Create PDF
Email a Friend
Print Page
Government
Heritage
Charitable Giving
CICC Operations
Colusa Indian Energy
Invitations to Bid/RFPs
Public Safety
Contact Us
Medical Services
Health Clinic
Dental Clinic
Optometry Clinic
Physical Therapy Clinic
Contact Us
FARMING
Grants
Healthy Soils
SWEEP
Contact Us
HAND IN HAND
Our Programs
Nutrition
Garden
Special Activities
Schedule
Development Milestones
Just For Fun
Family Links/Resources
Contact Us
COMMUNITY SERVICE
Education
Contact Us
EVENTS
CAREERS
Career Opportunities
Employee Benefits
Drug Testing
Contact Us
Charitable Giving Application
Application for Funding
ATTENTION
You must fully complete the attached IRS W9 Form along with this application BEFORE your request will be reviewed. That form can be found here: https://www.irs.gov/pub/irs-pdf/fw9.pdf
Request Type:
Personal
Private Sector
Public Sector
Other
If other please explain:
Project Type:
Event
Fundraiser
Program
Other
If other please explain:
Purpose:
Sports
Education
Public Service
Other
If other please explain:
Project Name:
* For the purpose of this application, the term "project" represents the project, fundraiser, program, event, or any other applicable intention of this funding request.
COMMITTED TO COMMUNITY
The mission of the Colusa Indian Community council, in conjunction with Colusa Casino Resort, is to improve the surrounding communities, and to enhance the lives of the people in them. To that end, we focus our charitable resources and try to help at the community level, as much as possible.
Process
An internal committee will review your application and will base their decision solely on the information that is provided on this application. Applicants may provide additional information or attachments if they are directly applicable to the funding request, but realize that a concise statement of the project methods and goals will help us best evaluate your application. Please ensure that you supply us with a COPY of any supplemental documents as we are at the discretion to keep any and/or all of the materials for our records.
Deadlines
Since our goal is to evaluate each application to the fairest extent, we ask that you submit applications for grants no less than 45 days in advance of the time the funding is needed. This gives us ample time to review and process requests.
Organizational Information
COMPLETE NAME OF ORGANIZATION
NAME OF ORGANIZATION'S PRESIDENT, EXECUTIVE DIRECTOR OR LEADER, AND TITLE
ORGANIZATION'S TELEPHONE AND FAX
ORGANIZATION'S WEB PAGE
NAME OF PERSON RESPONSIBLE FOR THIS APPLICATION
APPLICANT'S EMAIL ADDRESS
APPLICANT'S TELEPHONE
NAME OF "PAYABLE TO" CONTACT
MAILING ADDRESS (STREET ADDRESS - NO PO BOXES PLEASE) CITY, STATE, ZIP
Signature
AUTHORIZED SIGNATURE (ALLOWS US PERMISSION TO USE ORGANIZATION'S NAME, PERTINENT STORIES AND PHOTOS FOR RELEASES TO THE LOCAL PRESS)
Project Information
In this section include the following: Who it would directly serve or benefit, the reason for your project, and the details/plan for implementing the requested funds. (If you have a budget or other attachments prepared please include).
1. Please specify if you are asking for a grant or funding assistance.
2. What are your goals for this project?
3. What group of people would benefit from this project?
4. What is the date/duration for your project? Please be specific.
5. Please explain which specific components of the project will the grant money be applied to.
6. Do you have a plan for marketing or promoting this project? If so, please summarize.
7. Tell us how the proceeds of this project will be used, and how it will benefit your community.
Grant Amount Requested
8. What is your budget for the entire project?
9. What is the amount of your grant request or are you seeking gifts in-kind, (gift certificates, coupons, etc.)? Record a dollar amount, along with any supporting comments.
10. By when do you need the funds?
Organizational Service Information
11. Is your organization a non-profit? (Attach supplementing records in support of non-profit status, if applicable).
12. Has your organization participated in or executed similar projects or fundraising events in the past?
13. Is your organization planning to partner with other groups during this project? Please specify.
14. What community, region, or constituency does your organization serve?
Please allow us a full 45 days for review and to make a decision. In order to maintain our evaluation process at its best efficiency, please do not pursue any follow up until 45 days have elapsed. For questions, please contact the Executive Affairs Manager, at (530) 458-6512.
Please upload all supporting files
Drop files here or
Accepted file types: pdf, docx.
Δ
Charitable Giving
Government
Medical Services
FARMING
HAND IN HAND
COMMUNITY SERVICE
EVENTS
CAREERS