Project DreamCatcher
Helping American Indian Women Achieve their Business Goals
PROGRAM APPLICATION
I. PERSONAL INFORMATION
Please answer to the best of your knowledge and experience. Click on the text field to type answer; answer
fields will expand to fit your answer
☐ Ms.
☐ Mrs.
☐ Title:
Last (Family) Name
First (Given) Name
Middle Name
Preferred Name (for name tag):
Home Street Address
City
Country
State
Zip Code
USA
Telephone
Cell Phone
E-mail Address (required)
Alternate e-mail address
Business Street Address
(if applicable)
City
Country
State
Zip Code
USA
Telephone
Cell Phone
Website
Social Media
Business E-mail Address (if applicable)
Marital Status
☐ Married
☐ Single
☐ Widow
☐ Divorced
Are you the primary financial provider for your family?
Number of people living in your household:
Number of income earners in your household:
What is your tribal affiliation? ☐ Hualapai
☐ San Carlos Apache
☐ Tohono O’odham
☐ White Mountain Apache
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II. EDUCATION
List high schools, technical/trade schools, post-secondary schools, colleges, universities attended.
Name of School
Location
Certification/Degree Awarded
(if applicable)
Field of Study
Dates of Study
Date of Graduation (if applicable)
Name of School
Location
Certification/Degree Awarded
(if applicable)
Field of Study
Dates of Study
Date of Graduation (if applicable)
*add additional schooling as necessary
III. OTHER TRAINING AND CERTIFICATIONS
List other training programs attended, such as certificate programs or individual classes
Organization
Location
Dates of Study
Describe Training
*add additional training as necessary
IV. WORK EXPERIENCE, ACTIVITIES, AND AWARDS
Please answer to the best of your knowledge and experience. The answer field will expand to fit your answer.
What is your current employment status (check all that apply)?
☐ Employed, Full Time
☐ Employed, Part Time
☐ Unemployed
☐ Self-employed, Full Time
☐ Self-employed, Part Time
☐ Other. Please explain:
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WORK EXPERIENCE, ACTIVITIES, AND AWARDS (continued)
List your previous areas of employment. What expertise has that work experience given you?
What else would you like us to know about your work experience?
List social, professional, and other organizations you belong to or volunteer with, including leadership
positions.
List any special awards or honors received.
V. ENTREPRENEURIAL INFORMATION
Please answer to the best of your knowledge and experience. The answer fields will expand to fit your answer.
Which of the following choices best describes your current situation?
A ☐ I currently own a business which I would like to expand, utilizing the knowledge and mentoring
provided by the Project DreamCatcher program.
B ☐ I am not a current business owner, but I have an idea for a business or organization that I would
like to start, utilizing the knowledge and mentoring provided by the Project DreamCatcher
program.
1. If you have one, what is the name of your business?
☐ Not applicable
2. Please describe the products or services of your business and who your customers are/will be
(individuals, businesses, women, men, etc.).
3. Are you/will you be the only owner of your business or organization, or do you have one or more
partners?
4. If you own a business, how long (in years) has it been active?
☐ Not applicable
5. If you own a business, how many employees do you currently have?
☐ Not applicable
6. What goals would you like to accomplish in the next year, in terms of starting or growing your
business?
7. What do you believe are the biggest challenges you will face reaching these goals?
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ENTREPRENEURIAL INFORMATION (continued)
8. Why do/did you want to start a business of your own?
VI. SHORT ESSAY
Tell us why you should be selected for this program. Tell us your story!
VII. SIGNATURE (REQUIRED)
By signing below, I affirm that all information furnished in this application has been written and
submitted by me and is true and correct to the best of my knowledge. I understand that submitting any
false information to Thunderbird School of Global Management or its partners will result in the denial of
my application.
Applicant Signature
Date
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ABOUT
Freeport-McMoRan:
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A premier U.S.-based natural resource company, headquartered in Phoenix, AZ, with an industry leading
global portfolio of mineral assets, significant oil and gas resources and a growing production profile
The world’s largest publicly traded producer of copper and ranked 156 on the Fortune 500
Mining operations on four continents – North America, South America, Africa, Asia – and exploration
offices around the globe
Works openly and collaboratively with communities, governments and stakeholders to maximize positive
impacts and contribute to community development
For additional information, visit www.fcx.com
333 North Central Avenue │Phoenix, Arizona │85004 │p: 602-366-8100 │fcx_communications@fmi.com
Thunderbird School of Global Management:
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Located in Glendale, AZ, Thunderbird was founded in 1946 with the visionary belief that business can be a
force for positive social and economic change
Nearly 70 years of experience in developing leaders with the global mindset, business skills and social
responsibility necessary to create sustainable value for their organizations, communities and the world
Mission: “We educate global leaders who create sustainable prosperity worldwide”
For additional information, visit www.thunderbird.edu
Thunderbird for Good:
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Created in 2005, the Thunderbird for Good mission is to “create prosperity through business education for
all.”
Thunderbird for Good works to tear down barriers to management education programs that support
business women and men who otherwise would not have access to top quality training
Develops key partnerships with business, government and non-profit organizations, including mentors,
sponsors, and volunteers from all over the world.
Have trained more than 105,000 women and men from 25 countries on four continents since 2005.
For additional information, visit t4g.thunderbird.edu
1 Global Place │Glendale, Arizona │85306 │p: 602-978-7650 │f: 602-978-7027 │thunderbirdforgood@asu.edu
Phoenix Indian Center:
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The oldest and first created American Indian non-profit organization in the nation and is a primary source
of social, economic, educational, leadership, employment and training for Native people
Formed in 1947 as an outgrowth of Native people began moving to urban Phoenix, not only to sell their
crafts and goods, but as a result of the Federal Government’s Indian Relocation Act
Provides a home environment for Native people looking for opportunity and finding a difficult and
challenging, foreign and unfamiliar environment in the valley
Mission: “The Phoenix Indian Center develops a strong American Indian community through collaborative
partnerships and providing quality, culturally based services”
For additional information, visit phxindcenter.org
4520 North Central Avenue │Suite 250 │Phoenix, Arizona │85012 │p: 602-264-6768 │info@phxindcenter.org
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