Impact Report Form

Please fill out this form for each fund outlined in your email. If you have any questions while filling out this form, please email Claire Sundermeyer, Stewardship Manager.

First & Last Name(Required)

Fund Name(Required)

Fund Number(Required)

How was this fund used during FY23?(Required)

Please include an overview of usage, not line-item expenditures.

How did this fund help forward the mission of your unit?(Required)

Name fund beneficiaries in broad terms.(Required)

(For example, “Students of the economic department.”, or “Faculty in the chemistry department.”)

How was the beneficiary experience impacted by these expenditures?(Required)

(For example, “Expenditures allowed faculty to improve teaching experience for students by…”)

What are the goods, services or activities that were made possible in FY23 as a result of this fund?(Required)

(For example, “We were able to purchase new software for student learning programs to enhance…”)

If this fund supported research activity or a lab, please describe what research was performed and what the mission of that research is.(Required)

If not applicable, please put N/A.

If this fund supported research activity or a lab, what impact will the discoveries made here have on the world?(Required)

If not applicable, please put N/A.

If this fund supported research activity or a lab, please provide contact information for the recipient/head of the lab (Name, title, email and phone).(Required)

If not applicable, please put N/A.

Impact Report Form

Impact Report Form

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