POTLATCH FUND
INSPIRING THE NATIVE TRADITION OF GIVING
2015 SPRING LPEF APPLICATION FORM
LANGUAGE PRESERVATION & EDUCATION FUND – REQUEST FOR PROPOSAL
CLOSES: WEDNESDAY, APRIL 8, 2015
We are pleased to support language preservation and language documentation efforts to provide general or project support for Native
organizations and Tribal departments working to preserve Native languages. Grants will be awarded in amounts ranging from $500
to $5000.
Potlatch Fund’s mission is to inspire and build upon the Native tradition of giving and to expand philanthropy within Tribal nations
and Native American communities in the Northwest.
GOALS OF THE LANGUAGE PRESERVATION & EDUCATION FUND GRANT
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Support and strengthen the capacity of Northwest Native organizations and communities engaged in language preservation
and education programs or projects.
Increase funds to Northwest Native-controlled groups, initiatives, and projects specifically with language preservation and
educational enrichment programs/or projects.
Provide a vehicle to increase access and leverage the language documentation efforts, demonstrate the use of language in
sustainable classes and cultural programs where both the language instructors and language students are interacting and
transmitting language to maximum use of strategies and resources.
TYPES OF PROJECTS OR PROGRAMS
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Recording, documenting, and archiving Native-spoken languages.
Dormant speakers (a language that has no native speakers today) may apply.
Language classes or language immersion programs for adults and children.
Creation of language learning materials like books, tapes, CDs, multimedia, computer, or web-based tool.
Audio or video recordings of elders speaking Native languages.
Revival projects to reconstruct Native languages that are no longer spoken or have very few speakers.
Tribal efforts on linguistic research.
Master-Apprentice language projects where a fluent speaker is paired with an adult learner to transmit the language efforts.
Parent-Language methods where communities strengthen Native spoken fluency interactions in a community.
To support attendance at a conference or workshop that builds upon Native language skills and knowledge.
SUCCESSFUL APPLICATIONS WILL DEMONSTRATE
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Strong language preservation and educational approaches.
Strong positive impact the program/project will have on the community.
How the proposed work will provide intergenerational opportunities to transfer knowledge from elders and cultural retainer
to a new generation.
The program has the organizational capacity to carry-out the proposed work.
WHO IS ELIGIBLE TO APPLY?
Potlatch Fund defines “Native,” “Native-led,” and “Native American” as follows.
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Any individual is defined as a member of any federally or officially State recognized Indian Tribe, or an individual certified as
Indian by an Indian Tribe;
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Any federally recognized Indian Tribe, Band, Nation, Alaska Native Village, or organized group or community or Indian group
that has been formally recognized as a Indian Tribe by the State legislature, a State commission, or another similar
organization vested with the State legislative Tribal Recognition Authority; or
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Any Indian group currently seeking State or Federal recognition.
Potlatch Fund defines “Native-led” nonprofits or groups as follows.
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Any group that is composed of members who are at least two thirds (2/3) of the Board and staff shall always be Native
Americans.
Organizations applying for funding must meet the following criteria.
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Be a nonprofit with at 501(c)3 or 501(c)4 as determined by the Internal Revenue Service, or
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Be a federal recognized American Indian Tribal government agency (See “Native-led” definition above).
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The organization must be Native-led and serve Northwest Natives.
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The organization must be located in Washington, Oregon, Idaho or Montana.
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The organization’s mission must be aligned with the mission of Potlatch Fund.
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Organizations that have previously received a Potlatch Fund grant, may only apply to this grant cycle if they have completed
all reporting obligations.
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Organizations may only receive funding for one Potlatch Fund grant per calendar year.
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Applications from different departments within a Tribe will be reviewed as separate organizations.
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Groups with fiscal sponsors that have 501(c)3 or 501(c)4 status or that are fiscally sponsored by federal-recognized tribal
governments can also apply.
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Must satisfy final report requirements for all previous Potlatch Fund grants.
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Individuals may be considered for the Native Art grant.
ADDITIONAL OPPORTUNIIES FOR 2015 GRANTEES
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If awarded at 2015 Potlatch Fund grant, then you will be eligible for recruitment into our 2016 Capacity Building Program.
Grant award letters will provide more information about the timeline for recruitment, selection criteria, program expectations,
and proposed training schedule.
HOW TO APPLY
Complete and submit one (1) application with all attachments. Your grant application must be received or postmarked no later
than Wednesday, April 8, 2015.
SEE NEXT PAGE-APPLICATION CHECKLIST AND RFP TEMPLATE
INSTRUCTIONS FOR PROPOSAL SUBMISSION
(NOTE: THIS PAGE IS NOT PART OF THE APPLICATION IT IS FOR YOUR USE ONLY) IF YOUR PROGRAM IS ALIGNED WITH THE IDENTIFIED GOALS AND
MEETS ELIGIBILITY REQUIREMENTS, WE INVITE YOU TO SUBMIT A PROPOSAL USING THE RFP TEMPLATE THAT BEGINS ON PAGE 3.
PLEASE PROVIDE COMPLETE ANSWERS IN RESPONSE TO THE “PROPOSAL QUESTIONS” IN ORDER TO ENSURE A COMPETITIVE APPLICATION, AND
NOTE THAT THE PROPOSAL NARRATIVE SHOULD NOT EXCEED FIVE (5) PAGES IN LENGTH.
PART ONE: NEW THIS YEAR, GO ONLINE TO COMPLETE THE ORGANIZATION
BACKGROUND INFORMATION
PART TWO: COMPLETE THE RFP TEMPLATE [BEGINS ON PAGE 3 OF THIS
DOCUMENT]
Narrative (should not exceed five (5) pages)
Budget (may submit your own, not to exceed one (1) page)
List of Board of Directors and staff/or project team (may submit your own, not to exceed one (1) page)
Signed Certification Page
PART THREE: ATTACH THE SUPPORTING DOCUMENTS
If a Federally recognized American Indian Tribal Government or section 7871 organization:
A list of Tribal Council Members and key Staff Members with their tribal affiliations that are associated with the project.
If a 501 (c)3, or 501 (c)4,
A copy of your organization’s most recent IRS determination letter of tax-exempt status.
A list of Board Members and key Staff Members, with their tribal affiliations that are associated with the
project.
If you have a federally recognized Native American Tribal fiscal sponsor,
A signed letter (on their letterhead) supporting your application and agreeing to serve as your fiscal
sponsor.
A list of their Tribal Council Members.
A list of key Staff Members with their tribal affiliations that are associated with the project.
If you have a 7871, 501(c)3, or 501(c)4 fiscal sponsor, state so in your cover letter and attach:
A signed letter (on their letterhead) supporting your application and agreeing to serve as your fiscal
sponsor.
A list of their Board Members, with their tribal affiliations.
A list of key Staff Members with their tribal affiliations that are associated with the project.
A copy of their most recent IRS determination letter of tax-exempt status.
NEED SUPPORT
 If you have questions related to the application process, we highly encourage your participation in the Phone
Information Sessions on Thursday, March 19th and/or, Thursday, March 26
 Review our online reference materials: Journey to Successful Fundraising, Grantmaking Manual, and FAQ.
 If you have technical questions about the proposal submission process, please contact Mary Kummer at
Mary@potlatchfund.org or (206) 624 6076 x10.
SUBMIT YOUR PROPOSAL
EMAIL
OR, MAIL
grants@potlatchfund.org
Potlatch Fund
Attn: 2015 Spring LPEF
801 Second Avenue, Suite 304
Seattle, WA 98104
OR, FAX
206.264.7629
APPLICATIONS MUST BE RECEIVED, OR POSTMARKED BY WEDNESDAY, APRIL 8, 2015
LATE PROPOSALS WILL NOT BE ACCEPTED
Potlatch Fund
2015 Spring Language Preservation & Education Fund Grant Application
3
NARRATIVE
ANSWERS SHOULD BE NO MORE THAN FIVE (5) PAGES, SINGLE-SPACED. HAND WRITTEN RESPONSES TO THESE QUESTIONS WILL NOT
BE ACCEPTED.
1. Summarize your grant request (one to three sentences).
2. Please provide us some organization background including your mission statement, purpose or identified
need that your organization is addressing. When your organization was started and a brief history of
accomplishments.
3. What are the goals and objectives that your organization is striving to accomplish with this
program/project? What is the timeline for completion? Describe the goals of your organization if you are
applying for general support. Describe the project goals if you are applying support of a specific project.
4. What types of results or outcomes are you expecting? How will you know if your work has been successful?
5. List the people who are part of your organization or team. What are their Tribal affiliations, roles, and
connections to the community you serve? Who will be responsible for completing the work related to this
grant?
6. Why is your organization the best group to provide this service and /or undertake this project?
7. What will you do with the funds requested? What would your organization do if only partial funding was
available? What aspect of the project would you fund first?
Potlatch Fund
2015 Spring Language Preservation & Education Fund Grant Application
PROJECT BUDGET
YOU MAY SUBMIT YOUR OWN PROPOSED BUDGET AS A SEPARATE ATTACHMENT; DO NOT TO EXCEED ONE (1)PAGE.
HINT: MAKE SURE THE NUMBERS IN YOUR PROJECT BUDGET MATCH THE DOLLAR AMOUNT YOU ARE ASKING FOR.
Proposed date of project:
EXPENSES
$
ITEM
AMOUNT
Salaries & wages
FT/PT
INCOME
$
SOURCE
AMOUNT
Position title:
Position title:
Foundations, Grants,
Scholarships, Private
donations, etc.
Position title:
Tribal Support
Position title:
Individual contributions
Consultant:
Potlatch Fund
Supplies and/ or materials
Fundraising
Travel
Sales
Equipment
In-kind
Other _
Other _
Other _
Other _
Other _
Other _
Other _
Other _
Other _
Other _
Total:
Total:
NOTE: PLEASE CONTACT US IF THE GRANT MONIES WILL BE USED DIFFERENTLY THAN ORIGINALLY PROPOSED.
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Potlatch Fund
2015 Spring Language Preservation & Education Fund Grant Application
LIST OF BOARD MEMBERS, TRIBAL COUNCIL, OR GROUP
FIRST & LAST NAME
TRIBAL AFFILIATION
ROLE ON BOARD, TRIBE,
OR GROUP
LIST OF KEY STAFF OR PROJECT MEMBERS
FIRST & LAST NAME
TRIBAL AFFILIATION
LIST IF: ELDER, YOUTH, OR
ORGANIZER
5
Potlatch Fund
2015 Spring Language Preservation & Education Fund Grant Application
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CERTIFICATION:
I hereby certify that the information included in this application is true and correct.
If awarded funding from Potlatch Fund, I certify that funds will be used solely for the purposes outlined in this grant
application and that the organization will obtain Potlatch Fund’s approval if the project’s purpose, timeline, or budget
are significantly modified.
Under United States law, Potlatch Fund grant funds may be expended only for charitable, scientific, literary, or
educational purposes. In accordance with this law, if awarded funding, I certify that my organization/group will not
promote or engage in violence, terrorism, bigotry or the destruction of any State, nor will it make sub grants to any
entity that engages in these activities.
I also certify that, if awarded funding, my organization/group will acknowledge, wherever possible, Potlatch Fund’s
support of the project or program. Finally, if awarded funding, I also agree to submit a written final report.
Signature of Individual / or Organizational
Representative
Title
Date
Print Name of Individual/ or Organizational
Representative
Name of Organization
Date
Signature of Fiscal Sponsor Representative
(If applicable)
Tile
Date
Print Name of Fiscal Sponsor Representative
(If applicable)
Name of Organization
Date
IMPORTANT NOTES
A final written report is to be furnished at the end of the grant period on FRIDAY, JANUARY 15, 2016.
 Potlatch Fund may monitor and conduct a review of operations under this grant, which may include a visit from
Potlatch Fund personnel to observe your program, discuss the program and finances with your personnel, and
review financial and other records and materials connected with the activities financed by the grant.
 Potlatch Fund is authorized to conduct audits, including on-site audits, at any time during the term of the grant.
 Potlatch Fund will include information on this grant in its periodic public reports. Potlatch Fund may also refer
to the grant in a press release, in which case a copy would be sent to you in advance. If you wish to make your
own press announcement, please consult with Potlatch Fund.
 Failure to comply with the terms of this grant application may result in immediate cessation of support from
Potlatch Fund. In addition, if your organization expends or commits any part of the grant funds for purposes or
activities other than the purposes and activities for which this grant is made, your organization must repay
Potlatch Fund an amount equal to the amount of grant funds so expended for other purposes or activities.