ANNUAL GRANT FORM – The Frederick P. Lenz Foundation

Grantee *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Additional Staff Email

Phone *

Website / URL *

Number of People Impacted By This Grant *

Please Add Detail

Please Upload A Detailed Spreadsheet Of Lenz Foundation Grant Expenditures *

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Please List, Individually, Each Fund Category and Expenditure

Has The Grant Met It's Goals *

Have You Experienced Any Program Implementation Difficulties *

Have You Received Any Recent News Coverage *

Were You Able to Utilize Dr. Lenz's Materials In Your Program *

Have There Been Any Organizational Changes Since Your Grant Was Implemented *

Please Include Any New Lenz Contacts And Their Information

Other Relevant Information

Additional File Uploads

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