First Name

Last Name

Contact Number

Email Address

College/University

When was the last semester or quarter that you attended high school or college? (minimum requirement is within two years)

Current GPA (minimum requirement is 2.7). Attach an unofficial transcript or your last report card.

What tribe(s) are you affiliated with? (minimum requirement is ¼ Native American. Census number or proof of affiliation will be requested upon receiving the award.)

In 400 words or less, CHOOSE ONE essay of the following topic:

A. Why are you proud to be Native American?
B. What do you hope for your future?
C. What have you given back or what do you plan to give back to your community?

Write Essay
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