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2. Project Name*
4. Project Start Date*
   Project Start Date
   This is the period covered by the report.
5. Project End Date*
   Project End Date
7. Lead community group/organization(s)*
9. Project Leader/Grant Contact*
   (or person who prepared this report)
10. Email*
12. Please check the location(s) or service area(s) for your project*

    1. Downtown
    2. Point Neighborhood
    3. North End
    4. South End

    1. Hill/College
    2. West End
    3. City Wide
    4. Other
14. Physical address or intersection (if applicable)
16. Targeted Planning, Marketing, Outreach, Implmentation*

    Identify whether you involved any of the following populations in your planning, marketing, outreach or implementation.

    1. Ages under 18
    2. Ages 18-21
    3. Ages 22-30
    4. Ages 31-40
    5. Ages 41-50
    6. Ages 51-60
    7. Ages 61 and over
    8. American Indian/Alaskan Native
    9. Asian
    10. Bi-Sexual
    11. Black/African American

    1. College Students
    2. English Language Learners
    3. Gay
    4. Heterosexual/Straight
    5. Hispanic/Latinx
    6. Immigrants
    7. International Students
    8. Lesbian
    9. Men
    10. Middle class/income
    11. Multi-Racial

    1. Native Hawaiian/Other Pacific Islander
    2. Persons with Disabilities
    3. Refugees
    4. Trans or Transgender
    5. Unemployed/Fixed Income
    6. Upper Class/Income
    7. Veterans
    8. White/Caucasian
    9. Women
    10. Working Class/Income
    11. Our process was non-targeted
18. 1. Who were your stakeholders? (Individuals or groups that contributed or have been impacted by the funded activity)*
    Please include any demographic information you collected.
20. 2a. Which of the Sustainable Dubuque principles did your project support? Check all that apply.*

    1. Regional Economy
    2. Community Design
    3. Community Knowledge
    4. Clean Water
    5. Smart Energy Use
    6. Green Buildings
    7. Reasonable Mobility
    8. Native Plants and Animals
    9. Resource Management
    10. Healthy Local Foods
    11. Healthy Air
    12. Community Health and Safety
21. 2b. Tell us how your project addressed each of the principle(s) checked to the left. *
23. 3. What project outcomes were realized? What projected outcomes were not realized and why? Describe any unexpected outcomes relevant to your activity.*
25. 4. Describe how this Sustainable Dubuque grant funding contributed to the outcomes above. *
27. 5. How did your project address diversity, equity and inclusion? *
29. 6. Was your project successful and impactful? What data do you have to support this? *
31. 7. What lessons did you learn that might be useful for similar projects or other Sustainable Dubuque grant applicants? How will you sustain the benefits, momentum and spirit of this project? *
35. Budget Report*

    Please write a short budget narrative about how you spent the funds and any match that you had. A reimbursement request form can be found with your grant award acceptance documents. 

37. TOTAL PROJECT EXPENSES
39. Total Grant Funds *
40. Total Match*
41. Total Project Costs*
43. Thank you for completing this grant report. Once you submit this form, you will receive a confirmation email. For reimbursement, please refer to your award acceptance letter. For questions, please contact Sustainable Community Coordinator, Gina Bell at gbell@cityofdubuque.org.
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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit Submit and Print

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