Form 4: VAST Completion Report

Once completed, please submit to OAR vast@peacecorps.gov Subject heading: VAST Completion Report
When your project is completed, you are required to fill in the following completion report and turn it in to the VAST grants manager with the Project Log and corresponding receipts. Please enter the final numbers for relevant indicators and respond to the narrative questions.

How did the project achieve the goals and objectives? Please state your results per objective.

Please describe any anecdotal evidence/stories from community members that attest to project success.

What worked well during implementation of the project?

What did not work well while implementing the project?

What were the major lessons learned during this project?

Did your project change from the original proposal? If so, how?

Based on your experience, what would you recommend for future projects?

Abstinence and Being Faithful

AB Indicator # Men (25 & >) # Youth Boys (1524) # Boy s (<1 5) # Wome n (25 & >) # Yout h Girls (1524) # Girl s (<1 5) Tot al

# Of people who will receive HIV prevention interventions primarily focused on abstinence and/or being faithful.

Other Prevention
# Of people who will be reached with individual and/or small group level HIV prevention interventions.

Other Prevention - Most At-Risk Populations

# Of MARPs who will receive individual and/or small group level HIV preventive interventions.

Care - One Care Service

Care - One Care Service
# Of eligible adults and children who will receive a minimum of one care service.

# Men (25 & >)

# Youth Boys (1524)

# Boy s (<1 5)

# Wome n (25 & >)

# Yout h Girls (1524)

# Girl s (<1 5)

Tot al

Care- Food and/or other Nutritional Service

# Of eligible adults and children who will receive food and/or nutritional services.

Human Resources for Health (HRH)

HSS- Human Resources for Health (HRH)

# Of health care workers who will successfully complete an in-service training program within the reporting period.

# Men (25 & >)

# Youth Boys (1524)

# Boy s (<1 5)

# Wome n (25 & >)

# Yout h Girls (1524)

# Girl s (<1 5)

Tot al

TOTAL:

Total Estimated Beneficiaries to be Reached

# Of individuals and/or service providers who will be assisted or trained by this VAST project

# Men (25 & >)

# Youth Boys (1524)

# Boy s (<1 5)

# Wome n (25 & >)

# Yout h Girls (1524)

# Girl s (<1 5)

Tot al

Project Log:
Please keep track of your expenditures using this project log.

Volunteer Name: VAST Project Title: Implementatio n Period:

COS Date: Community Organization Name:

Date

Invoice Receipt

Description

Funds Expended (Local Currency)

Balance