ARCHIVED - Urban Aboriginal Strategy / Cultural Connexion for Aboriginal Youth Recipient Activity Repot - Form Instructions
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Note: The reporting template is expected to be available in February 2014 for publishing in the Reporting Guide. The template has not changed significantly and note that "CFA" will be replaced by the word "Agreement.
If there are any questions regarding completion of the form, please contact the Program Development Officer assigned to your Agreement.
Reporting Period (YYYYMMDD)
The period of time stated here must correspond with the report periods outlined in the contribution agreement.
Identify who completed the report (report must be signed by the recipient who signed the Agreement or the individual to whom the responsibility has been delegated by the recipient.)
Activity Report Completed By:
Financial Report Completed By:
If you want to write your report on the form instead of attaching a separate document, please ensure the "On this form" buttons are clicked under the heading "Report Options".
Is the Project Complete?
Yes or No
Identify where the report has been recorded and submitted.
On this form or Attached as a document.
On this form or Attached as a document.
Refer to the Urban Aboriginal Strategy Recipient Project Reporting Guide for instructions and examples of how to complete the Interim Activity and Financial Reports.
Interim Activity Report
If you already have a report that your organization has produced which contains the information required below, you do not need to fill out this section – simply attach the report.
Please comment on the degree to which this project is meeting its objectives and indicators. What has the project accomplished/completed to date?
Refer to Agreement Work Plan – Summary Description and Performance Indicators (Benefits) section.
Are you on track with your project activities and milestones listed within your Agreement Work Plan? What has the project accomplished/completed to date?
Refer to Agreement Work Plan – Activity and Milestones Timelines section.
Has anything impacted your ability to move towards your indicators, activities and milestones within your Agreement Work Plan?
Do you have any stories that you would be interested in highlighting and sharing from this project?
For Cultural Connections for Aboriginal Youth (CCAY) Projects
Please indicate the number of total youth participants who have access the CCAY project in the appropriate category and age range.
|Age Category||10-14 Years||15-24 Years||25-29 Years*|
*If the ages of the participants are between the ages of 25-29, justification must be provided to the Program
**Section available for those individuals who identify as Two Spirited, or Transgender
Please provide any additional comments that your organization would like to share in relation to the project (ie. Unexpected outcomes or anticipated outcomes).
Interim Financial Report
Ensure that your breakdown of revenues and expenditures match what is listed in your agreement (refer to Agreement Work Plan – Project Costs section), reflecting the total project revenues and expenditures and not just the UAS amount. The recipient must sign the financial statement once completing the actual total of revenues and expenditures to date.
To complete the required financial report, please fill in the amounts for this reporting period in the correct headings below.
|Revenues||Budget Amount (As per Agreement)||Total Actuals for the Entire Agreement||Total UAS Actuals||Total CCAY Actuals|
|AANDC – UAS|
|AANDC – CCAY|
|Expenditures||Total Cost for Project||Contributions from Other Partners||AANDC – UAS Contribution||AANDC – CCAY Contribution|
|Salary and Benefits|
|Other Direct Costs Related to the Project|
Recipient Signature – Submitted by
Signature of Applicant
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