Alcoa Foundation and American Forests’ Global ReLeaf Partnership for Trees

Grant Application

Please complete the following application and submit electronically (preferred) via email attachments (either MS Word or PDF files) to mhiggs@americanforests.org or mail application to American Forests, Attn: Megan Higgs, 734 15th St NW Suite 800, Washington, D.C. 20005. Deadline: April 1, 2013.

1. Contact Information

Please provide contact information for the Project Director and other key project contacts and their roles.

Role in Project Name, Organizational Title Address Phone & Fax

Email

Project Director

e.g. Accountant

2. Organizational Information

Name(s) of the OrganizationInclude the official name and any other names used by the organization.

Legal Status and Classification(e.g., for U.S. organizations, 501(c) (3) status or equivalent country classification)

Year Founded

Mission Statement

Website(s)URL(s) for any websites maintained by the organization

Annual Organizational Budget

Organization’s Experience with Tree Planting Projects

3. Project Information

Project Name

Total Project Budget

Grant Amount Requested

Tree Planting Dates

Number of Trees to be Planted (under this project)

Tree Species to be Planted

Total Number of Acres to be Planted

GPS Locations

Number of Volunteers Involved in Tree Planting

Number of Education or Outreach Events (e.g. tours or media events)

List of Partner Organizations involved in Project

4. Project Activities and Goals

Proposed project activities Please provide 4 to 6 bulleted items

Indicators of successful project Please describe how the success of the project activities will be

2

implementation measured. What measurable, short-term outcomes would be considered successes? Indicators could include, but are not limited to, the following:

# of trees surviving one year; # of acres planted

Long term goals Please provide a few bulleted goals focusing on the impact of the project beyond the term of the requested grant.

Indicators of Success Toward Long-Term Goals

How will the success of the project be measured toward long-term goals? What measurable long-term outcomes would be considered successes? Indicators could include measures of water quality improvement, wildlife habitat re-establishment, social and economic benefits, scientific studies developed, air pollutants captured and amount of carbon sequestered.

5. Grant Narrative

The grant narrative is your opportunity to tell us about the project in your own words. Please use the Project Criteria as a reference for responding to the narrative questions. We encourage you to respond to the questions as clearly and succinctly as possible. We recommend that this narrative be 2-5 pages.

1. Project AbstractPlease provide an abstract that is concise, covering key project information (no more than 200 words).

2. Restoration Issues and StrategiesPlease discuss the key environmental and social issues your project is addressing and your strategies for restoring the site with tree planting. (See Project Criteria examples, such as site location and ownership; site conditions; project design; implementation and supervision; and long-term maintenance.)

3. Proposed Activities Please describe the key activities for implementing your overall project. (Criteria examples: project design and approaches; planting of diverse and native tree species; volunteer strategies and involvement; public education and outreach; and timeline or schedule of project activities.) NOTE: special consideration will be given to organizations that engage Alcoa locations in volunteer activities.

3

4. Restoration goals or desired outcomesPlease discuss environmental and social benefits you hope to achieve with your project and how you plan to monitor and measure them (e.g.; water quality and quantity, soil quality, wildlife diversity and habitat improvements, recreation, non-timber forest products.)

6. Additional Information

Please include the following attachments with your grant application.

1. Qualifications of Project Lead and Financial Officer: Please provide a brief description of A) the Project Lead’s experience and training for leading this restoration tree planting project and B) the Financial Officer’s experience and training for overseeing this grant.

2. Alcoa letter of support: Please provide a letter of support from the local Alcoa office serving as a partner for your project (see Sample Letter)

3. Project Budget: Please complete the budget form for your project (see below). Include revenue by type, expenditures by type and surplus or deficit.

4. Legal status of organization: Please attach your organization’s IRS Letter of Determination recognizing nonprofit status or equivalent country documentation.

5. Tax Form: W-9 tax form with employer identification number (EIN) (for U.S.-based organizations). www.irs.gov/pub/irs-pdf/fw9.pdf

6. Organizational Chart: Please attach a one-page organizational chart or staff list. Be sure that your Project Lead and Financial Officer are on your organizational chart.

7. Board List: Please attach a list of your organization’s board members with terms, occupations and places of employment.

8. Annual Board-approved organizational budget: Please include annual revenue, expense, and change to net assets. Indicate the dates that your budget begins and ends.

9. Annual Report: Please attach your organization’s most recent annual report (if available).

10. Audit Report: Please attach your organization’s audit report with two years’ comparative data. If you do not have an audit, please provide a statement of financial position (balance sheet) and a statement of activities (income statement) for the last two complete fiscal years. Also, please

4

submit your management letter. If you did not receive a management letter, write us a memo indicating this.

11. Interim Financial Statements: Please provide a copy of the most recent set of unaudited financial statements for your organization. At a minimum, please provide a statement of financial position (balance sheet) and a statement of activities (income statement). Feel free to submit one document that shows the statement of activities compared to the board-approved budget.1

1 For examples of financial statements, please see http://managementhelp.org/nonprofitfinances/index.htm#anchor4108285 .

5

7. Budget

Project Name:

Organization:

Grant Amount Requested: Total Project Budget:

Budget for Total Project (estimated expenditures)

Category Grant Funds

Requested

Organization Project

Funds

Organization Project In-

Kind

Partner Funds For

Project

Partner Funds

In-KindTotal

Project

Salaries 0

Contractors 0

Trees 0

Equipment and Supplies 0

Transportation 0

Volunteer Organizing 0Public Outreach and Events 0

Total 0 0 0 0 0 0This budget has been reviewed and approved by the following individual/department for financial reporting:

Name:Email Address:Phone Number:

6