EPC Summary Report Submission - St. Paul’s Foundation

EPC Summary Report

"*" indicates required fields

We would like to know how your project is developing!

1.) At the midway point of your EPC grant cycle, we ask that you please fill out a short questionnaire to summarize the progress of your project.

2.) The Final Project Report to summarize the completion of your project is due by your disbursement deadline.

Please also include any pictures or quotes you may have related to your project.

Click next, to submit an EPC Summary Report

Please answer the questions below

Please select a Project Summary Report to submit from the drop down menu.*

Name

First Last

Please select your EPC Grant's Fiscal Year*

Please select from the options in the drop down menu.

EPC Grant Number (ie. EPC #2025-XXXX)*

Please fill in your 3 or 4 digit EPC Grant Number

Title of your EPC Grant*

EPC Grant Number (ie. EPC #2025-XXXX)*

Please fill in your 3 or 4 digit EPC Grant Number

Title of your EPC Grant*

How did the completion of this project impact patient care in your area?*

100 word max

What feedback have you received from Patients?*

100 words max

What's the current status of your project?*

50 words max

If the project is currently in progress, what is the feedback you have received from the patients?*

50 words max

Do you have any stories from patients to share?*

100 words max

Do you have any stories from patients to share?*

100 words max

If your project is not currently in progress, when do you plan on starting the project?*

10 words max

Do you have any photos from patients or relevant documents to share?

Are you able to share photos of the project?*

Yes

Please upload your photos or pdf's below. Alternatively, you can email photos and videos to spfepcgrants@providencehealth.bc.ca (remember to quote your EPC Number and Title in the email subject line).

Please upload your photos or pdf’s below. Alternatively, you can email photos and videos to spfepcgrants@providencehealth.bc.ca (remember to quote your EPC Number and Title in the email subject line).

Accepted file types: jpg, pdf, , Max. file size: 10 MB.

Upload 2 (optional)

Accepted file types: jpg, pdf, , Max. file size: 10 MB.

Upload 3 (optional)

Accepted file types: jpg, pdf, , Max. file size: 10 MB.

Upload 4 (optional)

Accepted file types: jpg, pdf, , Max. file size: 10 MB.

Name

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