DAKOTA INDIAN FOUNDATION SCHOLARSHIP APPLICATION

ALL INFORMATION ON THIS FORM IS AND WILL REMAIN CONFIDENTIAL.

DEADLINES

FALL: AUGUST 1 SPRING: JANUARY 15

First name

Last name

Age

Birthday

Month

Day

Year

Phone

Social Security Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Guardian's Name

Guardian's Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

SEND A COPY OF YOUR TRIBAL ENROLLMENT WITH APPLICATION

Upload Tribal Enrollment

Name of Agency

Multi-line address

Country/Region

Address

City

Zip / Postal code

PLEASE ATTACH A PHOTO OF YOURSELF

Upload Photo

I authorize the Dakota Indian Foundation to use my photo in any campaign or literature.

Signature field is empty.

Date Signed

My signature confirms that I agree to take and maintain a minimum of 12 credit hours, or the check will be returned to Dakota Indian Foundation.

Signature field is empty.

Date Signed

SCHOOL INFORMATION

Class Level

Sophomore

Junior

Senior

Graduate

*The applicant must have at least 24 credits or above to qualify for the Undergraduate Scholarship.

*Applicant must have a BA/BS degree to qualify for the Graduate Scholarship.

Degree

Start Date

Month

Day

Year

College/University

Major

Educational Institute you are presently attending

School Address

Country/Region

Address

City

Zip / Postal code

Current field of study

GPA

Graduation Date

Month

Day

Year

Have you received the Dakota Indian Foundation Scholarship before?

Yes

PLEASE ATTACH AN OFFICIAL COLLEGE TRANSCRIPT.

APPLICATIONS WILL NOT BE PROCESSED WITHOUT THIS INFORMATION.

Upload College Transcript

FINANCIAL INFORMATION

Indicate any financial resources that you now have available for your educational expenses. Include all types of financial aid, your own money, parental help, grants and other sources (names and amount).

PERSONAL STATEMENT

Please provide a personal statement elaborating on your qualifications for a scholarship, educational interest, career plans, extracurricular activities, need for financial assistance, and any other information which you feel might be relevant.

(Upload a file if additional room is necessary.)

Signature

Signature field is empty.

Date

Month

Day

Year

DAKOTA INDIAN FOUNDATION SCHOLARSHIP APPLICATION

ALL INFORMATION ON THIS FORM IS AND WILL REMAIN CONFIDENTIAL.

DEADLINES

FALL: AUGUST 1 SPRING: JANUARY 15

First name

Last name

Age

Birthday

Month

Day

Year

Phone

Social Security Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Guardian's Name

Guardian's Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

SEND A COPY OF YOUR TRIBAL ENROLLMENT WITH APPLICATION

Upload Tribal Enrollment

Name of Agency

Multi-line address

Country/Region

Address

City

Zip / Postal code

PLEASE ATTACH A PHOTO OF YOURSELF

Upload Photo

I authorize the Dakota Indian Foundation to use my photo in any campaign or literature.

Signature field is empty.

Date Signed

My signature confirms that I agree to take and maintain a minimum of 12 credit hours, or the check will be returned to Dakota Indian Foundation.

Signature field is empty.

Date Signed

SCHOOL INFORMATION

Class Level

Sophomore

Junior

Senior

Graduate

*The applicant must have at least 24 credits or above to qualify for the Undergraduate Scholarship.

*Applicant must have a BA/BS degree to qualify for the Graduate Scholarship.

Degree

Start Date

Month

Day

Year

College/University

Major

Educational Institute you are presently attending

School Address

Country/Region

Address

City

Zip / Postal code

Current field of study

GPA

Graduation Date

Month

Day

Year

Have you received the Dakota Indian Foundation Scholarship before?

Yes

PLEASE ATTACH AN OFFICIAL COLLEGE TRANSCRIPT.

APPLICATIONS WILL NOT BE PROCESSED WITHOUT THIS INFORMATION.

Upload College Transcript

FINANCIAL INFORMATION

PERSONAL STATEMENT

(Upload a file if additional room is necessary.)

Signature

Signature field is empty.

Date

Month

Day

Year