top of page
QUARTERLY REPORT

These reports should reflect data during the time of the recipient’s engagement with The CenneaThorla Guidry Scholarship Foundation. No matter the award date, reports are due by January 15th, April 15th, June 15th, and September 15th, reflecting each quarter’s activity.

Self-Report

On a scale of 0-5 with 0 indicating Poor and 5 indicating Excellent, please assess each area:

Behavioral Health:
PoorFairGoodVery goodExcellent
Physical Health:
PoorFairGoodVery goodExcellent
Use of Coping Skills:
PoorFairGoodVery goodExcellent
Substance Use Behavior:
PoorFairGoodVery goodExcellent
Access to Stable Housing:
PoorFairGoodVery goodExcellent
Access to Employment Opportunities:
PoorFairGoodVery goodExcellent
Access to Needed Social Services:
PoorFairGoodVery goodExcellent
I attest to the best of my knowledge that the presented information is complete and truthful.

Thanks for submitting!

bottom of page