Fillable Adult Vocational Training Application 004 09142020 Fillable (Delaware Nation)

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Adult Vocational Training Application 004 09142020 Fillable (Delaware Nation)

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  • 5 check-boxes
  • 49 other fields

Country of origin: US
File type: PDF

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Adult Vocational Program
This program is for Delaware Nation enrolled citizens that need training to obtain/enhance job skills
or to acquire a General Education Diploma (GED). Maximum award for long term students is
$3,000 per academic year ($1,500 per semester) and for short term students up to $3,000 for
one certificate program per fiscal year. All tuition checks are paid to the school.
This program operates on a first come, first served basis depending on availability of funds.
The Adult Vocational Training (AVT) Program is available to enrolled Delaware Nation citizens, 17 ½
years of age or older for full or part-time training.
REQUIRED DOCUMENTS:
The following documents must be complete and submitted with this application. If you fail to secure
these documents, your application will be placed on pending status.
✓ If applicable, a copy of high school transcript or GED certification
✓ Letter of intent written by applicant
✓ Letter of admission for proof of acceptance of enrollment
✓ Training Cost Worksheet (pg.3). Must be completed by school official
✓ Full-time students must apply for federal financial aid through the training facility
ATTENTION STUDENT:
Please submit page 3 of this application to the training facility that you plan to attend and have the
financial aid office or a school official complete the training cost worksheet.
Students are required to notify the Social Services Department if and when courses are dropped. If
student drops a course or does not complete a course and a refund is not issued from school, the
student will be required to pay back all funds used before being eligible to participate in program
again.
DEADLINE
Application must be submitted 30 days prior to start date.
SERVICE AREA
NATIONWIDE
Education Form 004 Revised_ September 2020
Education Form 004 Revised_ September 2020
Adult Vocational Program
P.O. Box 825
Anadarko, OK 73005
Toll Free 1-800-203-2121
Phone (405)247-2448
Fax (405)247-5942
PLEASE PRINT
Assistance needed for training:
Full Time
Part time
GED
Name of School
Start Date
Address
Completion
Date
If yes, what year?
Name of course program? ____________________________________________
Date of completion/certificate? ____________________
My signature below will indicate that I have agreed to the following conditions for funding. The
information contained in my scholarship application contains no falsification and all items are
true and correct. I understand that any false statements made herein would result in a voided
application. I grant consent to release this information to the necessary agencies in order to
complete my financial aid package. I declare that I will use all funds from the Delaware Adult
Vocational Program solely for expenses connected to attending the facility listed above.
STUDENT SIGNATURE
DATE
PRINTED NAME
Name
Enrollment#
Male
Female
Address
City
State
Zip
Birth date
Age
Social Security #
Phone
Have you previously received assistance from the Adult Vocational Program?
Yes
No
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Education Form 004 Revised_ September 2020
DELAWARE NATION
Adult Vocational Program
Form to completed by School Official
P.O. Box 825
Anadarko, OK 73005
Phone: (405)247-2448
Fax: (405)247-5942
EDUCATION COST WORKSHEET
Student Name
Name of School
Start Date
Address
Completion
Date
Phone
( )
Fax
( )
Contact Person
Title
Signature of School Official
Delaware Nation Education Program recommended to pay
$
Type of training
Long Term
Short Term
Official
School
Tuition
$
Books
$
Supplies
$
Fees
$
Other
$
Total program cost
$
Less Pell grant
$
Less loans
$
Less funding source
$
Student unmet need
$
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Adult Vocational Training Application 004 09142020 Fillable (Delaware Nation)

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Completed 27 January 2021

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