GMES Partner Award Submission Form Complete and submit this form for each of your awarded programs Organization Name Mailing Address Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Person Information * First Name Last Name Contact Person Telephone * Country (###) ### #### Contact Person Email * Date Grant Received MM DD YYYY Reporting Period Covered Q1 2024 Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Q3 2025 Q4 2025 Program Name * Grant Amt Awarded * $ Unspent Grant Award $ Unspent Balance Explanation If entire grant was not spent, explain plans and timeframe for spending the balance. Original Program Budget $ Final/Actual Program Budget $ Program Constituency Served? * How Many People Served? * Amount Raised Less than Goal? If amount raised was less than goal, explain how you revised the program. Certification Name * Certification Title * Certification Date * MM DD YYYY Thank You for Your Submission!
