The Freeport-McMoRan Copper & Gold Foundation partners ...



[pic]

NATIVE AMERICAN COMMUNITY ACTIVITIES

CONTRIBUTIONS GUIDELINES

USE OF THIS APPLICATION

This application is for use to request contributions from a Freeport-McMoRan operation to support local tribal activities.

• Up to $5,000 per grant

• Most contributions awarded will be between $250 and $2,500 each

• No more than $20,000 in total will be awarded to a single tribal community each year (through this Community Activities contributions program).

• Any request for $10,000 or more should be submitted through the Freeport-McMoRan Native American Partnership Fund and must meet the criteria of the Fund. More information about the Native American Partnership Fund can be found here:

QUALIFYING TRIBES (in alphabetical order)

Hualapai Tribe

Pascua Yaqui Tribe

San Carlos Apache Tribe

Tohono O’odham Nation

White Mountain Apache Tribe

Yavapai-Apache Nation

Yavapai-Prescott Indian Tribe

APPLICATION DEADLINES

Applications are accepted on a rolling basis. Complete applications require four weeks for review. You will be notified of your award status 30 days after your complete application is received.

APPLICATION SUBMISSION

Native American Community Activities Applications should be completed, saved as a Word document and submitted to nativeamericanaffairs@.

PROJECT/ACTIVITY ELIGIBILITY

It is our aim to support organizations, programs and projects that are addressing a priority issue/need. The identified priority issue areas are: Education & Training, Health & Wellness, Cultural Preservation, Economic Development, and Environment.

We also seek to support projects within these priority areas that support women’s development and engage elders.

USE OF GRANT FUNDS – Funds will not be awarded to the following:

• Organizations that do not have 501c-3 or other non-profit status as designated by the IRS. (Note: governmental/tribal offices or agencies are qualified as long as the project or activity is eligible as outlined in these guidelines).

• Foundations that intend to re-grant the funds

• Requests for individuals, including those for travel support, teams that are restrictive in participation or anything else that benefits a single individual or a very limited number of individuals.

• Advertising efforts

• Fraternal, labor or veteran organizations/activities limited to organization membership

• Religious activities, churches or church sponsored activities limited to church membership

• Political or lobbying activities

• Organizations that discriminate on the basis of race, sex, religion, national origin, age, disability, or veteran status

QUESTIONS

For more information on the Community Activities guidelines, application or the process to submit the application reach out to:

• Hualapai Tribe, Yavapai-Apache Nation, Yavapai-Prescott Indian Tribe: Waylon Honga at whonga@

• San Carlos Apache Tribe: Tanayia White at twhite5@

• Pascua Yaqui Tribe and Tohono O’odham Nation: Ondrea Barber at obarber@

• White Mountain Apache Tribe: Tanayia White at twhite5@

[pic]

NATIVE AMERICAN COMMUNITY ACTIVITIES APPLICATION

IMPORTANT NOTES:

Your Application should not exceed two pages. This is page 1.

Please be sure to complete each question. Incomplete questions may cause an application to be ineligible.

ORGANIZATIONAL OVERVIEW

|Tribal Partner: | |

|What Tribe is engaged in this project? | |

|Organization Name: | |

|(This is the payee name that will be written on the check| |

|should the request be approved.) | |

|Name / title of main contact person: | |

|Phone number: | |

|Email address: | |

|Mailing address: | |

|Organization website (if available): | |

|Freeport-McMoRan Operation located | |

|closest to the Tribe: | |

|Total (annual) organization budget: | |

|Name of project or activity: | |

|Grant amount requested: | |

|($250 - $5,000; no more than $5,000 can be requested | |

|through this application program) | |

|Total project / activity budget: | |

|Project or activity START date: | |

|Project or activity END date: | |

|What is the Project Priority Area? |Does your project address a special population? |

| | |

|Education & Training |Women’s Development |

|Health & Wellness |Elder Engagement |

|Cultural Preservation | |

|Economic Development |Other (please list): |

|Environment | |

|Briefly summarize the proposed project or activity, the clients it serves and its major objectives. |

|Please limit your response to no more than 5 – 7 sentences. |

| |

| |

| |

| |

| |

| |

| |

| |

| |

Native American Community Activities Application / Page 2

|Please describe the need addressed by your project or activity. |

| |

| |

| |

| |

| |

| |

| |

| |

|Please describe the goals of the project or activity (what you hope to accomplish). |

| |

| |

| |

| |

| |

| |

| |

| |

|How will you know if you have achieved the goals of the project? |

| |

| |

| |

| |

| |

| |

| |

| |

| |

|Please describe how the requested funds will be used. |

| |

|Note: A detailed project budget including expenses and revenue (other sources of funding/income) MUST be submitted with your application. |

| |

| |

| |

| |

| |

| |

| |

| |

| |

|Please list partners in this project / activity who are providing funds or other resources. |

| |

| |

| |

| |

 

Support Documentation Required (please check the boxes to ensure these items are attached)

ο Copy of 501c-3 status letter from the IRS or Related Certification

ο Copy of W-9 (form version dated October 2018 in upper left-hand corner of the form required)

ο Detailed Project Budget (including expenses and revenue)

Please return this application (and attachments) via e-mail:

nativeamericanaffairs@

STATEMENT OF UNDERSTANDING

If awarded, grant funds must be used for developing and implementing the project as described in the award letter received at time of funding. Freeport-McMoRan has the right to disseminate information and materials developed as a result of the project.

Signature:

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download