Port Gamble S'Klallam Tribe



center345440PORT GAMBLE S’KLALLAM TRIBE31912 Little Boston Road Kingston, WA 9834600PORT GAMBLE S’KLALLAM TRIBE31912 Little Boston Road Kingston, WA 98346 TRIBAL EDUCATION SCHOLARSHIPGraduate Continuing ApplicantName of Applicant: ________________________ Date: _________If you are applying for Tribal Scholarship for Academic school year ________, you are required to complete a Tribal Scholarship application. Incomplete applications will not be reviewed. Students must apply for funds each Quarter/Semester. Note: Private and Vocational Institutions will be considered for funding on an individual basis, depending on available funds.Unofficial College Transcript (of previous quarter)Financial Needs Analysis (Bottom Half Completed by Financial Aid Office) Notarized Promissory NoteAll of the above must be completed and submitted to the Education Department no later than 4:30 pm on the date of deadline.Port Gamble S’Klallam Higher Education/Vocational Training Policy and Procedures are available on request.*There is no longer a set deadline. Applications should be turned in at least 2-4 weeks prior to the start of your term. We need time for processing. The financial need analysis must be filled out by student and a financial aid officer in order to be considered complete.** Maximum award per quarter is $4,400.00 for tuition, books, and supplies. Funding will be awarded depending on availability.Reviewed by Higher Education Committee on: _____________Approved ______ Not approved ________ FINANCIAL NEEDS ANALYSIS CONTACT _Con-39565A061 \c \s \l Port Gamble S'Klallam Tribe31912 Little Boston Rd NE Kingston, WA 98346(360) 297-6322 or Fax (360) 297-6206Student is responsible for submitting this form to the Financial Aid OfficeSECTION I (STUDENT COMPLETES)Students Name: ____________________________ Student Id or SS#: __________________________Institutions Name: ___________________________________________ Family Size: ______________Terms & Credits applying for: Financial Needs Analysis Deadlines20_____ Fall Quarter/Fall Semester Fall Quarter/Fall Semester ………... August 21st20_____ Winter Quarter/Spring Semester Winter Quarter/Spring Semester ... November 27th20_____ Spring Quarter Spring Quarter……………………….. March 4th20_____ Summer Quarter Summer Quarter ……………………. TBD ______ Full-Time 12+ Credits ______ Part-Time 1-11 Credits I hereby authorize the above named college(s) financial aid office to release the Academic Information and Financial Aid information below to the CONTACT _Con-39565A061 \c \s \l Port Gamble S'Klallam Tribal Education Department._____________________________ _______________________________ __________________ PRINT NAME SIGNATURE DATE**Section II MUST be completed by the Financial Aid Office and returned to the address above**SECTION II (FINANCIAL AID OFFICER COMPLETES) SCHOOL EXPENSEFOR QUARTER:FOR SEMESTER:Tuition & Fees_______________ Tuition & Fees_______________Books & Supplies____$400.00____ Books & Supplies____$600.00____ (Max per Quarter, Do not Change) (Max per Semester, Do not Change)TOTAL EXPENSES_______________TOTAL EXPENSES_______________*PLEASE INDICATE QUARTER*GRANTS AND/OR SCHOLARSHIPSFALL QUARTER/FALL SEMESTERWINTER QUARTER/SPRING SEMESTERSPRING QUARTERSUMMER QUARTERPell GrantTOTAL_________________________________________________________________ SIGNATURE OF FINANCIAL AID OFFICER DATE_________________________________(______) ______-_______(______) ______-_______PRINT NAME TELEPHONE NUMBER FAX NUMBERcenter342900PORT GAMBLE S’KLALLAM TRIBE31912 Little Boston Road Kingston, WA 9834600PORT GAMBLE S’KLALLAM TRIBE31912 Little Boston Road Kingston, WA 98346 EDUCATION FUNDING REQUESTPROMISSORY AGREEMENTName: _____________________________ Date: ____________ I understand that I am required to reimburse the CONTACT _Con-39565A061 \c \s \l Port Gamble S'Klallam Tribe if:I receive financial support for college from other funding source(s) in excess of tuition, course books and materials.I drop out of one or more of the courses that I have received funding for.I drop out of the college that I have received funding for. I, ________________________________ agree to repay all funds provided to me by the tribe to (Name)attend college if I do not fulfill the requirements of this agreement. I understand that by not reimbursing the tribe I may not be eligible for future assistance from the Tribe. I understand that the funding for college will be considered a balance due. Applicant signature: ____________________________ Date______________*Note: Funding does not include costs for food, clothes, shelter or transportation. This document must be notarized.NOTARY:51435133985Date _____________________________ State of ___________________________ County of _________________________I certify that ______________________________________________ Nameappeared before me to sign this document. __________________________________________________________Signature of Notary Public__________________________________________________________ Title00Date _____________________________ State of ___________________________ County of _________________________I certify that ______________________________________________ Nameappeared before me to sign this document. __________________________________________________________Signature of Notary Public__________________________________________________________ Title5372100308610000 ................
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