TRIBAL PROGRAM NEWS
Siletz Scholarship 2002-2003
To apply for the Siletz Scholarship, please submit the following:
1) Documentation of acceptance at an accredited vocational training or higher
education institution, two-year, four-year, or graduate school
2) 500-word essay addressing the annual theme: Describe your major area of
study and its importance to you and the tribe.
CTSI-Pepsi Scholarship 2002-2003
To apply for the CTSI-Pepsi Scholarship, please submit the following:
1) Documentation of acceptance at an accredited vocational training or higher
education institution, two-year, four-year, or graduate school
2) 1,000-word essay addressing the annual theme: Tell us about the most
inspirational person in your life.
3) Three letters of recommendation
3) Three letters of recommendation
Essays will be judged on content, organization, and development of theme,
and use of proper grammar, spelling, and punctuation.
Awards: $500 (up to three awards per year). Scholarship may not be awarded
unless a minimum of two applications are received.
Essays will be judged on content, organization, and theme development, and
use of proper grammar, spelling, and punctuation.
Awards: $1,000. Scholarship may not be awarded unless a minimum of two
applications are received. This scholarship is made possible through a generous
donation by Pepsi, Inc.
Personal Information
Last name:First name:MI:
SSN:Date of birth:Tribal roll #:
Current mailing address:_________________________________________________
City:State:ZIP:
Permanent mailing address:_____________________________________________
City:State:ZIP:
Home phone:Work phone:
Education History
High School: □ Public
□ Other
Graduation/GED date:
Higher Ed/AVT Program: □ AA
□ AS
□ BA □ BS
DGraduate
Graduation date:Degree received:
College/University:Major:
Present Degree Program (2001-2002 Academic Year)
Start date:
Major:
College/University: Degree abbreviation:
Degree name:Graduation date:
Personal Information
Last name:First name:MI:
SSN:Date of birth:Tribal roll #:
Current mailing address:___________________________________________ _
City:State:ZIP:
Permanent mailing address:_____________________________________________
City:State:ZIP:
Home phone:Work phone:;
Education History
High School. DPublic □ Other
Graduation/GEDdate:
Higher Ed/AVT Program: DAA
□ AS
□ BA
□ BS
□ Graduate
Graduation date:Degree received:
College/University:Major:
Present Degree Program (2001-2002 Academic Year)
Start date:
Major:
College/University: Degree abbreviation:
Degree name:Graduation date:
Photo: Please submit a photo of good quality for use in newsletters and other
Photo: Please submit a photo of good quality for use in newsletters and other
CTSI publications, preferably one in your school or work environment.
Note: Photo is optional and does not reflect on scholarship eligibility.
CTSI publications, preferably one in your school or work environment.
Note: Photo is optional and does not reflect on scholarship eligibility.
Certification
Certification
Scholarship funds are to be used for academic purposes only.
By accepting the scholarship, I agree to advertising and promotional use of
my name, picture, and biographical information. I understand that:
Scholarship funds are to be used for academic purposes only.
By accepting the scholarship, I agree to advertising and promotional use of
my name, picture, and biographical information. I understand that:
/ hereby certify that the information provided on this form is true, correct,
and complete to the best of my knowledge. I consent to the release of this
information to other agencies and persons as necessary to determine my eligibility,
budget, and financial need.
/ hereby certify that the information provided on this form is true, correct,
and complete to the best of my knowledge. I consent to the release of this
information to other agencies and persons as necessary to determine my eligibility,
budget, and financial need.
Applicant’s signature:Date:
Applicant’s signature: Date:
Note: Applications must be received in our office by 4:30 p.m. on June 28,2002.
Note: Applications must be received in our office by 4:30 p.m. on June 28,2002.
Incomplete applications will not be considered. All correspondence will be
mailed by certified mail to permanent address unless otherwise requested in writing.
If you have any questions, please call Bev at 1-800-922-1399, ext. 290, or
541-444-8290. Please send applications to Bev Youngman, Programs Manager,
Confederated Tribes of Siletz Indians, P.O. Box 549, Siletz, OR 97380.
Incomplete applications will not be considered. All correspondence will be
mailed by certified mail to permanent address unless otherwise requested in writing.
If you have any questions, please call Bev at 1-800-922-1399, ext. 290, or
541-444-8290. Please send applications to Bev Youngman, Programs Manager,
Confederated Tribes of Siletz Indians, P.O. Box 549, Siletz, OR 97380.
Scholarships are awarded at the Nesika Illahee Pow-Wow, the second
weekend in August.
Scholarships are awarded at the Nesika Illahee Pow-Wow, the second
weekend in August.
April 2002
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Siletz News
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