AMERICAN INDIAN AND ALASKA NATIVE STUDENT TRAVEL SCHOLARSHIP
PROGRAM 2020 APPLICATION
Demographic Information
Last Name
First Name
Street Address
City State Zip
Phone Number
Email Address
Birthdate (MM/DD/YYYY)
Tribal Afliation(s)
Do you self-identify as AI/AN? Yes No
Current Academic Information
University
City State
Conference Selection
Conference
Degree(s) Working Toward
Projected Graduation Date (MM/YYYY)
Degree Subject Area
Letter of Support Writer
Name
Title
Phone Number
Email Address
Previous Academic Information
Previous Academic Institution Attended
Degree Earned
Date Conferred (MM/YYYY)
Degree Subject Area
First Choice Second Choice
National Missing and Unidentified Persons (Sept. 22-25, 2020)
International Association of Chiefs of Police (Oct. 17-20, 2020)
American Society of Criminology (Nov. 18-21, 2020)
American Academy of Forensic Sciences (Feb. 15-20, 2021)
Certication
I attest that if chosen to attend one or more conferences through the AI/AN Travel Scholarship Program, I can and will commit to attending the entire
length of each conference. I understand that any false information willfully submitted to NIJ may result in the withdrawal of my application and/or
conference funding should I be awarded a Travel Scholarship. I certify that all information I submit as part of this application is true and correct to the best
of my knowledge.
Signature Date
Applications, including all supporting materials, are due by 11:59 p.m. EST on Wednesday, April 15, 2020. Please submit all materials and questions
to AIAN_scholarship@ojp.usdoj.gov.
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signature
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