Program Summary Report
A detailed summary of a specific program or activity, a great report to generate for a supervisor or steering committee.
Note: this template can be generated electronically using the APPS online tool.
Program Title: _______________________________________ Date/Time: ____________________________________
Location: ___________________________________________ Target Age Group: ______________________________
1. Brief Description of the Program:
2. Program Focus & Scope (sport-culture-rec, ongoing-special event):
3. CSRC Role:
4. Partner organizations and their role:
5. Action Plan (timeline of what needs to be done to deliver the program):
ACTION
WHO’S RESPONSIBLE?
TO BE
COMPLETED
BY WHEN?
6. Budget:
Expense Description
Budget
Actual Amount
Notes
$
$
$
Total Expenses
$
RESULTS
7. How was the program promoted?
8. # of Paid Staff: # of Volunteer Staff:
Name(s): Role: Name(s): Role:
9. Program Design: (fee, transportation, food, coop vs comp, physical activity)
10. Program Statistics:
Number of program sessions:
Number of participants: (m)_____ (f)_____ Total: _____
Avg # per session: _________ Total participation opportunities:________
Age of participants: _____ preschool, _____ child, _____ youth, _____ adults, _____ elders, ______ families
11. Notes from Program:
12. Successes:
13. Future Recommendations:
