Grant Follow Up Report
Affiliate Name *
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Use of Funds
Please describe how grant funds were utilized.
- {name}
Please indicate the amount of grant funds utilized per purpose.
Include # of dogs, cats, pet-owners assisted, etc. or other specific information unique to your program.
- {name}
Please share links to all social media, press release, logo display, etc. publicly recognizing HASN.
- {name}
Please include at least two success stories of how the grant funds made an impact.
- {name}
Please upload photos to coordinate with your success stories. Please name photos accordingly so that we attach them to the correct stories.
Attach file
Drop files here
If you have not yet utilized the entirety of the grant funds, please share your progress and any hurdles here.
- {name}
Would you like to share any additional information with us?
- {name}
Agreement
By submitting this follow-up report, I agree that Prince William Humane Society may, in its sole discretion, publish or otherwise use any photograph, video, and any written quotes submitted. Such publication or other use may occur on television, in books, in newspapers and magazines, on the Internet, and/or in or on any other medium of communication now or hereafter devised, and may be for advertising, promotion, the use of trade, and /or other commercial purposes.
Waiver
By submitting this report, you (and any other individual named or depicted in any content included) unconditionally and irrevocably waive all claims to compensation for use of said content, and/or any rights with respect to such use you may have under copyright law, the right to publicity, the right to privacy, the law of defamation, and any other common law or statutory claims under the laws of any jurisdiction. You represent that you have been given the authority by each individual named or depicted in any included content to bind such individual to these release terms. You further represent that you own all copyrights in any such content.
I certify that I am an officer or authorized representative of the organization and that all information on this follow-up report is true and accurate in all respects. I agree, on behalf of the organization, that as an affiliate partner of Prince William Humane Society’s Homeless Animals Support Network any public messaging that includes information about Prince William Humane Society shall promote a positive message about helping animals and saving lives. The organization agrees that it shall not disparage or speak negatively or take any action intended, or which would reasonably be expected, to harm Prince William Humane Society or its reputation or which would reasonably be expected to lead to unwanted or unfavorable publicity to the Prince William Humane Society.
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