Partner Activity Report Form

Partner Acvitity Report Form

Please fill out the form to the best of your knowledge. The in-kind goods and services documented on Partner Activity Report (PAR) forms are used by Texas Stream Team to match federal funds the program receives from the Federal 319 Program. This PAR covers activity for the three months prior to the month the report is completed.

Email address *

Name of partner *

Report completed by *

Reporting period (choose one) *

1st quarter (Sep - Nov)

2nd quarter (Dec - Feb)

3rd quarter (Mar - May)

4th quarter (Jun - Aug)

Certification Sessions

Number of sessions

Average length of sessions (15 min. increments)

Number of participants for ALL sessions

Sign-in sheet (attach records)

Quality Control Sessions

Number of sessions

Average length of sessions (15 min. increments)

Number of participants for ALL sessions

Sign-in sheet (attach records)

NPS Environmental Education Presentations

Number of sessions

Average length of sessions (15 min. increments)

Number of participants for ALL sessions

Sign-in sheet (attach records)

Services and Supplies

Indicate total non-federally supported expenses in dollars ($)

Indicate type of supplies used

Monitoring equipment

General supplies (printing, postage, etc.)

Other (write in comment box at the end of this form)

Documentation (attach records)

Non-federally Supported Coordinator Travel

Coordinator mileage

Record of dates and miles traveled (attach files)

Non-federally Supported Coordinator Hours

Coordinator hourly rate (actual rate or the independent sector volunteer rate, whichever is higher) ____ /hr

To access latest volunteer rate: https://independentsector.org/resource/value-of-volunteer-time/

Number of coordinator hours

Approximate dates and location of activities planned for the next quarter

Amount raised/received from non-federal sources this quarter in dollars ($)

Time sheets and dates of events (attach documents)

Verify and Submit

I certify to the best of my knowledge and belief that the hours being contributed are not being paid for by federal funds or are being used for in-kind support to another federal grant *

Coordinator electronic signature *

Supervisor electronic signature *

Comments or questions

Thank you!

If you happen to see this, do not fill this field.