COSS Grant Evaluation Form
In order to be eligible for future grant consideration, please complete this form by May 1.
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Organization *
Organization's Mailing Address *
Organization's Phone Number *
Contact Person's Full Name *
Cellphone Number *
Email Address *
Brief Description of Project *
Number of Seniors Served *
What were the outcomes/learning experiences of the project/event
 *
Is this project likely to continue? 
 *
Are there changes you would make in the future to improve the outcome?
 *
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