PROGRAM ACTIVITIES REPORT 1. SERVICES / ACTIVITIES OUTLINED IN SCHEDULE A Services / Project Number of Project Objectives Project Activities Outcomes Participants & Target Population 2. Challenges and plans to address them: 3. Community Partners other organizations, physicians, VIHA, FNIH, community members (youth, family, elders, etc): 4. Evaluation Activities: FINANCIAL REPORT Line Item Annual Annual Actual Variance Approved Expenditures Description Budget April 1 March 31 – REVENUE EXPENSES Employee Costs: Salary/Wages Benefits Total Employee Costs: Non-Employee Costs: Training: Facilitators: Honorariums - Max 5%
PROGRAM ACTIVITIES REPORT 1. SERVICES / ACTIVITIES OUTLINED IN SCHEDULE A Project Objectives Services / Project Activities Project Outcomes Number of Participants & Target Population 2. Challenges and plans to address them: 3. Community Partners other organizations, physicians, VIHA, FNIH, community members (youth, family, elders, etc): 4. Evaluation Activities: FINANCIAL REPORT Line Item Description Annual Approved Budget Annual Actual Expenditures April 1 – March 31 Variance REVENUE EXPENSES Employee Costs: Salary/Wages Benefits Total Employee Costs: Non-Employee Costs: Training: Facilitators: Honorariums - Max 5%
AHIP-final-report-form-%202017-2018.docx