Nonprofit Program Fidelity Audit Checklist Submission

Nonprofit Program Fidelity Audit Checklist Submission — Form Fields

This nonprofit template includes 10 fields. Submit a completed program fidelity checklist confirming adherence to evidence-based program models. Free to customize and use on ZenBuild.

• Program Name (text, required)
• Site/Location (text, required)
• Auditor Name (text, required)
• Audit Date (text, required)
• Overall Fidelity Level (dropdown selection, required) — options: High (85-100%), Moderate (65-84%), Low (Below 65%)
• All required sessions were delivered (checkboxes, required)
• Staff are trained and certified as required (checkboxes, required)
• Participant eligibility criteria were followed (checkboxes, required)
• Areas of non-compliance or drift (long text, optional)
• Corrective action plan (long text, optional)