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EASTERN SHAWNEE TRIBE OF OKLAHOMA Grant Review Committee (Eastern Shawnee Tribe of Oklahoma)

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Updated 04/2017 Page 1 of 2
EASTERN SHAWNEE TRIBE OF OKLAHOMA
Grant Review Committee Request Form
(Complete and submit this form electronically to the Grants Director at tlowery@estoo.net)
_____________________________ __________________________________ _____________
NAME TITLE DATE
______________________________ __________________________________ _____________
TITLE OF GRANT FUNDING AGENCY DUE DATE
______________________ _________________________ ___________________
NUMBER OF AWARDS EXPECTED AWARD CEILING AWARD FLOOR
GRANT INFORMATION
TYPE OF GRANT: _____ FEDERAL _____ STATE _____ FOUNDATION _____ OTHER
INDIRECT COSTS ALLOWED: _____ YES _____ NO
TRAVEL/TRAINING REQUIRED: _____ YES _____ NO
IN-KIND/MATCHING REQUIRED: _____ YES _____ NO
TRIBAL RESOLUTION REQUIRED: _____ YES _____ NO
IF YES, PLEASE PROVIDE DETAILS OF ANY IN-KIND OR MATCHING REQUIRED: _________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
TIMELINE INFORMATION
DURATION OF GRANT: _____ 12 MONTHS _____ 24 MONTHS _____ 36 MONTHS _____ OTHER
PROJECT BEGIN DATE: ____/____/________
PROJECT END DATE: ____/____/________
PROGRAM REPORTING: _____ QUARTERLY _____ SEMIANNUALLY _____ ANNUALLY _____ OTHER
FINANCIAL REPORTING: _____ QUARTERLY _____ SEMIANNUALLY _____ ANNUALLY _____ OTHER
EMPLOYMENT
JOBS RETAINED: _____
JOBS CREATED: _____
EMPLOYMENT STATUS: ______________________________________________________________
NOTE: PLEASE SUBMIT THIS FORM AT LEAST 4-6 WEEKS BEFORE THE GRANT DUE DATE, WHEN POSSIBLE.
A COPY OF THE FULLY COMPLETED “GRANT REVIEW COMMITTEE REQUEST FORM” WILL BE PRESENTED TO THE
GRC FOR DISCUSSION AS WELL AS APPROVAL OR DENIAL OF THE GRANT REQUEST. PLEASE KEEP A COPY OF
YOUR GRC REQUEST FORM FOR YOUR RECORDS.
Updated 04/2017 Page 2 of 2
PURPOSE (BRIEFLY EXPLAIN THE PURPOSE OF THE GRANT OPPORTUNITY) _____________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
PROJECT IDEA
(BRIEFLY EXPLAIN WHAT WILL BE ACCOMPLISHED, HOW FUNDS WILL BE USED, HOW THIS PROJECT WILL BE SUSTAINED, AND HOW
THIS GRANT OPPORTUNITY WILL STRENGTHEN YOUR DEPARTMENT AND/OR THE TRIBE)
Grant Review Committee Use Only
Action: _____ Approved _____ Denied
Comments: _________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_____________________________________________ _______________
(GRANTS DIRECTOR) (DATE)
_____________________________________________ _______________
(CHIEF) (DATE)
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EASTERN SHAWNEE TRIBE OF OKLAHOMA Grant Review Committee (Eastern Shawnee Tribe of Oklahoma)

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Completed 20 July 2020

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