Form 1 GADS

Grant Application Data Summary (GADS) Form

2009 GADS Form

Grant Application Data Summary (GADS) Form

OMB: 0970-0328

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OMB Control Number: 0970-0328

Expiration Date:

Grant Application Data Summary (GADS) Form


The Paperwork Reduction Act of 1995: Public reporting burden for this collection of information is estimated to average 1/2 hour per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number.


1. Applicant Name:      


2. State:      

3. EIN (Employer Identification Number as assigned by the Internal Revenue Service:      


4. DUNS Number (Provide Data Universal Numbering System number received from Dun and Bradstreet):      

5. Federal Amount Requested (Provide dollar amount requested for each one year budget period):


Year 1:

     


Year 2:

     

Year 3:

     

6. Proposed project time frame:


12 Months


24 Months

36 Months

7. Applicant Type (Choose ONE that best applies)

Federally Recognized Indian Tribe

Consortia of Indian Tribes

Incorporated Non-Federally Recognized Tribe

Incorporated Non-Profit Multi-Purpose Community-Based Native American Organization

Urban Indian Center

National or Regional Incorporated Non-Profit Native American Organization

Alaska Native Village (Federally Recognized)

Alaska Non-Profit Village Consortia

Incorporated Non-Profit Alaska Native Multi-purpose Community Based Organization

Non-Profit Alaska Native Regional Corporation/Association in Alaska

Non-Profit Native Organization in Alaska

Public or Non-Profit Private Agency Serving Native Hawaiians

Agency Serving Native Peoples from Guam, American Samoa, or Northern Mariana Islands

Tribally Controlled College or University, or Post-Secondary Vocational Institution

College or University Located in HI, GU, AS or MP Serving Native Pacific Islanders

Non-Profit Alaska Native Community Entity or Tribal Governing Body

Other Tribal or Village Organization

Tribal Governing Body


8. Partnerships (Collaborations) - Choose all that apply:

Other Federal Agencies

Community Organizations

National/Local Non-Profit Organizations

Tribes

State or Local Government

Private Business

Philanthropic Organizations

Faith-Based Organizations


9. Projected number of jobs created (Please provide ANA the number of jobs you anticipate creating if you are awarded an ANA grant):      


10. Will Youth be participating in this project? Yes No

If Yes, how many are projected to participate:      


11. Will Elders be participating in this project? Yes No

If Yes, how many are projected to participate:      


12. Please choose the competitive area, for which you are applying for funding (SEDS, SEDS Alaska, Family Preservation, Environmental, and Native Language).

Social and Economic Development Strategies (SEDS)

Under this competitive area, please check only ONE ANA program area of interest that best describes the focus of your project i.e., only ONE check mark per applicant:


  • Economic Development

Business Development

Community Strategic Planning

Organizational Capacity Building

Subsistence Project

Emergency Response Activities

Transportation for Elders and Disabled

Transportation for Workforce Development

International Tourism and Trade

Job Training


  • Social Development

Youth Development

Cultural Preservation Activities

Education Development

Foster Parent Training

Supporting Elders

Supporting People with Disabilities


  • Governance

Tribal Government Program Enhancement

Management and Leadership Development

Information Management Systems

Codes and Ordinances

Constitutional Reform

Operational Planning

Tribal Court Systems


Social and Economic Development Strategies - Alaska (SEDS-AK)

Under this competitive area, please check only ONE ANA program area of interest that best describes the focus of your project i.e., only ONE check mark per applicant:



  • Economic Development

Business Development

Community Strategic Planning

Organizational Capacity Building

Subsistence Project

Emergency Response Activities

Transportation for Elders and Disabled

Transportation for Workforce Development

International Tourism and Trade

Job Training

Traditional Energy Activities



  • Social Development

Youth Development

Cultural Preservation Activities

Education Development

Supporting Elders

Supporting People with Disabilities



  • Governance

Tribal Government Program Enhancement

Management and Leadership Development

Information Management Systems

Codes and Ordinances

Constitutional Reform

Operational Planning

Tribal Court Systems


Special Initiative: Family Preservation: Improving the Well-Being of Children Planning


Please choose one or more relevant options from the selection below:

Curriculum Development

Community Assessment

Develop a Family Preservation Strategic Plan


Please choose all relevant topics from the selection below:

Relationship and Marriage Education for Adults

Relationship and Marriage Education for Youth

Marriage Enrichment activities and services

Pre-marital education and marriage skills

Relationships Skills

Responsible Fatherhood or Parenting

Family preservation activities offered in a culturally appropriate and traditional manner  

Absentee parent services, education and activities

Reduce child/infant abuse and neglect and family domestic violence

Needs of grandparents raising grandchildren

Foster Parent Training

Family strengthening services to individuals with substance abuse issues

Public Advertising Campaigns (not applicable for curriculum development)

Research (not applicable for curriculum development)


Special Initiative: Family Preservation: Improving the Well-Being of Children Implementation



Please choose all relevant topics from the selection below:

Relationship and Marriage Education for Adults

Relationship and Marriage Education for Youth

Marriage Enrichment activities and services

Pre-marital education and marriage skills

Relationships Skills

Responsible Fatherhood

Parenting

Family preservation activities in a culturally appropriate and traditional manner  

Absentee parent services, education and activities

Family Domestic Violence

Grandparents raising grandchildren

Foster Parent Training

Family strengthening services to individuals with substance abuse issues

Public Advertising Campaigns

Research


Environmental Regulatory Enhancement

Under this competitive area, please check only ONE ANA program area of interest that best describes the focus of your project i.e., only ONE check mark per applicant:



Environmental Assessment

Infrastructure Improvement

Develop Regulations, Ordinances, or Laws

Develop a Technical Program

Training

Enforcement

Energy Assessment

Energy Projects for Export

Renewable Energy Resources


Native Language Preservation and Maintenance Assessment



Please choose one or more relevant options from the selection below:

Data Collection

Formal Language Assessment

Informal Language Assessment


Native Language Preservation and Maintenance Planning



Please choose one or more relevant options from the selection below:

Plan and design Master/Apprentice programs

Plan and design comprehensive Native language immersion programs for a language nest or survival school

Plan, design and test curriculum for students, parents and language instructors

Plan and design teaching materials

Record, transcribe and archive oral testimony

Plan and design language resource materials using recorded oral testimony

Plan and design multi-media language learning tools

Plan and design teacher certification programs

Train teachers, interpreters or translators of Native languages


Native Language Preservation and Maintenance Implementation



Please choose one or more relevant options from the selection below:

Produce/disseminate culturally relevant printed stories for children using the Native language of the community

Facilitate/encourage intergenerational teaching of Native American language skills

Disseminate culturally relevant materials to teach and enhance the use of Native American languages

Implement an immersion, mentor or distance learning model

Produce, distribute or participate in various media forms to broadcast Native languages

Implement an educational site-based immersion project


Native Language Preservation and Maintenance Immersion



Please choose only one option from the selection below:

Language Nest

Language Survival School



File Typeapplication/msword
File TitleGrant Application Data Summary
AuthorUSER
Last Modified ByDHHS
File Modified2008-12-11
File Created2008-11-18

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