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HGhYWQGEED2R9dRFmYkXZ526aTNDf3at8rLnr7zYTonbkXpmewSe8Eumt7MbYXJFea57Wmw2poEDvzbdF7hbYEUXHwhnekFrAnFxp5mbh

Virginia State Office of Rural Health 2021-2022 Grantee Quarterly Progress Report

Thank you for your partnership and for your continued efforts to better Virginia's rural communities!

As a current grantee, you are responsible for submitting quarterly reports on the progress of your project or program based on the approved scope of work. In addition, you should submit any invoices respective to the reporting period by or on the dates listed below.

Date due on or by:	Please submit:	Permitted invoice dates:
October 15, 2021	Quarter 1 Progress Report and Invoice(s)	July 1, 2021 - September 30, 2021
January 15, 2022	Quarter 2 Progress Report and Invoice(s)	October 1, 2021 - December 31, 2021
April 15, 2022	Quarter 3 Progress Report and Invoice(s)	January 1, 2022 - March 31, 2022
June 1, 2022	Quarter 4 Invoice(s)	April 1, 2022 - June 1, 2022
July 15, 2022	Quarter 4 Progress Report	N/A

FYI - -

REDCap is an online platform designed to make the quarterly reporting process more efficient by capturing your progress reports electronically.
- Your contact information and responses are viewable only by the VA-SORH Team (Mrs. Anderson & Mrs. O'Connor).
- The hyperlink to this online survey will not change for the duration of the grant year.
- You will have the option to download a PDF version of your responses after your submission.
- Any additional supporting documentation beyond invoice(s) or receipt(s), (e.g., flyers, PowerPoint presentations, sign-in sheets, meeting notes, etc.) should be emailed directly to the VA-SORH Program Coordinator (contact information below).

Invoices for grant year '21-'22 will be submitted to VA-SORH via email.
- Please submit a completed invoice request form and any supporting documents (e.g., receipts, invoices) to Sarah O'Connor at sarah.oconnor@vdh.virginia.gov.
- An updated invoice request form template was included as an attachment to the quarterly reporting reminder email.
- VA-SORH is required to submit the timestamped email with your invoice request and supporting documents for payment to occur.
- Please do not submit the following with your invoices: RAPs, Contract agreements, purchase requisitions, packing slips, MoAs, past quarterly invoices, or invoices that have been paid.
- VA-SORH will submit your invoice request for payment and return to you a letter via email confirming your remaining balance.
- Please note that Quarter 4 invoices are due on June 1, 2022.

Any questions or concerns may be directed to the attention of Sarah O'Connor, Virginia State Office of Rural Health Program Coordinator.

Email: sarah.oconnor@vdh.virginia.gov
Mobile contact: (804) 573-8659

We look forward to partnering with you this year!

Sincerely,

The Virginia State Office of Rural Health

Reporting Period:

* must provide value

Quarter 1

Quarter 2

Quarter 3

Quarter 4

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Progress Report Submitted By (Name):

* must provide value

Email Address:

* must provide value

Name of Grantee:

* must provide value

Name of Grant Program/Project:

* must provide value

Contract Number:

* must provide value

Total Award Amount:

* must provide value

Total Amount Spent to Date:

* must provide value

Invoice Request Amount*:

* must provide value

VA-SORH Focus Area(s):

* must provide value

Healthy Moms & Babies

Food Access & Nutrition

Behavioral Health

Workforce Development

Telehealth

Date(s) activity implemented:

Explain activity performed this quarter:

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Number of attendees:

Number of trainings (if applicable):

Number of materials given (if applicable):

Date(s) activity implemented:

Explain activity performed this quarter:

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Number of attendees:

Number of trainings (if applicable):

Number of materials given (if applicable):

Please describe any limitations of the program(s) implemented during the reporting period:

* must provide value

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As a result of receiving VA-SORH funding, please describe what your organization has accomplished and how VA-SORH funding helped accomplish this?

* must provide value

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If needed, upload additional page(s) here.

Upload file

Yes

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Date(s) activity implemented:

Explain activity performed this quarter:

Expand

Number of attendees:

Number of trainings (if applicable):

Number of materials given (if applicable):

Yes

reset

Date(s) activity implemented:

Explain activity performed this quarter:

Expand

Number of attendees:

Number of trainings (if applicable):

Number of materials given (if applicable):

Yes

reset

Date(s) activity implemented:

Explain activity performed this quarter:

Expand

Number of attendees:

Number of trainings (if applicable):

Number of materials given (if applicable):

* must provide value

Yes

reset

Question(s)/Comment(s):

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