Community support feedback form

Name of charity

Registered charity number

Address of charity

Name of contact

Position

Telephone number

Email address

Website address

Type of support received?

What was the main outcome of the support?

How many people did the support reach?

Has the support raised funds for the charity?
(If yes, please provide details of how much was raised and how the money will be spent)

Did the support generate any PR?
(If yes, please provide details)