Outdoor Education Grant Final Report - …

Ohio Department of Natural Resources

DIVISION OF WILDLIFE

OUTDOOR EDUCATION GRANT FINAL REPORT

(Must be submitted within 60 days after event)

DNR 9011 R1018

GRANT ID NUMBER

PROPOSAL NUMBER

TYPE OF EVENT (Check one only): Hunting/Recreational Shooting Fishing/Aquatic Education Both What grant(s) did you receive for this event? Step Outside Aquatic Education Rod & Reel Conservation Club

GRANT RECIPIENT NAME: ________________________________________________________________

STREET ADDRESS: _____________________________________________________________________

CITY / STATE / ZIP CODE: ________________________________________________________________

COUNTY: ___________________________________________________________________________

CONTACT PERSON COMPLETEING THIS FORM: ________________________________________________

E-MAIL ADDRESS: _____________________________________________________________________

PHONE NUMBER: __________________________

FAX NUMBER __________________________

NAME OF EVENT OR ACTIVITY: _______________________________________________________________________________

LOCATION OF ACTIVITY: ____________________________________________________________________________________

DATE OR DATES OF ACTIVITY: _______________________________________________________________________________

HOW MANY PARTICIPANTS WERE INVOLVED? (do not include instructors or volunteers) TOTAL _0__________ ; Youth_________ Adults_________

HOW MANY PARTICIPANTS IN THE FOLLOWING GROUPS? ETHNIC: White ____ ; Black ____ ; Hispanic ____ ; Asian/Pacific Islander ____ ; Native American/Eskimo ____ ; GENDER: Male ___________ ; Female ___________ ; OTHER: Handicapped ___________

ADDITIONAL INFORMATION AND REQUIREMENTS:

In addition to the electronic submission, a paper copy of the final report with instructor/volunteer information, including signature, is required to be completed and kept on file by your organization. You must also keep all receipts on file pertaining to this grant. If your organization is subject to federal and/or state audit, and these items are not on file, your organization could owe a refund of the grant monies awarded.

Completing the paper copy (PDF) before you start the electronic process may make your job easier!

An Equipment Inventory Sheet is required to be submitted via email to the coordinator that approved your grant, for any equipment purchased with grant funds.

Only submit 1 final report per proposal/event.

The grant ID# can be found on your grant approval correspondence.

Confirm that all instructors/volunteers have signed their paper copy hours summary.

Confirm that all instructors/volunteers have an "activity" listed on their hours summary.

? Do not list the club name or event name for the activity ? it must be the actual PHYSICAL activity that the instructor/ volunteer performed.

The hours summary sheet should be completed daily - date spans are not acceptable.

Submitting a correct and complete final report is essential for federal aid reimbursement that provides continued funding for this grant program, along with your eligibility to apply for future grants.

Ohio Department of Natural Resources

DIVISION OF WILDLIFE

OUTDOOR EDUCATION GRANT FINAL REPORT

(Must be submitted within 60 days after event)

GRANT ID NUMBER

PROPOSAL NUMBER

DNR 9011 R1018

SUMMARY OF EXPENSES

(Please use whole dollar amount)

ITEM/CATEGORY 1

GRANT MONIES CLUB MONIES

$

$

SPONSOR MONIES

$

2

$

$

$

3

$

$

$

4

$

$

$

5

$

$

$

6

$

$

$

7

$

$

$

8

$

$

$

9

$

$

$

10

$

$

$

11

$

$

$

12

$

$

$

13

$

$

$

14

$

$

$

15

$

$

$

16

$

$

$

17

$

$

$

18

$

$

$

19

$

$

$

20

$

$

$

TOTALS $ 0.00

$ 0.00

$ 0.00

Ohio Department of Natural Resources

DIVISION OF WILDLIFE

OUTDOOR EDUCATION GRANT FINAL REPORT

(Must be submitted within 60 days after event)

DNR 9011 R1018

ORGANIZATION NAME: _________________________________ EVENT/ACTIVITY TITLE: ________________________________

GRANT ID NUMBER PROPOSAL NUMBER

EQUIPMENT INVENTORY SHEET

List all equipment, including education equipment, that was purchased with grant funds. If an item does not have a serial number or form of ID, you should use your organization's inventory numbering system and list it under the Other ID column.

EQUIPMENT ITEM (include: name, mfg. model, etc) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

COMMENTS/PROBLEMS

SERIAL or I.D. OTHER I.D. /

NUMBER

ASSIGNED No.

ORIGINAL COST/ITEM

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

TOTAL ORIGINAL COST / ITEM

$ 0.00

DATE OF PURCHASE

NAME OF PERSON COMPLETING INVENTORY

DATE

Ohio Department of Natural Resources

DIVISION OF WILDLIFE

OUTDOOR EDUCATION GRANT FINAL REPORT

(Must be submitted within 60 days after event)

GRANT ID NUMBER

PROPOSAL NUMBER

INSTRUCTOR/VOLUNTEER HOURS SUMMARY

DNR 9011 R1018

______________________________________

NAME (PRINTED)

______________________________________

SIGNATURE

TIME RECORED BELOW MUST BE LISTED PER DAY - DO NOT LIST DATE SPANS

DATE:

ACTIVITY

/

/

HUNTING/RECREATIONAL SHOOTING

ACTIVITY

FISHING/AQUATIC EDUCATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

DATE:

ACTIVITY

/

/

HUNTING/RECREATIONAL SHOOTING

ACTIVITY

FISHING/AQUATIC EDUCATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

DATE:

ACTIVITY

/

/

HUNTING/RECREATIONAL SHOOTING

ACTIVITY

FISHING/AQUATIC EDUCATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

DATE:

ACTIVITY

/

/

HUNTING/RECREATIONAL SHOOTING

ACTIVITY

FISHING/AQUATIC EDUCATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

DATE:

ACTIVITY

/

/

HUNTING/RECREATIONAL SHOOTING

ACTIVITY

FISHING/AQUATIC EDUCATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

HOURS TAUGHT

HOURS TRAVELED

HOURS PREPARATION

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