Additional comments(Required)

Please upload photos of your project

Drop files here or

Accepted file types: pdf, jpg, png, doc, docx, rtf, xls, xlsx, Max. file size: 32 MB.

Tom & Virginia Seely Foundation Grant Report Form

Fill out the form below to finalize your grant information

If you need to come back and finish your application later, please scroll down, select Save and Continue Later, and enter your e-mail when prompted.

NOTE: If you close this window without submitting, your input will be lost.

Seely Foundation Grant Report Form

Tip: add support@seelyfoundation.org to your address book/contacts to ensure email delivery.

Tom & Virginia Seely Foundation
Grant Report Form