Fill - Free fillable Application AmericanIndianTuitionWaiver (Montana State University

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MontanaUniversitySystem

AmericanIndianTuitionWaiver

Application

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Financial Aid

Montana State University - Northern

300 West 11

Street

Havre, MT 59501

Ph: 406.265.3787

Fax: 406.265.3519

www.msun.edu/finaid

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QUALIFICATIONS:

1. YoumustbearesidentoftheStateofMontanawhenyouenrollinoneofthetwoorfouryearcollegesoftheMontana

UniversitySystem.

2. YoudemonstratefinancialneedasdefinedbyBoardofRegentsPolicy940.13(F)(4)bycompletingtheFreeApplicationfor

Federal

StudentAid(FAFSA).YoumustcompleteandsubmittheFAFSAeachacademicyearyourequestthistuitionwaiver.

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3. Selectatleastoneofthefollowingoptions:

Iamatleastonequarter(1/4)degreeofIndianbloodandIwillprovideacopyofmyCertificateofIndianBlood

(letter/card).

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Iamatleastonequarter(1/4)degreeofIndianbloodandIwillprovideproofofdescentusingbirthcertificatesand/or

lettersfromTribalofficials.

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IamanenrolledmemberofastateorfederallyrecognizedIndianTribewhichislocatedwithintheboundariesofthe

StateofMontanaandIwillprovideacopyofmyTribalEnrollmentCard.

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StateorFederallyRecognizedTribesLocatedwithintheBoundariesofMontana*



Assiniboine



Blackfeet



ChippewaCree



Crow



GrosVentre



Kootenai



LittleShellChippewa



NorthernCheyenne



Pendd’Oreille



Sioux



Salish

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LIMITATIONS:

1. TheAmericanIndiantuitionwaiveronlywaivestuition.Feesnotcoveredbythiswaiverareyourresponsibility.

2. Thiswaivercannotbeusedinconjunctionwithotherstatetuitionwaivers.

3. Thewaiverwillcontinueaslongasyoumaintainsatisfactoryacademicprogressaccordingtothestandardsofthe

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FinancialAidOfficeatthecollegeyouattend.

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Name:_______________________________________________________TribalEnrollmentNumber:_________________

Address:________________________________________City:_______________________State:_______Zip:__________

Telephone:_____________________________________Email:_________________________________________________

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g

NameofYourTribe:____________________________________________________________________________________

Address:_________________________________________City:_______________________State:_______Zip:__________

Telephone:_____________________________________EmailorWebsite:_______________________________________

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________________________________________ __________________ ____________________________________

SignatureDate   SocialSecurityNumberorStudentID

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MSU‐Northerndoesnotdiscriminateonthebasisofrace,color,nationaloriginal,sex,ordisability.

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PROOFOFINDIANDESCENTAND/ORTRIBALENROLLMENTMUSTACCOMPANYTHISFORM

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Oncethisformiscompletedandapproved,youdonotneedtocompleteitagain,aslongasyouremaincontinuouslyenrolledatthis

campusandyoumaintainsatisfactoryacademicprogress.

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*Forafulllistofrecognizedtribes,visit:http://www.ncsl.org/issues‐research/tribal/list‐of‐federal‐and‐state‐recognized‐tribes.aspx#mt

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Application AmericanIndianTuitionWaiver (Montana State University - Northern)

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