TRIBAL PROGRAM NEWS
Siletz Tribal Head Start
Enrollment Application
Return this application to: Siletz Tribal Head Start, P.O. Box 549,
Siletz, OR 97380-0549. For more information, call 1-800-922-1399, ext. 1264,
or 541-444-8264.
1. Child’s name:2. SSN:
-
3. Child’s sex:
M
F
Returning student:
Yes No
4. Child’s date of birth://
5. Does your child have any condition that may be considered a disability or
special need? No Yes, explain:_________________________________
______________________________________ (please attach verification)
6. Is child member/descendent of a federally recognized Indian tribe? Y N
Roll #:Tribe(s):________________ (please attach verification)
Primary language spoken in the home
7. Parent/Guardian (1): SSN:-
Street and mailing address:__________________________________________
City/State/ZIP:_____________________________________________________
Telephone (h):(w):(msg):
Parent/Guardian (2):SSN:-
Street and mailing address:__________________________________________
City/State/ZIP:_____________________________________________________
Telephone (h):(w):(msg):
8. A preference for enrollment can be given to families that face any of the
following conditions: single-parent household, parent separated or divorced,
child is a victim of abuse or neglect, or child suffers from a non-handicapping
condition. If your family meets this criteria and you would like to claim that
preference, please list the condition(s) here:
9. List all other household members by name:
1.
2.
5.
6.
10. Financial statement: Monthly income (attach verification of these benefits).
Check all that apply:
Employed
Child Support
Social Security
General Assistance
Veteran’s Benefits
College Grants/
Scholarships
Other (explain):_______________________________________________________
Unemployed
TANF
Disability
1. With my signature I certify that the above information is accurate:
Signature:
For office use only
12
□
Siletz News
Date received:
□
June 2004
Date:
Staff initials:
Walt’s Words of Wit and Wisdom
by Walt Klamath
Hello again - golly the months go
fast. They sure didn’t go that fast when
I was going to school. Well, I guess the
summer months did, but then it was
good to get back to school to get out of
all the farm work that could be found
(not by me).
I’m going to do some crying here.
I’ve written about it before. Quite often
I take the fire truck out and do some
cruising on the roads, looking at homes
and the access to them.
One thing that I see, to my dismay,
is the lack of house numbers or num
bers that are so small they can’t be read
easily. These numbers should be large,
maybe four inches tall and reflective. I
see some numbers on houses that
cannot be seen from the roadway. These
aren’t too much help, especially for
medical calls.
For fire calls, if there’s smoke or
flames, then it’s quite possible that we
don’t need the numbers so badly. But
sometimes we’ve had a hard time
find-ing a burning house that
was up on a hill behind a
forest screen.
I don’t know too
much about any
where from Twin
Bridges to Siletz.
But on the roads to
Moonshine Park
and Steer Creek, there must be
numbers. I don’t know how many of
them are tribal members or if any of
them are.
Another frustration is that we have
a hard time getting volunteers for the
Logsden substation. At this time, I’m
the only one there. Legally, I don’t think
I’m supposed to respond alone. But I
do for fires or auto accidents, but not
for medical calls.
It’s lonely and scary. The chance
of being first on scene is great. There’s
always the possibility that a firefighter
will be at Moonshine, but also a low
possibility that they’ll have their turnouts
with them. One cannot do much by
oneself, like getting the hoses laid out
and ready to charge as soon as someone
gets there.
Usually, firefighters from the Siletz
area will get there within eight minutes.
But eight minutes is a lifetime in a fire.
A fire squares every minute. So you see,
there’s no time in a fire.
I used to know everyone on Moon
shine Road, but I don’t anymore. If the
people calling would say something like
the Gail Evens, Mariman, Jones, or
Schaffer place, but they probably don’t
know the old tribal lots or homesteaders.
We’ve been very fortunate this past
year. We had two house fires and two car
fires. The house fires were devastating.
Volunteers from Siletz beat me there,
and I live a mile from the fire hall.
Please put numbers up, big ones
that can be seen from the road, on a post
or a tree. If one doesn’t have a number,
put one in, any kind. If the numbers are
tough, tell us how far we are from Siletz
or Logsden (they’re like mileposts).
Give the firefighters ? break; help
them out so they can help you out.
We hope never to have to respond to
your address.
It’s fun to play with the trucks. Per
sonally, I’d like to keep it that way. We
run the roads once in a
while to make it visible
that we’re there and
to see if numbers are
up. I keep repeating
myself about num
bers; they’re so very
important that I
can’t say enough
about them.
While on the subject of fire safety,
by golly, wherever you are, check your
smoke detectors. They’re lifesavers.
You might think that the smoke
would wake a person up. That’s wrong
because the carbon monoxide will put
you into a deeper sleep. The noise from
a smoke detector will wake you up.
If the detector isn’t wired into the
house, check the batteries. If the detector
is wired into the house correctly, put one
or two battery-operated detectors in.
One study I saw a few years ago said
that more than half of the smoke
detectors didn’t work after the fire was
out and when the detector was retrieved,
it was inoperable.
So my good friends and neighbors,
make sure that we can find you when you
call, make sure all your safety devices
work, and may you never see your local
fire department on official business.
Engineer, Engine 5202, Logsden
Substation