HSDM Grant: Final Report

Please note that your input on this form is not saved until you submit this report. Closing the page prior to submitting the report will require you to re-enter all information.

    School Name*

    Dollar Amount Received ($)*

    Primary Contact First Name*

    Primary Contact Last Name*

    Your Email*

    I used the grant funds in the following amounts, for the following purpose:
    Please include "Amount" and "Object/Service Purchased"

    My project completed the following video programming during the reporting project*:
    Please include "Programming Title," "Length mins:secs," "Completion Date," "Subject Matter," and "Comments."

    During the next school year, will you discontinue, continue or expand this or a similar digital project? *
    Discontinue the projectContinue similar projectExpand the project

    State the grade level(s) of students impacted by the project:(required)*

    State the estimated number of students involved in the project:(required)*

    State the perceived impact of the project upon other persons:

    Estimate the number of others impacted by the project:

    What is the project impact? *
    High ImpactMedium ImpactMinimal Impact

    Have you entered any local, regional or national video competitions and what was the outcome of your entry?
    Include "Contest Name," "Contest Location," and "Outcome"

    Please objectively comment on any obstacles you may have encountered or any changes you would make to the HSDM process (likes, dislikes, positive results or unforseen hurdles you came upon, etc.)