Traditional Cultural Recreation Benefit Application Tribal Member / Guardian InformationName(Required) First Last Enrollment Number(Required)Mailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone(Required)Email(Required) Preferred Method of Communication(Required) Phone E-mail Physical Mail Do you have service eligible Snoqualmie minor(s) living in your household for you are parent/guardian for? Yes No List names of enrolled Snoqualmie minors that are in your householdProgram InformationType of Payment(Required) Vendor Payment: A W-9 must be submitted by the vendor before payment can be processed Reimbursement Advances: Up to $1,500 - Note: Quote/Invoice required PO If the program vendor will be paid directly, please provide the following information:Program or Vendor Name(Required)Contact Person(Required)Contact Phone(Required)Funding Requested(Required)TCR CategoriesTCR Non-TaxableCheck all that apply Camping Supplies National or State Park Passes Campground/ Park Entry Fees and Memberships Cultural Activity Supplies Snoqualmie Tribal Flag Items that Promote Health, Wellness, and Education Workout Supplies, Equipment, Classes, or Subscriptions Garden Supplies to Promote Traditional Plants and Wellness Weather Appropriate Clothing for Outdoor Activities and Fitness Baby Gear that Promotes Recreation Travel Expenses (airfare, gas, train, ferry, tolls, rental cars, hotel rental) - to attend Snoqualmie Tribal Gathering Traditional Gifting Expenses Traditional Ceremonies Summer/School Break Recreational Camps Other- Justification Requested Below TCR Taxable (W-9 Required) ATV/UTVs/Dirtbikes Purchase/Repair Boating Repair/Equipment Paddleboards, Snowboards, E-Bikes, E-Scooters Crafting for Recreation Apple Watches/Garmin Waches Tourist/Recreation Acivities Sporting Events,Concert Tickets. Amusement Parks, Art Shows, IFLY Child Play Items Ski/Snowboard Memberships Tragers,Home BBQ, and Home Fire Pits See full list and ineligible expenses Download blank W-9 in PDF FormatJustification(Required)Please provide a brief written justification for the categorires you've selected above.Receipts/W9 or Other Attachments(Required) Drop files here or Select files Accepted file types: pdf, docx, txt, gif, jpg, jpeg, png, bmp, Max. file size: 256 MB, Max. files: 6. I agree to follow the requirements and policies. I certify the information contained in this application is complete and accurate to the best of my knowledge. I understand that I am signing this application under penalty of criminal prosecution if I knowingly give false information which results in payment to which I am not entitled. By signing I agree that the Tribal Services Department may contact other tribal programs for pertinent information as it applies to this application. Some items eligible under the TCR benefit are recognized as taxable income and requires reporting. As such, you may receive a 1099 Misc tax form from the Snoqualmie Tribe for the calendar year in which your benefits were approved.Signature(Required)Date Signed(Required)
