Grant Concept Paper Alcoa Foundation is eager to learn about your organization and the program or initiative for which you are requesting a charitable grant. In order to assess your organization’s eligibility to receive a grant and the alignment of the proposed program with Alcoa Foundation’s focus areas and results metrics, this Grant Concept Paper must be completed in its entirety and signed by an authorized official. Submission of this Grant Concept Paper does not guarantee a grant from either Alcoa Inc. or Alcoa Foundation. If Alcoa Foundation decides to pursue this partnership with your organization, you will receive an invitation to submit a formal online application. At the time a formal grant application is submitted to Alcoa Foundation, you will be required to attest to a non-discrimination statement declaring that your organization does not discriminate based on race, color, religion, national origin, disability, sexual orientation, gender identity/ expression, veteran status, genetic information, sex or age (within statutory limits) or on any other legally prohibited basis. Once finalized and agreed to with your Alcoa location contact, the information contained in this Grant Concept Paper or subsequent versions of it must be reflected in the final online grant application, should you be invited to submit one. Discrepancies between this Grant Concept Paper and the online application will delay processing. Therefore, to ensure accuracy, copy and paste text from this document into the online application. DO NOT LEAVE ANY ANSWERS BLANK General Grantee Information 1. Organization Name Contact Name Contact Job Title Full Mailing Address Contact e-mail Address Phone: Website URL 2. Type of organization nongovernmental nonprofit agency government-operated school (primary, secondary or post-secondary) private, nongovernment-operated school (primary, secondary or post-secondary) government-operated hospital private, nongovernment-operated hospital government agency other; short description 3. Briefly describe your organization’s mission. 4. Year in which this organization was officially recognized or registered as a charitable organization, government entity or public educational institution. rev. 2/5/2015 1 Grant Concept Paper General Grantee Information 5. Countries in which your organization operates 6. Countries in which Alcoa Foundation grant funds would be used 7. Total annual operating revenue for your last fiscal year USD 8. Total charitable contributions received by your organization during your last fiscal year USD representing (number, e.g., 25) contributions 9. Has your organization ever received a charitable grant from Alcoa Foundation? Yes No If so, in what year? and for how much? USD 10. Are reporting requirements up to date for all previous Alcoa Foundation grants? Yes No N/A A new grant will not be approved until all reporting requirements for previous grants are up to date. 11. Is this organization officially registered as a nonprofit or charitable organization? Yes No 12. Name of the government authority which governs the registration of charities/nonprofits in the organization’s headquarters country 13. Organization’s registration number as assigned by this authority (required if the organization is registered as a nonprofit or charitable organization) 14. Is the actual recipient of the grant funds, i.e., the organization named on the bank account to which the funds will be deposited, the same legal entity as the organization named in General Grantee Information Question 1? Yes No 15. If “No”, provide the full name for this organization and its registration number as assigned by the national authority identified in Question 14 above. Name of Organization Registration No. 16. Is the following information about your organization available to the general public? Names of officers and directors By-laws in English Audited financial statements in English Yes No Yes No Yes No 17. If you answered No to any part of Question 16, are you willing to provide the information to Alcoa Foundation? Yes No 18. Percent of total expenses directed to program/charitable activities during last fiscal year % 19. Percent of total expenses directed to administrative activities during last fiscal year % (These two numbers must equal 100%.) 20. Is your organization able to accept donations by check, wire, or credit card? rev. 2/5/2015 Yes No 2 Grant Concept Paper Connections to the Government1 21. Did any government official or any person representing a government ask you to request a grant from Alcoa Foundation? Yes No 22. Does your organization have officers or directors who are either a) government officials or b) family members of government officials? Yes No If Yes, identify these officers or directors with the information below. Full name of individual Role with your organization Role with government 23. Are there financial, fiduciary, ownership, or other relationships between your organization and any government or government official? Yes No If “Yes,” please describe them in detail. Grant Information 24. Grant amount requested from Alcoa Foundation USD 25. Total budget for the project for which funding is requested payable over years USD 26. Project Start Date Enter the date on which you plan to begin using the grant funds and commence work on the project described in this Grant Concept Paper. You should allow 90 days from the date your grant application is officially submitted online to Alcoa Foundation to receive grant funds. Plan accordingly. 27. Project End Date Enter the date by which you expect to achieve the project results described in this Grant Concept Paper and by which you will be able to measure the final results achieved. Final grant report will be due 30 days after this date. All grant funds must be expended by this date. We are interested in results that can be achieved within a 12-month period, but will consider programs and projects that require a shorter or longer time period for the results to be achieved. 28. Describe the community challenge or opportunity to be addressed by this grant and the target population for the program. 29. Provide a brief description of the project for which you seek support. Include the overall goal of the project and the geography to be served. Describe briefly, but specifically, how Alcoa Foundation grant funds will be used, e.g., specific activities, equipment to be purchased, salaries for specific personnel, etc. 1 For these purposes, “government” refers to all governments, whether local, provincial, or national; any agency thereof; or any enterprise or other entity that is wholly or partially owned or controlled by a government. “Government officials” are persons who work for any “government” or who are elected to serve in any government. rev. 2/5/2015 3 Grant Concept Paper 30. In the dropdown box below, select the Alcoa Foundation theme with which this project aligns. Before making a selection, refer to the Alcoa Foundation Themes. Select a theme from this list 31. There are specific results metrics in the Alcoa Foundation Themes. Enter the target number for only the metrics you intend to and are able to accurately track and measure, and which reflect the intended results of the grant. You will be required to report on the grant’s final results. If Alcoa Foundation is only partially funding a program, enter only the numbers which you hope to achieve by using Alcoa Foundation funds. Do not include results that will be achieved using funds from other sources. Education # you expect to achieve STEM Number of students who will complete STEM-related training Number of teachers, guidance counselors or school administrators who will be trained to provide STEM education or promote STEM-capable careers Number of schools to be impacted Workforce Development Number of students who will pursue training or education towards manufacturing careers (i.e., in skilled trades, maintenance, operations) Number of students who will pursue training or education towards engineering careers Number of individuals who will secure employment or improve their employability in manufacturing careers Number of individuals who will secure employment or improve their employability in engineering careers General Education Number of students who will participate in programs designed to improve academic performance or skills General Job Readiness Number of individuals who will complete training designed to improve their general employment status rev. 2/5/2015 4 Grant Concept Paper Environment # you expect to achieve Sustainable Design Number of solutions to be promoted or created for building design Number of solutions to be promoted or created for transportation Number of solutions to be promoted or created for other Alcoa markets Number of communities to be impacted. Environmental Literacy Number of individuals to be trained to support environmental initiatives Number of teachers to be trained to support environmental initiatives Number of environmental initiatives to be created Number of communities to be impacted Natural Capital Number of acres of land to be preserved or restored (1 hectare = 2.47 acres) acres Number of species (flora and fauna) to be protected Number of trees to be planted Number of bodies of water to be improved, restored or protected Expected reduction of CO2 in tons (907.18 kg = 1 ton) tons Expected reduction in energy use in kwh kwh Tons of aluminum to be recycled (907.18 kg = 1 ton) tons Tons of non-aluminum materials to be recycled (907.18 kg = 1 ton) tons Number of communities to be impacted Standards Leadership Number of standards to be developed Number of organizations expected to sign on to adopt those standards Number of countries expected to sign on to adopt those standards 32. Describe how you will verify the initiative’s results. How will you know whether the program has achieved or missed its goals? Note the tools and resources you will use. 33. Identify other large, well-known companies that have committed funds for this program and the amount of their commitment during the grant period. Name of funder rev. 2/5/2015 Amount of funding USD USD USD USD USD USD 5 Grant Concept Paper 34. Do you have a communications strategy for this program? Yes No Should your request be approved, you will be asked in the online grant application to describe the communications strategy, including how an Alcoa Foundation grant will be recognized, e.g., press releases, web postings, brochures, videos, television or radio spots, etc. 35. Are there volunteer opportunities in this program for Alcoa employees, Alcoa retirees, students or community members? Yes No Volunteer opportunities are encouraged, but not required. Should this Grant Concept Paper be accepted, you will be asked in the online grant application to describe the volunteer opportunities available. I certify that the above information is complete and accurate to the best of my knowledge and that I am authorized to provide this information and request a grant from Alcoa Foundation on behalf of the organization named in Question 1. I understand that the submission of this Grant Concept Paper does not guarantee a charitable grant from either Alcoa Inc. or Alcoa Foundation. Name of authorized official Date Title rev. 2/5/2015 6