Travel & Witness Granting Group Report Form
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Please submit this form within one year of receiving a grant to remain eligible for future funds.
First Name
Last Name
Phone
Email
Date funds were received
Amount Awarded
Amount Expended
Was your application on behalf of an organization or PYM Committee?
Yes
No
Committee or Organization Name
Please briefly describe the project/travel for which you or the organization you represent received a Travel & Witness Grant, including relevant date(s) and locations.
What impact did it have for you and/or for the beneficiaries of your project? What did you learn? What was accomplished as a result of your project/travel, for you and/or the people you met or worked with or for? What was the best thing about this project? What lessons, if any, did you learn from this project that you would want to share with members of your community, positive or negative?
May PYM publish excerpts from your report?
Yes
No
If something in your report should remain confidential, but the report may otherwise be published, please note that here.
Please complete and upload the following form:
Click to download budget form
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Budget Description & Notes (optional)
For travel grants, please attach receipts (or other comparable documentation) documenting the costs of your travel. The cost of gas is figured into the automobile travel mileage reimbursement rate, and does not require separate documentation; receipts for parking and tolls are needed. If you submitted receipts (or other documentation) at the time of your application, you do not need to provide duplicate copies with your report.
Photographs of your project are encouraged and welcomed, but are not required.
Is there anything else you would like to share?
Please contact grants@pym.org with any questions or concerns.
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