Launch Grant Initial Report Form

Name*

First Last

Email*

Project Title*

Primary Project Category*

Please select the primary category of your project.

Other*

If your project category is not listed, please type it here.

Secondary Project Category

If applicable, please select the secondary category of your project.

Other

If your project category is not listed, please type it here.

Project Overview*

Please describe your project in 2-3 sentences.

Approximate Project Completion Date*

Mid-Project Report Form Submission Date*

A Mid-Project Report Form and meeting with LAUNCHPad staff will be due prior to your anticipated project completion. Please select a date below to submit your Mid-Project Report Form; the date should be at least 1 month before you plan to complete your project.

Questions (optional)

Please list any questions or concerns you have about the Launch Grant or getting started on your project.

Acknowledgement*

I understand that this award is taxable income and must be reported on my annual tax return. By accepting this award, I undertake the responsibilities of submitting the Mid-Project Report Form by the date selected above, meeting at least one time with LAUNCHPad staff, and submitting the Final Report Form upon the completion of my project and no later than 12 months from the date of the grantee announcement.

Peabody Institute

Peabody Institute

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Launch Grant Initial Report Form

Contact Info

Peabody LAUNCHPad

Peabody Institute

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