All schools are required to complete a Grant Evaluation Report within 12 months after receiving funding. Criteria for the report will be provided to the organization when initial funding is received. Failure to submit the report will forfeit the school’s eligibility for future support.

Complete the form below to submit your evaluation report:

^* Indicates a required field

Full Name^*

Email^*

Phone Number^*

School Legal Name^*

Location of School (City, State)^*

Project / Program^*

School Mailing address^*

School District^*

Therapy Dog’s Name^*

Period covered by this report (DD/MM/YYYY – DD/MM/YYYY)^*

Please share your actual results and how they relate to your original projected results^*

What changes have you made to the program/project’s initial concept and why?^*

How have you evaluated your program/project (questionnaires, surveys, etc.)?^*

Number of people served^*

Do you plan to continue the program/project? Please elaborate.^*

If possible, please provide any quotes or human interest stories that illustrate the success of the program/project.^*

Please attach copies of any news article, photos of your program in action, support letters, evaluation or other relevant information^*

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