Bill Anoatubby Governor the Chickasaw Nation Jefferson Keel Lt Governor

Headquarters

December 22 2015

Mr Jeffrey Barwick Workforce Development Specialist Bureau of Indian Affairs Office of Indian Services 1849 Constitution Avenue NW MS 4513 Room 4071 MIB Washington DC 20240

Dear Mr Barwick

Included with this letter is the Chickasaw Nation s PL 102-477 annual report for the period beginning October 1 2014 and ending September 30 2015

If you have any questions or comments regarding this report please contact Ms Maria Howeth grant compliance manager and PL 102-477 coordinator at (580) 310-7992 or maria howethchi ckasa w net

Sincerely

Wayne Scribne Sec tary Depaiiment of Community Services The Chickasaw Nation

WSmgh

Enclosures

Arlington at Mississippi Post Office Box 1548 Ada OK 74821-1548 580-436-2603 middot wwwchickasawnet

~UNITED WE THRIVE

The Chickasaw Nation Public Law 102-477 Narrative Report

October 2014 - September 2015

The goals of the Chickasaw Nation 102-4 77 program are to integrate the Chickasaw Nations employment training and other related services to improve the effectiveness of these services to increase the employability of Native Americans within our service area to serve tribally determined goals consistent with the policy of self-governance and self-determination and to provide supportive services to enable Native American families to become productive in the workforce All goals are consistent with the purposes of Public Law 102-4 77

Within the Chickasaw Nation the 477 program is titled Pathways to Success and is administratively housed within the division of social services By giving this program a unique and positive title the name represents to clients that success is envisioned and expected to happen in their future To ensure success occurs a solid tradition continues which is a dedicated team of directors managers resource specialists and administrative support staff providing clients with social services and resources that make a difference in the lives ofNative Americans

The area offices implemented a SharePoint (paperless) system for client files This system is an electronic version of the client file allowing the resource specialist more one-on-one time with the client while entering the information into an electronic file during the interviewing process This system saves cost on paper printing storage space and other supplies

EMPLOYMENT AND TRAINING SERVICES

The Chickasaw Nations service area for Pathways to Success consists of 13 Oklahoma counties which include Bryan Carter Coal Garvin Grady McClain Jefferson Johnston Love Marshall Murray Pontotoc and Stephens

At each of the seven area offices a resource specialist develops an individual development plan (IDP) for each client An assessment of the clients work history job skills academic status literacy and other factors related to job readiness are identified during the counseling session To provide quality services the resource specialists partners with the community the Chickasaw Nation career services education department and other tribes to provide resources for the clients to work toward becoming self-sufficient

A significant number of Native Americans do not have a high school diploma or a GED certificate therefore is limited in their employment opportunities The Chickasaw Nations 477 plan mandates all clients must work toward obtaining their GED Certified teachers provided by the Chickasaw Nations Division of Education are available to offer individualized instruction to every client needing academic tutoring to obtain a GED or to receive remedial education for the workplace

1

The office of career services prepares individuals for employment by providing the following services which can be accessed either in person by computers located at the 7 area offices local libraries or from the clients home computer

(l) Occupational Employment Services Access to the Oklahoma Career Information System (OKCIS) program provides clients the opportunity to explore career pathways occupations and employment education and training and complete career interest assessments

(2) Resumes Resume development is provided on an individual basis or in group training The OKCIS program can be utilized to create and store a resume

(3) Preparation for Work The Career Ready 101 program is another internet based tool to prepare individuals for employment This program helps to build math reading and locating information skills and the soft skills needed to be successful in the workplace Mock interviews are conducted on a one-on-one basis as well as training and assistance for application completion Supportive service is provided based on individual need

(4) Job Readiness workshops are provided to clients by the Chickasaw Nation Career Services the Area Offices and Human Resources The Human Resource representative critiques the interviewing skills and provides feedback to the Career Services coordinator for continued training

(5) Job Club Level 1 is 2-days of training that focuses on teaching the participants the skills needed to attain and maintain employment The participants learn strategies for successful career searching application completion resume writing interviewing skills proper appearance and personal hygiene appropriate work attendance and punctuality getting along with coworkerssupervisors and career exploration

A total of 64 individuals attended 19 Job Readiness trainings held at the area offices and 26 of the individuals who attended the job club found employment

(6) Job Fairs The Career Services staff collaborates with area service providers and business owners to host an annual job fair Employers throughout south central Oklahoma have representatives on-site to take applications and conduct interviews During the Job fair held within the Chickasaw Nation 30 employers set up a booth and provided employment information applications and conducted interviews There were 306 applicants and 21 applicants were selected for employment

This department assisted 476 Chickasaw citizens 113 other Native Americans and 287 nonshynative clients with resumes mock interviews job clubs job fairs and supportive services

The area office staff works with state career technical training centers to assist clients in pursuing short-term vocational training Supportive Services are provided to clients during training to attain certification andor associates degree Stipends and school supplies are provided to

2

students as well as supplementing funds for tuition and fees For specific results six students participated in the employment training program by attending truck driving school cosmetology school and the Pontotoc County Vo-Tech They completed their training and five found employment

Listed below are individual stories in the employment and training services component

bull A 23 year old female with 3 children was assisted with utilities due to recently becoming unemployed She was placed on our work experience program and found employment at a Dollar General Store In the meantime she is currently working on her GED to become more self-sufficient

bull A client was recently laid off from his place of employment and was placed on the work program and with job search he has now obtained a job with Dollar General

bull A single parent with two children was placed on a work program when he became unemployed He was placed part-time but felt it was not a good fit he was later transferred to another location with a higher income and now is a full time employee and is able to be self-sufficient to provide for his family and maintain his home

bull A client was placed on the work experience program after completing the program he was successful in being hired full time by his employer

SUPPORTIVE SERVICES

Often clients find themselves in a Catch-22 situation when they are offered a job but do not have the necessary work clothes or tools to accept the position

As a result of these requests supportive services is provided to clients with services such as work equipment tools drivers license reinstated professional office clothes fuel for client to report to place of employment or school Listed below are examples of the success of supportive services

bull A client was placed on our work program and was assisted with supportive service to complete a Department of Transportation physical to continue employment The client passed the physical and began a higher paying job to better support his family

bull A client on the work program was assisted with work pants and shoes Her new place of employment provided uniform shirts and she was required to wear black or tan pants which she could not purchase until she received her first pay check

bull Another client was assisted with the purchase of scrubs and no slick shoes for her employment after completing her requirements for our work program She is a single mother with three kids and her only income was a disability check for her son

3

bull A father was assisted to restore gas service to the home He was placed on our work program and found a part time job with the Chickasaw Nation to support his family The wife is a stay at home mom with a 1 month old son

bull A client was assisted with clothing to continue part time employment at a nursing home After being placed on our work program he found a full time employment as a security guard with the Chickasaw Nation

CASH ASSISTANCE

In 2002 the Chickasaw Nation added the cash assistance to the 477 program After integration and implementation the cash assistance program has become a success driven program Clients are required to complete an Individual Development Plan (IDP) and to engage in work activities which are defined but are not limited to remedial education occupational training and work services or unsubsidized employment Job search or job readiness training may also be considered as engaged in work activities

These are examples of success stories through the Pathways program

bull There were 10 clients hired as a result of the 477 job search They were placed at the Chickasaw Nation Community Gardens as a groundskeeper Walmart Ada Care Center as a CNA and Chickasaw Travel Stop as a housekeeper

bull Three Chickasaw citizens have been approved and receive Social Security Disability and are no longer receiving medical cash assistance

bull Supportive Services were given to ten clients for clothes and fuel to maintain their work status

TOKSALI SMAR T

The summer youth program offered to low-income Native American youths age 14-21 has a tremendous impact on young people and employers in south-central Oklahoma Youths function in a real world workplace where they are able to learn the skills and attitudes needed to succeed Employers are able to evaluate the skills and attitude of the workers and indentify future full time employees

The youths are tested using the Test of Adult Basic Education (TABE) which is a 2 Yi hour test that measures competency in reading math and language If a score is below the eighth grade level in reading or math the youth is required to attend tutoring sessions The counselor develops an Individual Development plan to help guide the student to gain important skills There were 200 youths enrolled in this program

4

This program was evaluated at the end of 2014 and was restructured to create a curriculum that focused on several areas for overall personal development provided informative orientations for youths supervisors and parents and a dress code for all youths with the program providing the uniform Evaluations of participants were done and held them accountable and responsible for their actions To increase program participation relevant trainings and activities were provided The Oklahoma Career Interest System (OKCIS) was utilized to help identify career interest areas and match the individuals with the appropriate job assignment

The youths entered at different levels of preparedness and each level was targeted toward each age group This restructure has been highly accepted and is called the Toksali (Work) SMART (Successful Mindsets with the Attitude and Readiness for Tomorrow)

There were three levels for the youths working on the Community Projects

The Bronze level worked with horticulture on a beautification project to plant flowers and shrubs at the Chickasaw Nation Softball Complex They also made neck coolers for stomp dancers and craft items for the Chickasaw Nation daycare children

The Silver level worked with the Career Services manager and made 24 wooden park benches and was given to the area offices senior sites and the softball complex

The Gold level worked with the Career Services manager and made 12 picnic tables for distribution to various Chickasaw Nation facilities

The youths were initially reluctant to complete the tasks but as the projects started to come to life their attitudes changed and they were proud of their accomplishment

The youths attended 19 classes which were interactive and kept their attention The presentations most enjoyed by the students were Dress for Success and Interviewing Skills Hydroponic Gardening Team Building Self Defense and the Science Technology Engineering and Math (STEM) program

These are examples of success stories through the Toksali SMART

bull A youth was placed on the summer youth program and became a full time technician in the Computer Distribution Program within the Chickasaw Nation His duties include repairs checks for viruses and spyware refurbishing testing monitors help carry out computers for citizens scraping unusable computers and stocking parts and cords

bull A youth was placed at GeoSpatial Information Department He completed an extensive project that consisted of downloading historic government land office plat maps cropping images and completing a georeferenced mosaic of the historic maps What he did in the short period of time on the spatial analysis is usually performed by a GIS professional

5

with a college degree His work this summer allows GSI to overlay historic maps and provide them to numerous cultural historic preservation and realty employees in an internal custom website as a decision making tool All this was accomplished by a 14 year old young man and is very impressive We have encouraged him to return for next year s program and look forward to his return ifhe wishes

bull A youth worked this summer at Savvy Parke in Purcell OK She has participated in this program since she was 14 years old and can now work with the public and has excellent customer service skills that have been planted through the Toksali SMART Program

bull One youth was offered a full time job at a Service Station after working on the summer program and proving to be a good employee

bull A youth worked at Baker s Mercantile and was hired full time after the program ended

bull One youth was offered a part time position at the Chickasaw Nation Headstart as a result of his work ethic during the Toksali Smart Program

bull A disabled youth worked with Museums amp Historic Sites Not only was he able to work the full program without any incidents but also was able to work on his motor skills by separating colored beads for beaded collar necklace class cut yam for a woven belt class and cut com husk for a com husk dolls class He was able to learn several skills and was very proud of his accomplishments

bull One 14 year old youth with health issues did an outstanding job at his worksite he was self-motivated completed tasks without being asked He was able to shelve products by expiration dates and his work was so important to him that he did not want to miss work for his doctor appointment

bull Another 14 year old saved his money from the youth program and purchased a computer

bull An 18 year old did not have transportation During the summer he tested and received his driver s license and was able to save his money to purchase a used small pickup to drive to a Vo-Tech to continue his education

bull A 19 year old graduated from high school in 2014 and did not have a driver s license He lived with a parent and had not found permanent employment He was placed with the City of Sulphur OK where there was a job opening At the end of the youth program he was hired and is being trained to read water meters and the city plans to help him obtain his driver s license The youth was assisted with a Chickasaw Nation housing application and is now on the waiting list for his own apartment and is on his way to becoming selfshysufficient

6

bull A 19 year old planning to pursue a career in nursing was placed at a doctor s office

which gave her the opportunity to observe the duties of a nurse in a medical setting and

plans to begin nursing school in the fall She was contacted by the Chickasaw Nation

media division for an interview on how the youth program was beneficial in her career

choice She was highlighted at the Chickasaw Nation Annual Meeting video

presentation

bull An 18 year old was placed at a Chickasaw Nation business and his supervisor stated that

the youth possesses all of the basic skills and abilities necessary to enter the workforce in

a professional office environment as he is pleasant professional punctual a diligent

worker he proactively seeks additional work and is eager to learn

bull Three 15 year olds were contracted for the weekends at the Chickasaw Culture Center to

set up demonstrations explain and demonstrate beading and weaving assist with stickball and dancing

bull A 15 year old that was placed at a florist shop has been asked to continue to work weekends until school begins

bull A 19 year old college student was placed at a District Attorney s office and has been asked to continue to work for them until she returns to college Her supervisor stated that she was very professional and excelled in all her duties

bull A 16 year old was placed at an Abstract Office and her supervisor stated she is very efficient and professional She has been asked to return next summer and work for them

bull Several youths were placed at the Chickasaw National Recreational Area in Sulphur

OK They worked as a team to assist with the sand bags when the Nature Center was threatened by flood from the creek waters

bull Six youths obtained a job at the end of the program and were placed at Ada Boys and

Girls Club Kinder Kollege day care center Housekeeping services with the Chickasaw

Nation Chickasaw Nation Housing maintenance and The Rage a clothing store in Ada OK

7

These are comments from supervisors

bull School Age Summer Program Overall our experience and participation with Toksali SMART was a positive one We had a good group of youths that came this summer and truly Made A Difference Our program moves at a very quick pace and they were always willing to assist when and were needed They all had the opportunities to gain experience in a variety of settings from the kitchen to the classroom to buses on our field trips they were with us at every step of the way I truly hope they enjoyed their experience We wish all youth the very best as they continue their journey towards success Special THANKS to your entire TEAM for all that you do to Make a Difference in the lives of young people

bull 2015 Healthcare Explorers at Chickasaw Nation Division of Health The students will be assigned a rotation schedule that will allow them to observe assist and learn about the careers and processes that occur within our department The mission of the Haknip Inchokma experience is to increase the students knowledge of careers in the field of health care to expose the youths to the work environments within the Department of Health to provide youths with hands on experiences in healthcare setting and to provide educational cultural social and recreational activities to increase the likelihood of students choosing a healthcare profession We will provide a learning environment allowing students to observe procedures shadow providershealth professions and learn about processes that occur within each department All students completed the full orientation for the Medical Center and HIIP AA compliant

bull Wellness Center If I could have hired the Toksali SMART youth I would She was one of the best summer youth I have worked with and I hope she comes back to our center the next few summers She is a quick learner had great customer service skills

bull Museum Our youth was very smart had a good attitude about working She planned her work

assignments for an end in sight Lets you know if a schedule has changed and calls ahead Telephone and greeting skills very important in the museum and she was always

helpful A joy to have and we would be happy to have her as part of our team anytime

bull Cultural Resources Our youth was an exceptionally good worker for our department He was very

respectful polite and kind to all staff and fellow co-workers As an employee he was on

time and presented himself in a very professional manner During his employment with

us he was able to talk dance and even play his flute for the patrons at the Cultural Center He displayed a great attitude and was eager to learn all he could from the

Cultural Instructors We hope that we were able to provide him with some understanding and knowledge of the Chickasaw Culture

8

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

The office of career services prepares individuals for employment by providing the following services which can be accessed either in person by computers located at the 7 area offices local libraries or from the clients home computer

(l) Occupational Employment Services Access to the Oklahoma Career Information System (OKCIS) program provides clients the opportunity to explore career pathways occupations and employment education and training and complete career interest assessments

(2) Resumes Resume development is provided on an individual basis or in group training The OKCIS program can be utilized to create and store a resume

(3) Preparation for Work The Career Ready 101 program is another internet based tool to prepare individuals for employment This program helps to build math reading and locating information skills and the soft skills needed to be successful in the workplace Mock interviews are conducted on a one-on-one basis as well as training and assistance for application completion Supportive service is provided based on individual need

(4) Job Readiness workshops are provided to clients by the Chickasaw Nation Career Services the Area Offices and Human Resources The Human Resource representative critiques the interviewing skills and provides feedback to the Career Services coordinator for continued training

(5) Job Club Level 1 is 2-days of training that focuses on teaching the participants the skills needed to attain and maintain employment The participants learn strategies for successful career searching application completion resume writing interviewing skills proper appearance and personal hygiene appropriate work attendance and punctuality getting along with coworkerssupervisors and career exploration

A total of 64 individuals attended 19 Job Readiness trainings held at the area offices and 26 of the individuals who attended the job club found employment

(6) Job Fairs The Career Services staff collaborates with area service providers and business owners to host an annual job fair Employers throughout south central Oklahoma have representatives on-site to take applications and conduct interviews During the Job fair held within the Chickasaw Nation 30 employers set up a booth and provided employment information applications and conducted interviews There were 306 applicants and 21 applicants were selected for employment

This department assisted 476 Chickasaw citizens 113 other Native Americans and 287 nonshynative clients with resumes mock interviews job clubs job fairs and supportive services

The area office staff works with state career technical training centers to assist clients in pursuing short-term vocational training Supportive Services are provided to clients during training to attain certification andor associates degree Stipends and school supplies are provided to

2

students as well as supplementing funds for tuition and fees For specific results six students participated in the employment training program by attending truck driving school cosmetology school and the Pontotoc County Vo-Tech They completed their training and five found employment

Listed below are individual stories in the employment and training services component

bull A 23 year old female with 3 children was assisted with utilities due to recently becoming unemployed She was placed on our work experience program and found employment at a Dollar General Store In the meantime she is currently working on her GED to become more self-sufficient

bull A client was recently laid off from his place of employment and was placed on the work program and with job search he has now obtained a job with Dollar General

bull A single parent with two children was placed on a work program when he became unemployed He was placed part-time but felt it was not a good fit he was later transferred to another location with a higher income and now is a full time employee and is able to be self-sufficient to provide for his family and maintain his home

bull A client was placed on the work experience program after completing the program he was successful in being hired full time by his employer

SUPPORTIVE SERVICES

Often clients find themselves in a Catch-22 situation when they are offered a job but do not have the necessary work clothes or tools to accept the position

As a result of these requests supportive services is provided to clients with services such as work equipment tools drivers license reinstated professional office clothes fuel for client to report to place of employment or school Listed below are examples of the success of supportive services

bull A client was placed on our work program and was assisted with supportive service to complete a Department of Transportation physical to continue employment The client passed the physical and began a higher paying job to better support his family

bull A client on the work program was assisted with work pants and shoes Her new place of employment provided uniform shirts and she was required to wear black or tan pants which she could not purchase until she received her first pay check

bull Another client was assisted with the purchase of scrubs and no slick shoes for her employment after completing her requirements for our work program She is a single mother with three kids and her only income was a disability check for her son

3

bull A father was assisted to restore gas service to the home He was placed on our work program and found a part time job with the Chickasaw Nation to support his family The wife is a stay at home mom with a 1 month old son

bull A client was assisted with clothing to continue part time employment at a nursing home After being placed on our work program he found a full time employment as a security guard with the Chickasaw Nation

CASH ASSISTANCE

In 2002 the Chickasaw Nation added the cash assistance to the 477 program After integration and implementation the cash assistance program has become a success driven program Clients are required to complete an Individual Development Plan (IDP) and to engage in work activities which are defined but are not limited to remedial education occupational training and work services or unsubsidized employment Job search or job readiness training may also be considered as engaged in work activities

These are examples of success stories through the Pathways program

bull There were 10 clients hired as a result of the 477 job search They were placed at the Chickasaw Nation Community Gardens as a groundskeeper Walmart Ada Care Center as a CNA and Chickasaw Travel Stop as a housekeeper

bull Three Chickasaw citizens have been approved and receive Social Security Disability and are no longer receiving medical cash assistance

bull Supportive Services were given to ten clients for clothes and fuel to maintain their work status

TOKSALI SMAR T

The summer youth program offered to low-income Native American youths age 14-21 has a tremendous impact on young people and employers in south-central Oklahoma Youths function in a real world workplace where they are able to learn the skills and attitudes needed to succeed Employers are able to evaluate the skills and attitude of the workers and indentify future full time employees

The youths are tested using the Test of Adult Basic Education (TABE) which is a 2 Yi hour test that measures competency in reading math and language If a score is below the eighth grade level in reading or math the youth is required to attend tutoring sessions The counselor develops an Individual Development plan to help guide the student to gain important skills There were 200 youths enrolled in this program

4

This program was evaluated at the end of 2014 and was restructured to create a curriculum that focused on several areas for overall personal development provided informative orientations for youths supervisors and parents and a dress code for all youths with the program providing the uniform Evaluations of participants were done and held them accountable and responsible for their actions To increase program participation relevant trainings and activities were provided The Oklahoma Career Interest System (OKCIS) was utilized to help identify career interest areas and match the individuals with the appropriate job assignment

The youths entered at different levels of preparedness and each level was targeted toward each age group This restructure has been highly accepted and is called the Toksali (Work) SMART (Successful Mindsets with the Attitude and Readiness for Tomorrow)

There were three levels for the youths working on the Community Projects

The Bronze level worked with horticulture on a beautification project to plant flowers and shrubs at the Chickasaw Nation Softball Complex They also made neck coolers for stomp dancers and craft items for the Chickasaw Nation daycare children

The Silver level worked with the Career Services manager and made 24 wooden park benches and was given to the area offices senior sites and the softball complex

The Gold level worked with the Career Services manager and made 12 picnic tables for distribution to various Chickasaw Nation facilities

The youths were initially reluctant to complete the tasks but as the projects started to come to life their attitudes changed and they were proud of their accomplishment

The youths attended 19 classes which were interactive and kept their attention The presentations most enjoyed by the students were Dress for Success and Interviewing Skills Hydroponic Gardening Team Building Self Defense and the Science Technology Engineering and Math (STEM) program

These are examples of success stories through the Toksali SMART

bull A youth was placed on the summer youth program and became a full time technician in the Computer Distribution Program within the Chickasaw Nation His duties include repairs checks for viruses and spyware refurbishing testing monitors help carry out computers for citizens scraping unusable computers and stocking parts and cords

bull A youth was placed at GeoSpatial Information Department He completed an extensive project that consisted of downloading historic government land office plat maps cropping images and completing a georeferenced mosaic of the historic maps What he did in the short period of time on the spatial analysis is usually performed by a GIS professional

5

with a college degree His work this summer allows GSI to overlay historic maps and provide them to numerous cultural historic preservation and realty employees in an internal custom website as a decision making tool All this was accomplished by a 14 year old young man and is very impressive We have encouraged him to return for next year s program and look forward to his return ifhe wishes

bull A youth worked this summer at Savvy Parke in Purcell OK She has participated in this program since she was 14 years old and can now work with the public and has excellent customer service skills that have been planted through the Toksali SMART Program

bull One youth was offered a full time job at a Service Station after working on the summer program and proving to be a good employee

bull A youth worked at Baker s Mercantile and was hired full time after the program ended

bull One youth was offered a part time position at the Chickasaw Nation Headstart as a result of his work ethic during the Toksali Smart Program

bull A disabled youth worked with Museums amp Historic Sites Not only was he able to work the full program without any incidents but also was able to work on his motor skills by separating colored beads for beaded collar necklace class cut yam for a woven belt class and cut com husk for a com husk dolls class He was able to learn several skills and was very proud of his accomplishments

bull One 14 year old youth with health issues did an outstanding job at his worksite he was self-motivated completed tasks without being asked He was able to shelve products by expiration dates and his work was so important to him that he did not want to miss work for his doctor appointment

bull Another 14 year old saved his money from the youth program and purchased a computer

bull An 18 year old did not have transportation During the summer he tested and received his driver s license and was able to save his money to purchase a used small pickup to drive to a Vo-Tech to continue his education

bull A 19 year old graduated from high school in 2014 and did not have a driver s license He lived with a parent and had not found permanent employment He was placed with the City of Sulphur OK where there was a job opening At the end of the youth program he was hired and is being trained to read water meters and the city plans to help him obtain his driver s license The youth was assisted with a Chickasaw Nation housing application and is now on the waiting list for his own apartment and is on his way to becoming selfshysufficient

6

bull A 19 year old planning to pursue a career in nursing was placed at a doctor s office

which gave her the opportunity to observe the duties of a nurse in a medical setting and

plans to begin nursing school in the fall She was contacted by the Chickasaw Nation

media division for an interview on how the youth program was beneficial in her career

choice She was highlighted at the Chickasaw Nation Annual Meeting video

presentation

bull An 18 year old was placed at a Chickasaw Nation business and his supervisor stated that

the youth possesses all of the basic skills and abilities necessary to enter the workforce in

a professional office environment as he is pleasant professional punctual a diligent

worker he proactively seeks additional work and is eager to learn

bull Three 15 year olds were contracted for the weekends at the Chickasaw Culture Center to

set up demonstrations explain and demonstrate beading and weaving assist with stickball and dancing

bull A 15 year old that was placed at a florist shop has been asked to continue to work weekends until school begins

bull A 19 year old college student was placed at a District Attorney s office and has been asked to continue to work for them until she returns to college Her supervisor stated that she was very professional and excelled in all her duties

bull A 16 year old was placed at an Abstract Office and her supervisor stated she is very efficient and professional She has been asked to return next summer and work for them

bull Several youths were placed at the Chickasaw National Recreational Area in Sulphur

OK They worked as a team to assist with the sand bags when the Nature Center was threatened by flood from the creek waters

bull Six youths obtained a job at the end of the program and were placed at Ada Boys and

Girls Club Kinder Kollege day care center Housekeeping services with the Chickasaw

Nation Chickasaw Nation Housing maintenance and The Rage a clothing store in Ada OK

7

These are comments from supervisors

bull School Age Summer Program Overall our experience and participation with Toksali SMART was a positive one We had a good group of youths that came this summer and truly Made A Difference Our program moves at a very quick pace and they were always willing to assist when and were needed They all had the opportunities to gain experience in a variety of settings from the kitchen to the classroom to buses on our field trips they were with us at every step of the way I truly hope they enjoyed their experience We wish all youth the very best as they continue their journey towards success Special THANKS to your entire TEAM for all that you do to Make a Difference in the lives of young people

bull 2015 Healthcare Explorers at Chickasaw Nation Division of Health The students will be assigned a rotation schedule that will allow them to observe assist and learn about the careers and processes that occur within our department The mission of the Haknip Inchokma experience is to increase the students knowledge of careers in the field of health care to expose the youths to the work environments within the Department of Health to provide youths with hands on experiences in healthcare setting and to provide educational cultural social and recreational activities to increase the likelihood of students choosing a healthcare profession We will provide a learning environment allowing students to observe procedures shadow providershealth professions and learn about processes that occur within each department All students completed the full orientation for the Medical Center and HIIP AA compliant

bull Wellness Center If I could have hired the Toksali SMART youth I would She was one of the best summer youth I have worked with and I hope she comes back to our center the next few summers She is a quick learner had great customer service skills

bull Museum Our youth was very smart had a good attitude about working She planned her work

assignments for an end in sight Lets you know if a schedule has changed and calls ahead Telephone and greeting skills very important in the museum and she was always

helpful A joy to have and we would be happy to have her as part of our team anytime

bull Cultural Resources Our youth was an exceptionally good worker for our department He was very

respectful polite and kind to all staff and fellow co-workers As an employee he was on

time and presented himself in a very professional manner During his employment with

us he was able to talk dance and even play his flute for the patrons at the Cultural Center He displayed a great attitude and was eager to learn all he could from the

Cultural Instructors We hope that we were able to provide him with some understanding and knowledge of the Chickasaw Culture

8

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

students as well as supplementing funds for tuition and fees For specific results six students participated in the employment training program by attending truck driving school cosmetology school and the Pontotoc County Vo-Tech They completed their training and five found employment

Listed below are individual stories in the employment and training services component

bull A 23 year old female with 3 children was assisted with utilities due to recently becoming unemployed She was placed on our work experience program and found employment at a Dollar General Store In the meantime she is currently working on her GED to become more self-sufficient

bull A client was recently laid off from his place of employment and was placed on the work program and with job search he has now obtained a job with Dollar General

bull A single parent with two children was placed on a work program when he became unemployed He was placed part-time but felt it was not a good fit he was later transferred to another location with a higher income and now is a full time employee and is able to be self-sufficient to provide for his family and maintain his home

bull A client was placed on the work experience program after completing the program he was successful in being hired full time by his employer

SUPPORTIVE SERVICES

Often clients find themselves in a Catch-22 situation when they are offered a job but do not have the necessary work clothes or tools to accept the position

As a result of these requests supportive services is provided to clients with services such as work equipment tools drivers license reinstated professional office clothes fuel for client to report to place of employment or school Listed below are examples of the success of supportive services

bull A client was placed on our work program and was assisted with supportive service to complete a Department of Transportation physical to continue employment The client passed the physical and began a higher paying job to better support his family

bull A client on the work program was assisted with work pants and shoes Her new place of employment provided uniform shirts and she was required to wear black or tan pants which she could not purchase until she received her first pay check

bull Another client was assisted with the purchase of scrubs and no slick shoes for her employment after completing her requirements for our work program She is a single mother with three kids and her only income was a disability check for her son

3

bull A father was assisted to restore gas service to the home He was placed on our work program and found a part time job with the Chickasaw Nation to support his family The wife is a stay at home mom with a 1 month old son

bull A client was assisted with clothing to continue part time employment at a nursing home After being placed on our work program he found a full time employment as a security guard with the Chickasaw Nation

CASH ASSISTANCE

In 2002 the Chickasaw Nation added the cash assistance to the 477 program After integration and implementation the cash assistance program has become a success driven program Clients are required to complete an Individual Development Plan (IDP) and to engage in work activities which are defined but are not limited to remedial education occupational training and work services or unsubsidized employment Job search or job readiness training may also be considered as engaged in work activities

These are examples of success stories through the Pathways program

bull There were 10 clients hired as a result of the 477 job search They were placed at the Chickasaw Nation Community Gardens as a groundskeeper Walmart Ada Care Center as a CNA and Chickasaw Travel Stop as a housekeeper

bull Three Chickasaw citizens have been approved and receive Social Security Disability and are no longer receiving medical cash assistance

bull Supportive Services were given to ten clients for clothes and fuel to maintain their work status

TOKSALI SMAR T

The summer youth program offered to low-income Native American youths age 14-21 has a tremendous impact on young people and employers in south-central Oklahoma Youths function in a real world workplace where they are able to learn the skills and attitudes needed to succeed Employers are able to evaluate the skills and attitude of the workers and indentify future full time employees

The youths are tested using the Test of Adult Basic Education (TABE) which is a 2 Yi hour test that measures competency in reading math and language If a score is below the eighth grade level in reading or math the youth is required to attend tutoring sessions The counselor develops an Individual Development plan to help guide the student to gain important skills There were 200 youths enrolled in this program

4

This program was evaluated at the end of 2014 and was restructured to create a curriculum that focused on several areas for overall personal development provided informative orientations for youths supervisors and parents and a dress code for all youths with the program providing the uniform Evaluations of participants were done and held them accountable and responsible for their actions To increase program participation relevant trainings and activities were provided The Oklahoma Career Interest System (OKCIS) was utilized to help identify career interest areas and match the individuals with the appropriate job assignment

The youths entered at different levels of preparedness and each level was targeted toward each age group This restructure has been highly accepted and is called the Toksali (Work) SMART (Successful Mindsets with the Attitude and Readiness for Tomorrow)

There were three levels for the youths working on the Community Projects

The Bronze level worked with horticulture on a beautification project to plant flowers and shrubs at the Chickasaw Nation Softball Complex They also made neck coolers for stomp dancers and craft items for the Chickasaw Nation daycare children

The Silver level worked with the Career Services manager and made 24 wooden park benches and was given to the area offices senior sites and the softball complex

The Gold level worked with the Career Services manager and made 12 picnic tables for distribution to various Chickasaw Nation facilities

The youths were initially reluctant to complete the tasks but as the projects started to come to life their attitudes changed and they were proud of their accomplishment

The youths attended 19 classes which were interactive and kept their attention The presentations most enjoyed by the students were Dress for Success and Interviewing Skills Hydroponic Gardening Team Building Self Defense and the Science Technology Engineering and Math (STEM) program

These are examples of success stories through the Toksali SMART

bull A youth was placed on the summer youth program and became a full time technician in the Computer Distribution Program within the Chickasaw Nation His duties include repairs checks for viruses and spyware refurbishing testing monitors help carry out computers for citizens scraping unusable computers and stocking parts and cords

bull A youth was placed at GeoSpatial Information Department He completed an extensive project that consisted of downloading historic government land office plat maps cropping images and completing a georeferenced mosaic of the historic maps What he did in the short period of time on the spatial analysis is usually performed by a GIS professional

5

with a college degree His work this summer allows GSI to overlay historic maps and provide them to numerous cultural historic preservation and realty employees in an internal custom website as a decision making tool All this was accomplished by a 14 year old young man and is very impressive We have encouraged him to return for next year s program and look forward to his return ifhe wishes

bull A youth worked this summer at Savvy Parke in Purcell OK She has participated in this program since she was 14 years old and can now work with the public and has excellent customer service skills that have been planted through the Toksali SMART Program

bull One youth was offered a full time job at a Service Station after working on the summer program and proving to be a good employee

bull A youth worked at Baker s Mercantile and was hired full time after the program ended

bull One youth was offered a part time position at the Chickasaw Nation Headstart as a result of his work ethic during the Toksali Smart Program

bull A disabled youth worked with Museums amp Historic Sites Not only was he able to work the full program without any incidents but also was able to work on his motor skills by separating colored beads for beaded collar necklace class cut yam for a woven belt class and cut com husk for a com husk dolls class He was able to learn several skills and was very proud of his accomplishments

bull One 14 year old youth with health issues did an outstanding job at his worksite he was self-motivated completed tasks without being asked He was able to shelve products by expiration dates and his work was so important to him that he did not want to miss work for his doctor appointment

bull Another 14 year old saved his money from the youth program and purchased a computer

bull An 18 year old did not have transportation During the summer he tested and received his driver s license and was able to save his money to purchase a used small pickup to drive to a Vo-Tech to continue his education

bull A 19 year old graduated from high school in 2014 and did not have a driver s license He lived with a parent and had not found permanent employment He was placed with the City of Sulphur OK where there was a job opening At the end of the youth program he was hired and is being trained to read water meters and the city plans to help him obtain his driver s license The youth was assisted with a Chickasaw Nation housing application and is now on the waiting list for his own apartment and is on his way to becoming selfshysufficient

6

bull A 19 year old planning to pursue a career in nursing was placed at a doctor s office

which gave her the opportunity to observe the duties of a nurse in a medical setting and

plans to begin nursing school in the fall She was contacted by the Chickasaw Nation

media division for an interview on how the youth program was beneficial in her career

choice She was highlighted at the Chickasaw Nation Annual Meeting video

presentation

bull An 18 year old was placed at a Chickasaw Nation business and his supervisor stated that

the youth possesses all of the basic skills and abilities necessary to enter the workforce in

a professional office environment as he is pleasant professional punctual a diligent

worker he proactively seeks additional work and is eager to learn

bull Three 15 year olds were contracted for the weekends at the Chickasaw Culture Center to

set up demonstrations explain and demonstrate beading and weaving assist with stickball and dancing

bull A 15 year old that was placed at a florist shop has been asked to continue to work weekends until school begins

bull A 19 year old college student was placed at a District Attorney s office and has been asked to continue to work for them until she returns to college Her supervisor stated that she was very professional and excelled in all her duties

bull A 16 year old was placed at an Abstract Office and her supervisor stated she is very efficient and professional She has been asked to return next summer and work for them

bull Several youths were placed at the Chickasaw National Recreational Area in Sulphur

OK They worked as a team to assist with the sand bags when the Nature Center was threatened by flood from the creek waters

bull Six youths obtained a job at the end of the program and were placed at Ada Boys and

Girls Club Kinder Kollege day care center Housekeeping services with the Chickasaw

Nation Chickasaw Nation Housing maintenance and The Rage a clothing store in Ada OK

7

These are comments from supervisors

bull School Age Summer Program Overall our experience and participation with Toksali SMART was a positive one We had a good group of youths that came this summer and truly Made A Difference Our program moves at a very quick pace and they were always willing to assist when and were needed They all had the opportunities to gain experience in a variety of settings from the kitchen to the classroom to buses on our field trips they were with us at every step of the way I truly hope they enjoyed their experience We wish all youth the very best as they continue their journey towards success Special THANKS to your entire TEAM for all that you do to Make a Difference in the lives of young people

bull 2015 Healthcare Explorers at Chickasaw Nation Division of Health The students will be assigned a rotation schedule that will allow them to observe assist and learn about the careers and processes that occur within our department The mission of the Haknip Inchokma experience is to increase the students knowledge of careers in the field of health care to expose the youths to the work environments within the Department of Health to provide youths with hands on experiences in healthcare setting and to provide educational cultural social and recreational activities to increase the likelihood of students choosing a healthcare profession We will provide a learning environment allowing students to observe procedures shadow providershealth professions and learn about processes that occur within each department All students completed the full orientation for the Medical Center and HIIP AA compliant

bull Wellness Center If I could have hired the Toksali SMART youth I would She was one of the best summer youth I have worked with and I hope she comes back to our center the next few summers She is a quick learner had great customer service skills

bull Museum Our youth was very smart had a good attitude about working She planned her work

assignments for an end in sight Lets you know if a schedule has changed and calls ahead Telephone and greeting skills very important in the museum and she was always

helpful A joy to have and we would be happy to have her as part of our team anytime

bull Cultural Resources Our youth was an exceptionally good worker for our department He was very

respectful polite and kind to all staff and fellow co-workers As an employee he was on

time and presented himself in a very professional manner During his employment with

us he was able to talk dance and even play his flute for the patrons at the Cultural Center He displayed a great attitude and was eager to learn all he could from the

Cultural Instructors We hope that we were able to provide him with some understanding and knowledge of the Chickasaw Culture

8

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

bull A father was assisted to restore gas service to the home He was placed on our work program and found a part time job with the Chickasaw Nation to support his family The wife is a stay at home mom with a 1 month old son

bull A client was assisted with clothing to continue part time employment at a nursing home After being placed on our work program he found a full time employment as a security guard with the Chickasaw Nation

CASH ASSISTANCE

In 2002 the Chickasaw Nation added the cash assistance to the 477 program After integration and implementation the cash assistance program has become a success driven program Clients are required to complete an Individual Development Plan (IDP) and to engage in work activities which are defined but are not limited to remedial education occupational training and work services or unsubsidized employment Job search or job readiness training may also be considered as engaged in work activities

These are examples of success stories through the Pathways program

bull There were 10 clients hired as a result of the 477 job search They were placed at the Chickasaw Nation Community Gardens as a groundskeeper Walmart Ada Care Center as a CNA and Chickasaw Travel Stop as a housekeeper

bull Three Chickasaw citizens have been approved and receive Social Security Disability and are no longer receiving medical cash assistance

bull Supportive Services were given to ten clients for clothes and fuel to maintain their work status

TOKSALI SMAR T

The summer youth program offered to low-income Native American youths age 14-21 has a tremendous impact on young people and employers in south-central Oklahoma Youths function in a real world workplace where they are able to learn the skills and attitudes needed to succeed Employers are able to evaluate the skills and attitude of the workers and indentify future full time employees

The youths are tested using the Test of Adult Basic Education (TABE) which is a 2 Yi hour test that measures competency in reading math and language If a score is below the eighth grade level in reading or math the youth is required to attend tutoring sessions The counselor develops an Individual Development plan to help guide the student to gain important skills There were 200 youths enrolled in this program

4

This program was evaluated at the end of 2014 and was restructured to create a curriculum that focused on several areas for overall personal development provided informative orientations for youths supervisors and parents and a dress code for all youths with the program providing the uniform Evaluations of participants were done and held them accountable and responsible for their actions To increase program participation relevant trainings and activities were provided The Oklahoma Career Interest System (OKCIS) was utilized to help identify career interest areas and match the individuals with the appropriate job assignment

The youths entered at different levels of preparedness and each level was targeted toward each age group This restructure has been highly accepted and is called the Toksali (Work) SMART (Successful Mindsets with the Attitude and Readiness for Tomorrow)

There were three levels for the youths working on the Community Projects

The Bronze level worked with horticulture on a beautification project to plant flowers and shrubs at the Chickasaw Nation Softball Complex They also made neck coolers for stomp dancers and craft items for the Chickasaw Nation daycare children

The Silver level worked with the Career Services manager and made 24 wooden park benches and was given to the area offices senior sites and the softball complex

The Gold level worked with the Career Services manager and made 12 picnic tables for distribution to various Chickasaw Nation facilities

The youths were initially reluctant to complete the tasks but as the projects started to come to life their attitudes changed and they were proud of their accomplishment

The youths attended 19 classes which were interactive and kept their attention The presentations most enjoyed by the students were Dress for Success and Interviewing Skills Hydroponic Gardening Team Building Self Defense and the Science Technology Engineering and Math (STEM) program

These are examples of success stories through the Toksali SMART

bull A youth was placed on the summer youth program and became a full time technician in the Computer Distribution Program within the Chickasaw Nation His duties include repairs checks for viruses and spyware refurbishing testing monitors help carry out computers for citizens scraping unusable computers and stocking parts and cords

bull A youth was placed at GeoSpatial Information Department He completed an extensive project that consisted of downloading historic government land office plat maps cropping images and completing a georeferenced mosaic of the historic maps What he did in the short period of time on the spatial analysis is usually performed by a GIS professional

5

with a college degree His work this summer allows GSI to overlay historic maps and provide them to numerous cultural historic preservation and realty employees in an internal custom website as a decision making tool All this was accomplished by a 14 year old young man and is very impressive We have encouraged him to return for next year s program and look forward to his return ifhe wishes

bull A youth worked this summer at Savvy Parke in Purcell OK She has participated in this program since she was 14 years old and can now work with the public and has excellent customer service skills that have been planted through the Toksali SMART Program

bull One youth was offered a full time job at a Service Station after working on the summer program and proving to be a good employee

bull A youth worked at Baker s Mercantile and was hired full time after the program ended

bull One youth was offered a part time position at the Chickasaw Nation Headstart as a result of his work ethic during the Toksali Smart Program

bull A disabled youth worked with Museums amp Historic Sites Not only was he able to work the full program without any incidents but also was able to work on his motor skills by separating colored beads for beaded collar necklace class cut yam for a woven belt class and cut com husk for a com husk dolls class He was able to learn several skills and was very proud of his accomplishments

bull One 14 year old youth with health issues did an outstanding job at his worksite he was self-motivated completed tasks without being asked He was able to shelve products by expiration dates and his work was so important to him that he did not want to miss work for his doctor appointment

bull Another 14 year old saved his money from the youth program and purchased a computer

bull An 18 year old did not have transportation During the summer he tested and received his driver s license and was able to save his money to purchase a used small pickup to drive to a Vo-Tech to continue his education

bull A 19 year old graduated from high school in 2014 and did not have a driver s license He lived with a parent and had not found permanent employment He was placed with the City of Sulphur OK where there was a job opening At the end of the youth program he was hired and is being trained to read water meters and the city plans to help him obtain his driver s license The youth was assisted with a Chickasaw Nation housing application and is now on the waiting list for his own apartment and is on his way to becoming selfshysufficient

6

bull A 19 year old planning to pursue a career in nursing was placed at a doctor s office

which gave her the opportunity to observe the duties of a nurse in a medical setting and

plans to begin nursing school in the fall She was contacted by the Chickasaw Nation

media division for an interview on how the youth program was beneficial in her career

choice She was highlighted at the Chickasaw Nation Annual Meeting video

presentation

bull An 18 year old was placed at a Chickasaw Nation business and his supervisor stated that

the youth possesses all of the basic skills and abilities necessary to enter the workforce in

a professional office environment as he is pleasant professional punctual a diligent

worker he proactively seeks additional work and is eager to learn

bull Three 15 year olds were contracted for the weekends at the Chickasaw Culture Center to

set up demonstrations explain and demonstrate beading and weaving assist with stickball and dancing

bull A 15 year old that was placed at a florist shop has been asked to continue to work weekends until school begins

bull A 19 year old college student was placed at a District Attorney s office and has been asked to continue to work for them until she returns to college Her supervisor stated that she was very professional and excelled in all her duties

bull A 16 year old was placed at an Abstract Office and her supervisor stated she is very efficient and professional She has been asked to return next summer and work for them

bull Several youths were placed at the Chickasaw National Recreational Area in Sulphur

OK They worked as a team to assist with the sand bags when the Nature Center was threatened by flood from the creek waters

bull Six youths obtained a job at the end of the program and were placed at Ada Boys and

Girls Club Kinder Kollege day care center Housekeeping services with the Chickasaw

Nation Chickasaw Nation Housing maintenance and The Rage a clothing store in Ada OK

7

These are comments from supervisors

bull School Age Summer Program Overall our experience and participation with Toksali SMART was a positive one We had a good group of youths that came this summer and truly Made A Difference Our program moves at a very quick pace and they were always willing to assist when and were needed They all had the opportunities to gain experience in a variety of settings from the kitchen to the classroom to buses on our field trips they were with us at every step of the way I truly hope they enjoyed their experience We wish all youth the very best as they continue their journey towards success Special THANKS to your entire TEAM for all that you do to Make a Difference in the lives of young people

bull 2015 Healthcare Explorers at Chickasaw Nation Division of Health The students will be assigned a rotation schedule that will allow them to observe assist and learn about the careers and processes that occur within our department The mission of the Haknip Inchokma experience is to increase the students knowledge of careers in the field of health care to expose the youths to the work environments within the Department of Health to provide youths with hands on experiences in healthcare setting and to provide educational cultural social and recreational activities to increase the likelihood of students choosing a healthcare profession We will provide a learning environment allowing students to observe procedures shadow providershealth professions and learn about processes that occur within each department All students completed the full orientation for the Medical Center and HIIP AA compliant

bull Wellness Center If I could have hired the Toksali SMART youth I would She was one of the best summer youth I have worked with and I hope she comes back to our center the next few summers She is a quick learner had great customer service skills

bull Museum Our youth was very smart had a good attitude about working She planned her work

assignments for an end in sight Lets you know if a schedule has changed and calls ahead Telephone and greeting skills very important in the museum and she was always

helpful A joy to have and we would be happy to have her as part of our team anytime

bull Cultural Resources Our youth was an exceptionally good worker for our department He was very

respectful polite and kind to all staff and fellow co-workers As an employee he was on

time and presented himself in a very professional manner During his employment with

us he was able to talk dance and even play his flute for the patrons at the Cultural Center He displayed a great attitude and was eager to learn all he could from the

Cultural Instructors We hope that we were able to provide him with some understanding and knowledge of the Chickasaw Culture

8

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

This program was evaluated at the end of 2014 and was restructured to create a curriculum that focused on several areas for overall personal development provided informative orientations for youths supervisors and parents and a dress code for all youths with the program providing the uniform Evaluations of participants were done and held them accountable and responsible for their actions To increase program participation relevant trainings and activities were provided The Oklahoma Career Interest System (OKCIS) was utilized to help identify career interest areas and match the individuals with the appropriate job assignment

The youths entered at different levels of preparedness and each level was targeted toward each age group This restructure has been highly accepted and is called the Toksali (Work) SMART (Successful Mindsets with the Attitude and Readiness for Tomorrow)

There were three levels for the youths working on the Community Projects

The Bronze level worked with horticulture on a beautification project to plant flowers and shrubs at the Chickasaw Nation Softball Complex They also made neck coolers for stomp dancers and craft items for the Chickasaw Nation daycare children

The Silver level worked with the Career Services manager and made 24 wooden park benches and was given to the area offices senior sites and the softball complex

The Gold level worked with the Career Services manager and made 12 picnic tables for distribution to various Chickasaw Nation facilities

The youths were initially reluctant to complete the tasks but as the projects started to come to life their attitudes changed and they were proud of their accomplishment

The youths attended 19 classes which were interactive and kept their attention The presentations most enjoyed by the students were Dress for Success and Interviewing Skills Hydroponic Gardening Team Building Self Defense and the Science Technology Engineering and Math (STEM) program

These are examples of success stories through the Toksali SMART

bull A youth was placed on the summer youth program and became a full time technician in the Computer Distribution Program within the Chickasaw Nation His duties include repairs checks for viruses and spyware refurbishing testing monitors help carry out computers for citizens scraping unusable computers and stocking parts and cords

bull A youth was placed at GeoSpatial Information Department He completed an extensive project that consisted of downloading historic government land office plat maps cropping images and completing a georeferenced mosaic of the historic maps What he did in the short period of time on the spatial analysis is usually performed by a GIS professional

5

with a college degree His work this summer allows GSI to overlay historic maps and provide them to numerous cultural historic preservation and realty employees in an internal custom website as a decision making tool All this was accomplished by a 14 year old young man and is very impressive We have encouraged him to return for next year s program and look forward to his return ifhe wishes

bull A youth worked this summer at Savvy Parke in Purcell OK She has participated in this program since she was 14 years old and can now work with the public and has excellent customer service skills that have been planted through the Toksali SMART Program

bull One youth was offered a full time job at a Service Station after working on the summer program and proving to be a good employee

bull A youth worked at Baker s Mercantile and was hired full time after the program ended

bull One youth was offered a part time position at the Chickasaw Nation Headstart as a result of his work ethic during the Toksali Smart Program

bull A disabled youth worked with Museums amp Historic Sites Not only was he able to work the full program without any incidents but also was able to work on his motor skills by separating colored beads for beaded collar necklace class cut yam for a woven belt class and cut com husk for a com husk dolls class He was able to learn several skills and was very proud of his accomplishments

bull One 14 year old youth with health issues did an outstanding job at his worksite he was self-motivated completed tasks without being asked He was able to shelve products by expiration dates and his work was so important to him that he did not want to miss work for his doctor appointment

bull Another 14 year old saved his money from the youth program and purchased a computer

bull An 18 year old did not have transportation During the summer he tested and received his driver s license and was able to save his money to purchase a used small pickup to drive to a Vo-Tech to continue his education

bull A 19 year old graduated from high school in 2014 and did not have a driver s license He lived with a parent and had not found permanent employment He was placed with the City of Sulphur OK where there was a job opening At the end of the youth program he was hired and is being trained to read water meters and the city plans to help him obtain his driver s license The youth was assisted with a Chickasaw Nation housing application and is now on the waiting list for his own apartment and is on his way to becoming selfshysufficient

6

bull A 19 year old planning to pursue a career in nursing was placed at a doctor s office

which gave her the opportunity to observe the duties of a nurse in a medical setting and

plans to begin nursing school in the fall She was contacted by the Chickasaw Nation

media division for an interview on how the youth program was beneficial in her career

choice She was highlighted at the Chickasaw Nation Annual Meeting video

presentation

bull An 18 year old was placed at a Chickasaw Nation business and his supervisor stated that

the youth possesses all of the basic skills and abilities necessary to enter the workforce in

a professional office environment as he is pleasant professional punctual a diligent

worker he proactively seeks additional work and is eager to learn

bull Three 15 year olds were contracted for the weekends at the Chickasaw Culture Center to

set up demonstrations explain and demonstrate beading and weaving assist with stickball and dancing

bull A 15 year old that was placed at a florist shop has been asked to continue to work weekends until school begins

bull A 19 year old college student was placed at a District Attorney s office and has been asked to continue to work for them until she returns to college Her supervisor stated that she was very professional and excelled in all her duties

bull A 16 year old was placed at an Abstract Office and her supervisor stated she is very efficient and professional She has been asked to return next summer and work for them

bull Several youths were placed at the Chickasaw National Recreational Area in Sulphur

OK They worked as a team to assist with the sand bags when the Nature Center was threatened by flood from the creek waters

bull Six youths obtained a job at the end of the program and were placed at Ada Boys and

Girls Club Kinder Kollege day care center Housekeeping services with the Chickasaw

Nation Chickasaw Nation Housing maintenance and The Rage a clothing store in Ada OK

7

These are comments from supervisors

bull School Age Summer Program Overall our experience and participation with Toksali SMART was a positive one We had a good group of youths that came this summer and truly Made A Difference Our program moves at a very quick pace and they were always willing to assist when and were needed They all had the opportunities to gain experience in a variety of settings from the kitchen to the classroom to buses on our field trips they were with us at every step of the way I truly hope they enjoyed their experience We wish all youth the very best as they continue their journey towards success Special THANKS to your entire TEAM for all that you do to Make a Difference in the lives of young people

bull 2015 Healthcare Explorers at Chickasaw Nation Division of Health The students will be assigned a rotation schedule that will allow them to observe assist and learn about the careers and processes that occur within our department The mission of the Haknip Inchokma experience is to increase the students knowledge of careers in the field of health care to expose the youths to the work environments within the Department of Health to provide youths with hands on experiences in healthcare setting and to provide educational cultural social and recreational activities to increase the likelihood of students choosing a healthcare profession We will provide a learning environment allowing students to observe procedures shadow providershealth professions and learn about processes that occur within each department All students completed the full orientation for the Medical Center and HIIP AA compliant

bull Wellness Center If I could have hired the Toksali SMART youth I would She was one of the best summer youth I have worked with and I hope she comes back to our center the next few summers She is a quick learner had great customer service skills

bull Museum Our youth was very smart had a good attitude about working She planned her work

assignments for an end in sight Lets you know if a schedule has changed and calls ahead Telephone and greeting skills very important in the museum and she was always

helpful A joy to have and we would be happy to have her as part of our team anytime

bull Cultural Resources Our youth was an exceptionally good worker for our department He was very

respectful polite and kind to all staff and fellow co-workers As an employee he was on

time and presented himself in a very professional manner During his employment with

us he was able to talk dance and even play his flute for the patrons at the Cultural Center He displayed a great attitude and was eager to learn all he could from the

Cultural Instructors We hope that we were able to provide him with some understanding and knowledge of the Chickasaw Culture

8

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

with a college degree His work this summer allows GSI to overlay historic maps and provide them to numerous cultural historic preservation and realty employees in an internal custom website as a decision making tool All this was accomplished by a 14 year old young man and is very impressive We have encouraged him to return for next year s program and look forward to his return ifhe wishes

bull A youth worked this summer at Savvy Parke in Purcell OK She has participated in this program since she was 14 years old and can now work with the public and has excellent customer service skills that have been planted through the Toksali SMART Program

bull One youth was offered a full time job at a Service Station after working on the summer program and proving to be a good employee

bull A youth worked at Baker s Mercantile and was hired full time after the program ended

bull One youth was offered a part time position at the Chickasaw Nation Headstart as a result of his work ethic during the Toksali Smart Program

bull A disabled youth worked with Museums amp Historic Sites Not only was he able to work the full program without any incidents but also was able to work on his motor skills by separating colored beads for beaded collar necklace class cut yam for a woven belt class and cut com husk for a com husk dolls class He was able to learn several skills and was very proud of his accomplishments

bull One 14 year old youth with health issues did an outstanding job at his worksite he was self-motivated completed tasks without being asked He was able to shelve products by expiration dates and his work was so important to him that he did not want to miss work for his doctor appointment

bull Another 14 year old saved his money from the youth program and purchased a computer

bull An 18 year old did not have transportation During the summer he tested and received his driver s license and was able to save his money to purchase a used small pickup to drive to a Vo-Tech to continue his education

bull A 19 year old graduated from high school in 2014 and did not have a driver s license He lived with a parent and had not found permanent employment He was placed with the City of Sulphur OK where there was a job opening At the end of the youth program he was hired and is being trained to read water meters and the city plans to help him obtain his driver s license The youth was assisted with a Chickasaw Nation housing application and is now on the waiting list for his own apartment and is on his way to becoming selfshysufficient

6

bull A 19 year old planning to pursue a career in nursing was placed at a doctor s office

which gave her the opportunity to observe the duties of a nurse in a medical setting and

plans to begin nursing school in the fall She was contacted by the Chickasaw Nation

media division for an interview on how the youth program was beneficial in her career

choice She was highlighted at the Chickasaw Nation Annual Meeting video

presentation

bull An 18 year old was placed at a Chickasaw Nation business and his supervisor stated that

the youth possesses all of the basic skills and abilities necessary to enter the workforce in

a professional office environment as he is pleasant professional punctual a diligent

worker he proactively seeks additional work and is eager to learn

bull Three 15 year olds were contracted for the weekends at the Chickasaw Culture Center to

set up demonstrations explain and demonstrate beading and weaving assist with stickball and dancing

bull A 15 year old that was placed at a florist shop has been asked to continue to work weekends until school begins

bull A 19 year old college student was placed at a District Attorney s office and has been asked to continue to work for them until she returns to college Her supervisor stated that she was very professional and excelled in all her duties

bull A 16 year old was placed at an Abstract Office and her supervisor stated she is very efficient and professional She has been asked to return next summer and work for them

bull Several youths were placed at the Chickasaw National Recreational Area in Sulphur

OK They worked as a team to assist with the sand bags when the Nature Center was threatened by flood from the creek waters

bull Six youths obtained a job at the end of the program and were placed at Ada Boys and

Girls Club Kinder Kollege day care center Housekeeping services with the Chickasaw

Nation Chickasaw Nation Housing maintenance and The Rage a clothing store in Ada OK

7

These are comments from supervisors

bull School Age Summer Program Overall our experience and participation with Toksali SMART was a positive one We had a good group of youths that came this summer and truly Made A Difference Our program moves at a very quick pace and they were always willing to assist when and were needed They all had the opportunities to gain experience in a variety of settings from the kitchen to the classroom to buses on our field trips they were with us at every step of the way I truly hope they enjoyed their experience We wish all youth the very best as they continue their journey towards success Special THANKS to your entire TEAM for all that you do to Make a Difference in the lives of young people

bull 2015 Healthcare Explorers at Chickasaw Nation Division of Health The students will be assigned a rotation schedule that will allow them to observe assist and learn about the careers and processes that occur within our department The mission of the Haknip Inchokma experience is to increase the students knowledge of careers in the field of health care to expose the youths to the work environments within the Department of Health to provide youths with hands on experiences in healthcare setting and to provide educational cultural social and recreational activities to increase the likelihood of students choosing a healthcare profession We will provide a learning environment allowing students to observe procedures shadow providershealth professions and learn about processes that occur within each department All students completed the full orientation for the Medical Center and HIIP AA compliant

bull Wellness Center If I could have hired the Toksali SMART youth I would She was one of the best summer youth I have worked with and I hope she comes back to our center the next few summers She is a quick learner had great customer service skills

bull Museum Our youth was very smart had a good attitude about working She planned her work

assignments for an end in sight Lets you know if a schedule has changed and calls ahead Telephone and greeting skills very important in the museum and she was always

helpful A joy to have and we would be happy to have her as part of our team anytime

bull Cultural Resources Our youth was an exceptionally good worker for our department He was very

respectful polite and kind to all staff and fellow co-workers As an employee he was on

time and presented himself in a very professional manner During his employment with

us he was able to talk dance and even play his flute for the patrons at the Cultural Center He displayed a great attitude and was eager to learn all he could from the

Cultural Instructors We hope that we were able to provide him with some understanding and knowledge of the Chickasaw Culture

8

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

bull A 19 year old planning to pursue a career in nursing was placed at a doctor s office

which gave her the opportunity to observe the duties of a nurse in a medical setting and

plans to begin nursing school in the fall She was contacted by the Chickasaw Nation

media division for an interview on how the youth program was beneficial in her career

choice She was highlighted at the Chickasaw Nation Annual Meeting video

presentation

bull An 18 year old was placed at a Chickasaw Nation business and his supervisor stated that

the youth possesses all of the basic skills and abilities necessary to enter the workforce in

a professional office environment as he is pleasant professional punctual a diligent

worker he proactively seeks additional work and is eager to learn

bull Three 15 year olds were contracted for the weekends at the Chickasaw Culture Center to

set up demonstrations explain and demonstrate beading and weaving assist with stickball and dancing

bull A 15 year old that was placed at a florist shop has been asked to continue to work weekends until school begins

bull A 19 year old college student was placed at a District Attorney s office and has been asked to continue to work for them until she returns to college Her supervisor stated that she was very professional and excelled in all her duties

bull A 16 year old was placed at an Abstract Office and her supervisor stated she is very efficient and professional She has been asked to return next summer and work for them

bull Several youths were placed at the Chickasaw National Recreational Area in Sulphur

OK They worked as a team to assist with the sand bags when the Nature Center was threatened by flood from the creek waters

bull Six youths obtained a job at the end of the program and were placed at Ada Boys and

Girls Club Kinder Kollege day care center Housekeeping services with the Chickasaw

Nation Chickasaw Nation Housing maintenance and The Rage a clothing store in Ada OK

7

These are comments from supervisors

bull School Age Summer Program Overall our experience and participation with Toksali SMART was a positive one We had a good group of youths that came this summer and truly Made A Difference Our program moves at a very quick pace and they were always willing to assist when and were needed They all had the opportunities to gain experience in a variety of settings from the kitchen to the classroom to buses on our field trips they were with us at every step of the way I truly hope they enjoyed their experience We wish all youth the very best as they continue their journey towards success Special THANKS to your entire TEAM for all that you do to Make a Difference in the lives of young people

bull 2015 Healthcare Explorers at Chickasaw Nation Division of Health The students will be assigned a rotation schedule that will allow them to observe assist and learn about the careers and processes that occur within our department The mission of the Haknip Inchokma experience is to increase the students knowledge of careers in the field of health care to expose the youths to the work environments within the Department of Health to provide youths with hands on experiences in healthcare setting and to provide educational cultural social and recreational activities to increase the likelihood of students choosing a healthcare profession We will provide a learning environment allowing students to observe procedures shadow providershealth professions and learn about processes that occur within each department All students completed the full orientation for the Medical Center and HIIP AA compliant

bull Wellness Center If I could have hired the Toksali SMART youth I would She was one of the best summer youth I have worked with and I hope she comes back to our center the next few summers She is a quick learner had great customer service skills

bull Museum Our youth was very smart had a good attitude about working She planned her work

assignments for an end in sight Lets you know if a schedule has changed and calls ahead Telephone and greeting skills very important in the museum and she was always

helpful A joy to have and we would be happy to have her as part of our team anytime

bull Cultural Resources Our youth was an exceptionally good worker for our department He was very

respectful polite and kind to all staff and fellow co-workers As an employee he was on

time and presented himself in a very professional manner During his employment with

us he was able to talk dance and even play his flute for the patrons at the Cultural Center He displayed a great attitude and was eager to learn all he could from the

Cultural Instructors We hope that we were able to provide him with some understanding and knowledge of the Chickasaw Culture

8

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

These are comments from supervisors

bull School Age Summer Program Overall our experience and participation with Toksali SMART was a positive one We had a good group of youths that came this summer and truly Made A Difference Our program moves at a very quick pace and they were always willing to assist when and were needed They all had the opportunities to gain experience in a variety of settings from the kitchen to the classroom to buses on our field trips they were with us at every step of the way I truly hope they enjoyed their experience We wish all youth the very best as they continue their journey towards success Special THANKS to your entire TEAM for all that you do to Make a Difference in the lives of young people

bull 2015 Healthcare Explorers at Chickasaw Nation Division of Health The students will be assigned a rotation schedule that will allow them to observe assist and learn about the careers and processes that occur within our department The mission of the Haknip Inchokma experience is to increase the students knowledge of careers in the field of health care to expose the youths to the work environments within the Department of Health to provide youths with hands on experiences in healthcare setting and to provide educational cultural social and recreational activities to increase the likelihood of students choosing a healthcare profession We will provide a learning environment allowing students to observe procedures shadow providershealth professions and learn about processes that occur within each department All students completed the full orientation for the Medical Center and HIIP AA compliant

bull Wellness Center If I could have hired the Toksali SMART youth I would She was one of the best summer youth I have worked with and I hope she comes back to our center the next few summers She is a quick learner had great customer service skills

bull Museum Our youth was very smart had a good attitude about working She planned her work

assignments for an end in sight Lets you know if a schedule has changed and calls ahead Telephone and greeting skills very important in the museum and she was always

helpful A joy to have and we would be happy to have her as part of our team anytime

bull Cultural Resources Our youth was an exceptionally good worker for our department He was very

respectful polite and kind to all staff and fellow co-workers As an employee he was on

time and presented himself in a very professional manner During his employment with

us he was able to talk dance and even play his flute for the patrons at the Cultural Center He displayed a great attitude and was eager to learn all he could from the

Cultural Instructors We hope that we were able to provide him with some understanding and knowledge of the Chickasaw Culture

8

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

bull Healdton Family Eye Care Our youth learned how to use an electronic scanner and an office phone He was as quiet worker but very efficient We would like to have him back next year

bull Ringling City Hall The youth assigned to us was a great employee and person to have in our office I would recommend her for anything and would like to have her back next year

We feel the feedback from worksite supervisors and program manager indicates training the youths received through the program has been beneficial and will have a great impact on their future employment

Supportive Services was provided to three Toksali Smart students to purchase clothes to begin their employment

SUMMARY The Chickasaw Nation Pathways to Success (477) Program has successfully continued to train re-train educate and enhance the overall quality of life of Native Americans across the Chickasaw Nation The success of the program is possible with the efforts of a dedicated and supportive administration and numerous community resource partnerships The Chickasaw Nation will continue to strive to provide quality employment-related services to the Native Americans in the Chickasaw Nation who need these services and to help them become self sufficient

9

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

OMB Control No 1076-0135 (Version 2) Expiration Date 02282018

Public Law 102-477 Statistical Report Tribal Nation The Chickasaw Nation Report Period

From 100114 To 093015

I Participants Served Adults Youth Cash Assistance Recipients

A Total Participants 137 153 339

B Total Terminees 134 153 327 C Total Current Participants 3 0 12

II Terminee Outcomes Adult Youth Cash Assistance Recipients

A Total with Employment Objective 112 153 2 I Entered Unsubsidized Employment 9 6 0 2 Other Employment Outcomes 94 17 2 3 Employment Objective Not Achieved 9 0 0 4 Average Adult Earnings Gain $890

B Total with EducationalTraining Objective 0 0 4 I DegreeCertificate

a Attempted 0 0 0 b Attained 0 0 0

2 Other Education Outcomes 0 0 0 3 Education Objective Not Achieved 0 0 4

C Misc Objective Achieved 16 0 321 D Other (Non-Positive) 6 0 0

III Terminee Characteristics Adult Youth Cash Assistance Recipients A Female 71 84 195

B Male 63 69 132 C Education Level

I Dropout 6 0 54 2 Student 7 139 3 3 High SchoolDiplomaGED 113 8 267 4 Post High School 8 6 3

D Veteran 2 0 9

IV Participant Activities Adult Youth Cash Assistance Recipients A Employment 112 153 2 B EducationTraining 0 0 4 C Misc ObjectiveSupportive Services 16 0 321 D OtherService Referral 9 0 12

V Child Care and Development Activities Families Children Cash Assistance Recipients A Families Receiving Child Care na B Children Receiving Child Care na

1 Ages 0 through 3 years na 2 Ages 4 through 5 years na 3 Ages 6 through 12 na 4 Ages 13 and older na

C Care Received - Type of Provider na I Center Based na 2 Family Child Care Horne na 3 Group Horne na 4 Child s Horne na

VI Jobs CreationEconomic Development Jobs Created AlAN Employed Businesses Assisted A Number 0 0 0

Report Prepared By ~mt ~ame-amp-Sjgq) Phone Number Date Maria Howet~ct--

I (580) 310-7992 12222015 0 -

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

lA Form 7703 OMB Control No 1076-0135 (Version 1) Expii-ation Date 02282018

P L 102-477 DEMONSTRATION PROJECT FINAL FINANCIAL STATUS REPORT

(Follow instructions provided)

1 Federal Agency and Organizational Element to which Report is Submitted

Bureau of Indian Affairs

2 Federal Contract or Other Identifying Number Assigned By Federal Agency

Self Gov Compact

OlvlB Approval No

1076-0135

Paget Of

Pages

3 Recipient Organization (Name and complete address including ZIP code) The Chickasaw Nation PO Box 1548 Ada OK 74820

4 Employer Identificalion Number

73-1374986

5 Recipient Accounl Number or Identifying Number

056-14

6 Final Report

O Y E S A N O

7 Basis

O C A S H A ACCRUAL

8 Funding Contract Period (See Iiistriictioiis) From (MonlhDayAr)

10012012

To (MonthDayYr)

09302015

9 Period Covered by this Report From (MoiitliDayYr)

10012014

To (IvlonlhDayYr)

9302015

10 Transactions I Previously Reported

II This Period

Ul Cuniulalive

a Tolal outlays 28827489 77678165 106505654

b Recipient share of outlays

c Federal share of outlays 28827489 77678165 106505654

d Total unliquidated obligations

e Recipient share of unliquidated obligations

f Federal share of unliquidated obligations

g Total Federal share (Sum of lines c and f)

h Total Federal funds authorized for this finiding period

i Unobligated balance of Federal funds (Line h minus line g)

11 Indirect

Expense

106505654

192716600

86210946

a Type of Rate (Place an X in appropriate box)

O Provisional O Predetermined 0 Final X Fixed

b Rate 0 Base

24968655

d Total Amount

504366

e Federal Share

504366

12 Remarks See instructions Section 12 a -g for required and optional allachments Attaoli any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation

13 Certification I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for (he purposes set forth In the award documents

Typed or Printed Name and Title

Lori Cotanny CPA Director of Finance

Telephone (Area code number and extension)

(580)436-7274 xt 61609

Signan t6 of Authorised Certifying Official Date Report Submitted

122215

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date

The Chickasaw Nations Public Law 102-477 Programs

Financial Status Report Section 12 Certifications

FY-2015

The Chickasaw nation hereby states that

12a None of the funds in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (WIA) were used in violation of the Acts prohibition on the use of funds for economic development activities (Section 141 (q))

12b None of the fund in the approved budget which originated in Section 401 or Title II-B of the Workforce Investment Act (VIA) were used in violation of the Acts restrictions on assisting employer relation (Section 141(e))

12c The amount of program income earned for FY 2015 was $208420

12d There was no amount of refunds or rebates received

12e The amount of funds expended for the category of the approved budget which includes administrative costs of $77678165

12f Child Care Development was discontinued in 2007

Director of Finance - The Chickasaw Nation Date