Form Hud-40201 - Youthbuild Program Reports Part 7 Performance Evaluation Report (Final Report) Form - U.s. Department Of Housing And Urban Development


Youthbuild Program Reports
U.S. Department of Housing
and Urban Development
Part 7
Office of Community Planning
and Development
Performance Evaluation Report
(Final Report)
Name and address of Grantee
Name of Contact Person
Grant Number
Telephone Number of Contact Person
Period Covered
I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
Signature of authorized representative of grantee:
Date signed:
Performance Evaluation Summary
On separate sheets of paper attached to this page, not to exceed 20 pages, please describe the following:
A. Your accomplishments in meeting program goals and objectives.
B. Your accomplishments in meeting your participant attendance and retention level goals.
C. Academic achievements in post-secondary educational programs.
D. Your success in job placement efforts and housing completion.
E. Impediments encountered and solutions adopted to overcome them, as well as any delays in progress of grant
activities because of those impediments.
F. Unusual activities, accomplishments, and features of the grant or experiences that would be helpful for other
Youthbuild grantees.
Attach the following to the end of this report:
Part 8 Statistical Summary
Part 9 Application Budget
Part 10
Actual Costs
Part 11
Sources of Funds
Previous editions are obsolete
form HUD-40201 (7/97)


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