APPLICATION FORM

ACCOUNT INFORMATION
Name:

Phone :

Email :

Role/Title :

Other Role/Title :

Type:

Tribal Region :

Tribal Department :

FUNDING APPLICATION INFORMATION

Select Phase :

Select Category or Set Aside :

If the Tribe is awarded this Set-Aside, contractors/consultants will not be sub-awarded, as
the intent of this funding is to contribute toward building technical staffing capacity
internal to the Tribe.

OR
If the Tribe is awarded this Set-Aside, consultants will not be sub awarded, as the intent of
this funding is to build internal Tribal staff capacity.

Has the Tribe previously received an AAP award in previous funding cycles from the BIA

TCR?

Has the Tribe previously received an RMP Coordinator award from the BIA TCR?

Entered Sam.gov issued UEI :

Amount Requested :

Applied Date :

Topic/Sector Type -Primary :

Entered Application/Topic sector :

Topic/Sector Type -Secondary :

Entered Application/Topic sector :

Praject Type :

Does your implementation project involve construction or earth moving

activities?

Mentioned resource management Plans:

Mentioned specific type of relocation Plan:

Mentioned other Plans:

Mentioned Specific Type of Assessment:

Mentioned Other Assessments not listed here:

Project title:

Summary:

Will your Tribe or Tribal organization be partnering with any other entities?

List each Partner name, separated by comma (,) or semicolon (;)

Will any of the partners receive funding from this BIA project if awarded?

List each name of each Partner who will receive funding, separated by comma (,) or semicolon (;) :

Please mark checkbox to acknowledge that, if proposal is selected for funding, Tribal
Resolution(s) will be required prior to funds being dispersed:
Letters of Support

Please attach signed Cover Letter(s) and/or Tribal resolution(s) that summarize interest and

leadership support.

I acknowledge that, if proposal is selected for an award, Tribal Resolution(s) will be required

prior to disbursement of funding if entering into a P.L. 93-638 contract.

Note: Proposals to host training and support travel for other Tribes to attend must append

Tribal Resolutions from all benefiting and/or participating Tribes if selected in order to receive

funding.

Tribal resolution: Cover Letter:

Proposal

Proposal shall be clear, brief, and should not exceed 6 pages in length. Supplemenatal materials
may be attached separately via the proceeding screens, and do not account against the 6-page
proposal limit. For guidelines on information to be addressed within the proposal per the
funding opportunity selected, please see proposal information page https://www.bia.gov/
service/tcr-annual-awards-program/how-to-apply#create-a-proposal-2

Proposal Letter:
Budget
Please attach Budge which identifies funds requested for the work, including
identification of the programs, functions, services, or activities specified in the proposal.

Budget Table SpreadSheet: Budget Narrative Document:

Budget should be reasonable and free of Disallowed Costs: https://biatcr.my.salesforce.com/sfc/

p/8y0000008cLU/a/8y000004wEeK/VYG6mZPia97.oiJUg.fn2iZD3XfWA151uxSvS_wNElo

Supplemental Materials

Please attach remaining supplental materials (if any), such as charts, graphs, maps,
photographs, graphics, and planning documents.

Additional Documents:

I certify that I,
, am submitting this application for
on behalf of
on

Answer:

I have read and understand the Reporting Requirements https://www.bia.gov/service/tcr-

annual-awards-program/how-to-apply#next-steps-2 for awardees.