Social Investment Application
Name of organization:
Name / title of main contact person:
Organization website (if available):
FMI Operation community served:
Total (annual) organization budget:
Proposed program name / title:
Grant amount requested:
Total program budget:
Briefly summarize the proposed program, the clients it serves and its major objectives.
Please limit your response to no more than 5 – 7 sentences.
ALL APPLICANTS MUST USE THIS FORM. Please respond to all questions and complete in no more than 5-pages (please do not use a font smaller than 10 or change the margins). The maximum page count does not
include this page or the support documentation required. Please be sure to complete each section of the
; SECTION 1: Program Information
; SECTION 2: Community Sustainability
; SECTION 3: Impact / Outcomes and Evaluation ; SECTION 4: Costs/Resources
On the following page, please check the community issue/priority that the proposed program addresses.
; Education & Training
*Please note that individual school/classroom funding is available through our STEM Innovation and Mini Grants for
Education grant programs. Applications can be found on our website.
; Community & Economic Development
; Community Safety, Health & Wellness
; Cultural Preservation & the Arts
Please check the Focus Area your project will address and highlight the result(s) you hope to attain.
Education & Training Community & Economic Development
Results we seek in this issue area include: Results we seek in this issue area include:
; Increases in general knowledge of mineral and mining ; Increases in the number of jobs available in the
education, specifically related to copper, gold and community.
molybdenum. ; Increases in the number of businesses developed, ; Increases in the number of youth that improve their expanded/retained or attracted.
academic achievement or skills. ; Increases in economic revenue for the area through ; Increases in the number of teachers effectively trained or increased tourism or business development.
the number/quality of professional development ; Creation of opportunities to stimulate economic opportunities offered to improve academic achievement of success, diversification, growth and/or sustainability. their students. ; Increases in the community’s ability to solve local ; Increases in the number of adult learners that obtain, concerns, foster cooperation among residents and retain or better their employment through advanced leaders, encourage participation in planning public learning and/or applying improved workforce readiness policy and access best practices in development. skills. ; Stimulation of new sources of capital or innovative ; Increases in the number of youth able to demonstrate community development tools. leadership and critical thinking skills in the community, at ; Enhancement of an organization’s ability to function school or in the workplace. more effectively. ; Increases in the use of technology to support improved ; Upgrades in community infrastructure or amenities learning and access to information. (Technology requests that lead to increased access and use by community must be tied to broader curricular improvement). members and/or tourists. ; Increases in parental involvement in education.
; Increases in the number of students pursuing or
graduating with mining industry-related degrees at the
; Improvements in the quality of mining-related and/or
business education at the university level achieved through
faculty support/development; curricula development;
facility or teaching resources/tools; or research projects.
Community Safety, Health & Wellness Environment
Results we seek in this issue area include: Results we seek in this issue area include:
; Increases in the availability and use of social services to ; Increases in the number of community members that
stabilize the lives of at-risk individuals and families and/or take actions to address environmental sustainability in
encourage healthy development. their daily lives.
; Increases in the number of individuals that engage in ; Measureable improvements in land, water or air
improved health behavior/practices as a result of health quality or conservation through community-based
awareness efforts. efforts.
; Increases in access to basic healthcare and prevention / ; Improvements in community appearance that
wellness services. contribute to increased economic or other
opportunities. ; Increases the awareness of social issues that impact
; Increases in opportunities for young people to have safety of children and families.
positive environmental education experiences. ; Decreases in the number of injuries at home, school, or in the workplace.
*Please note that funds will not be provided to disease specific programs/projects (such as heart disease, diabetes, etc.); or to address an individual’s health issues or treatment needs.
General Program Considerations Related to
Cultural Preservation & the Arts Sustainability ; Capacity-building activities based on education, Results we seek in this issue area include: training, organizational and small business ; Increases in cultural and arts in education activities development. available to children.
; Increases in economic benefits to communities realized ; Activities that enhance the capacity of community and
through cultural preservation initiatives economic development organizations to function more
effectively. ; Provision of cultural opportunities to citizens in rural
communities ; Focus on initiatives or outcomes that will be sustainable beyond the life of Freeport-McMoRan.
; Benefit the community as a whole and not a single
organization or individual.
Briefly describe the community problem / need (related to the priority issue(s) selected on page 2) that the proposed project will address.
Summarize the proposed program including how the program will decrease or “fix” the problem / need and benefit the overall community.
Specify the target population and / or geographic areas to be served and how many people will benefit.
Please limit response to no more than 1 paragraph.
Describe how you currently, or will, collaborate with organizations that serve the same population. Please include any description of how collaboration reduces costs or increases effectiveness.
Describe the capacity / ability of the organization to deliver / implement the proposed program. Please describe staffing requirements and existing staff availability to support the program. Attach a list of current Board
Attach a program timeline for implementation. (Please do not paste the timeline here. Please provide as a separate document attachment when you submit your application electronically).
The Freeport-McMoRan Copper & Gold Foundation strives to support programs and projects that demonstrate a
strong focus on capacity-building, community development and sustainability.
Capacity refers to an organization’s ability to achieve its mission effectively and to sustain itself over the long term. Capacity also refers to the skills and capabilities of individuals.
Capacity building refers to activities that improve an organization’s ability to achieve its mission or a person’s ability to define and realize his/her goals or to do his/her job more effectively.
Community development is the process or effort of building communities on a local level with emphasis to improve various aspects of the communities.
Sustainability refers to the ability of an organization, program or project to help the community continue to exist and prosper into the future without dependency on one particular industry, business or source of economic stimulus.
What capacity (skills and/or capabilities) for the community or community members/target population will be
enhanced by the program?
What will be gained by the community that doesn’t currently exist or is not currently being accomplished?
Complete the following program impact statement: We plan to have [identify type of] impact [on whom] by doing
[what]. Please complete only this sentence – do not add additional commentary.
In the table below, please identify the community benefit that will be created / realized as a result of the program
or project by selecting no more than 3 benefits that your program will create. If you select more than 1,
please put them in priority order with “1” as the highest/most significant. Note: If awarded funding, you will be asked to evaluate and report on the measureable results of the community benefit(s) selected. Select Community Benefit Comments
(Please use this section to provide details on the
anticipated or estimated results. Examples are
provided of potential measurement indicators. Please
delete example prior to including your indicators.)
How much? For whom? Cost savings _____
What will be improved? To what degree? Improved process(es)/operating efficiency _____
What or how much will the degree of increase be? Increase in capacity of staff/faculty implementing _____ What is the anticipated effect? programming
What skills? For how many people? To what degree New / enhanced skills or higher levels of _____ will skills developed or enhanced? education
Increase in measureable positive outcomes /
trends (i.e. - increase in high school graduation
rates, improvement in math/science test scores, What or how much will the degree of increase be? _____
increase in college graduates, increased
community-wide recycling, etc.)
Reduction in negative behaviors / consequences How much or to what degree? What will the / events (e.g. fewer drop-outs, lower _____ reductions be in? unemployment, fewer obese children)
Increase in number of clients served and How many? Outcome from this increase? _____ effectiveness of reach
Increase in resources / services / programs How much or to what degree? What will they be? _____ available to the community
How many? New jobs / # anticipated _____ _____
New businesses (in particular, new businesses
that help diversify the economic base of the How many? _____
Increase in the number of existing businesses How many? _____ retained or expanded
Increased revenue or capital available in / to How much? _____ community
Increased community participation or civic
engagement (i.e. -participation in community By how much? What will the increase be in _____ organizations, youth/adult leadership specifically?
More effective / efficient community How much or to what degree? _____ infrastructure
What will this achieve? (e.g.,decrease in code Improvement in community appearance & _____ violations?, etc.) usability
Please specify expected benefit and outcome/result Other _____
Attach a program / project budget. This should include current and / or pending sources of funding as well as annual expenses (real or projected). (Please do not paste the budget here. Please provide as a separate
document attachment when you submit your application electronically).
Describe plans to secure additional and / or future funding if the program plans to continue after funding through this grant program comes to an end. If the program goals will be accomplished through this grant and will not
require additional funding, please state as such.
Board of Directors list
Detailed Project Budget (including other sources of funding/income)
Annual Operating Budget
Copy of 501c-3 or other proof of tax exemption from the IRS
If awarded, grant funds must be used for developing and implementing the project as described in the award letter received at time of funding. An evaluation report format will be distributed and is required for additional funding consideration. The Freeport-McMoRan Copper & Gold Foundation has the right to disseminate information and materials developed as a result of the project.
Signature: _________________________________________________________________________________ (Electronic signature is allowable)
Via e-mail: firstname.lastname@example.org
Angie Harmon, Social Investment Manager