2025 ANTHC Solid Waste & Resilience Tribal Grant Application
Name of Tribe
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Please provide Tribal name that matches the SAMS.gov registry.
Project Title
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Tribe's Legal Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
UIE Number
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Tax ID Number
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Total Funding Amount Requested
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Not to exceed $75,000. You will need to fill out a detailed budget and budget narrative and attach them to the last page of this application.
Total Project Costs
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If this is the same as the above requested amount, put the same amount. If there are additional costs related to the project, please add those costs to your requested amount, and put that here.
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Key Contacts
Please provide all key contacts from your Tribe that will be involved in the subaward project.
Program Director Name & Title
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Example: Jane Doe, Environmental Coordinator
Program Director Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Program Director Email
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example@example.com
Program Director Phone Number
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Please enter a valid phone number.
Administrative Contact Name & Title
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Example: Jane Doe, Tribal Administrator
Administrative Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Administrative Email
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example@example.com
Administrative Phone Number
*
Please enter a valid phone number.
Conflict of Interest Contact Name (if applicable)
Conflict of Interest Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Conflict of Interest Email
example@example.com
Conflict of Interest Phone Number
Please enter a valid phone number.
Financial Contact Name & Title
*
Example: Jane Doe, Financial Director
Financial Contact Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Financial Email
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example@example.com
Financial Phone Number
*
Please enter a valid phone number.
Authorized Representative Contact Name & Title
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Example: Jane Doe, Tribal Administrator
Authorized Representative Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorized Representative Email
*
example@example.com
Authorized Representative Phone Number
*
Please enter a valid phone number.
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Do you plan to collaborate with any entities in the community? (e.g., Village/Regional Corporation/City Government)
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Please Select
Yes
No
If yes, it is required to attach a Letter of Cooperation from each organization on the last page of this application.
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Project Overview
Please describe the problem that you want solved and a detailed description of your proposed project to solve the problem. Review the RFP for more information.
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Provide a detailed schedule for each step pf your project in the table below. Be specific. Think of your project from start to finish - what are the steps needed to complete it? Note that the anticipated start date is 2/1/2025 and the end date is 9/1/2025. If you don't have 8 tasks to fill in, include as many as you can and NA for the rest.
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Key Steps/Tasks/Events
Who's Responsible
Anticipated End Date*
Task 1
Task 2
Task 3
Task 4
Task 5
Task 6
Task 7
Task 8
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REQUIRED Attachments
If your application doesn't include all required attachments, it will not be considered for award.
Budget and Budget Narrative
Costs should be researched. Vendor quotes are helpful. Don't forget to include the cost for shipping if project supplies/equipment needs to be shipped to you. Your total project cost exceeds the grant funding if another local entity such as the village corporation, wishes to contribute financially to the project. There is a separate budget category for matching funds. If you do not have a federally negotiated indirect cost rate, you may use no more than 10% of the modified direct costs.
Negotiated Indirect Cost Rate Agreement (If Applicable)
Negotiated Indirect Cost Rate Agreement (NICRA) is a document published to reflect an estimate of the indirect cost rate negotiated between the Federal Government and a Grantee's organization which reflects the indirect costs (facilities and administrative costs) and fringe benefit expenses incurred by the organization. In the absence of NICRA, the grantee can use the de minimis rate of 10% of modified total direct costs.
Letters of Support (If Applicable)
These are written agreements between organizations in the community working together on the project. The letter should identify the initiative and tell why both organizations are coming together to support the project. Use bullet points to list key activities that each organization will contribute to the project.
Optional
Photos, letters of support, or other supplementary attachments are welcome but not required. ***Determination for funding will not be influenced by the optional attachments. Photos, letters of support, and other supplementary attachments may help reviewers understand your solid waste or resilience concerns.***
Upload Required Attachments Here
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A budget and budget narrative are required. A NICRA is required if your budget includes an indirect cost rate above 10%. Letters of support are required if your project involves working with other entities in the community.
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ANTHC Tribal Capacity & Training Program Contacts
Please feel free to reach out if you have questions.
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