Quarterly Report

Data Collection for EnVision Center Demonstration Sites

Final Quarterly Report Template

Quarterly Report

OMB: 2528-0322

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2528-XXXX

Expiration Date: XX-XX-XXXX


Quarterly Report Template


Section 1. Instructions


The quarterly report tracks the operational progress of the Envision Center site. It describes the activities of the site and progress towards the site’s goals. This information is designed to assist HUD in targeting resources and improving the EnVision initiative.


Please complete all the fields below.


Section 2. Site Information


EnVision Center:

o Name of executive: ______________________________________

o Title of executive: ______________________________________

o Name of site: ______________________________________

o Address: ______________________________________

______________________________________


Section 3. Quarterly Reporting


Quarter: _________

Year: _________

Number of days the site was operational and open to the public: _________

Average hours per week the site was open: _________

Number of total visits to the site: _________

Number of unique individuals served: _________


Briefly describe milestones and accomplishments that advanced the goals identified in the site’s action plan. (Limit 100 words)

____________________________________________________________________________________________

____________________________________________________________________________________________


Briefly describe major challenges to the goals identified in the site’s action plan. (Limit 100 words)

____________________________________________________________________________________________

____________________________________________________________________________________________


Briefly describe plans and priorities for the next quarter. (Limit 100 words)

____________________________________________________________________________________________

____________________________________________________________________________________________


Identify any new partnerships/services added to the site in the last quarter. For each, list the partner organization’s name, the type of organization, the pillar to which it is aligned, and the number of people who received the service.


Service

Service Provider

Type of Service Provider

Pillar Alignment

Number of People Served












Identify any partnerships that dissolved or services that ceased being provided at the site in the last quarter.

____________________________________________________________________________________________

____________________________________________________________________________________________



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHoy, Peter G
File Modified0000-00-00
File Created2021-01-20

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