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Confederated Salish and Kootenai Tribes
2019-2020 HIGHER EDUCATION SCHOLARSHIP
APPLICATION PACKET
January 2019
Dear Higher Education Scholarship Applicants,
Attached is the 2019-2020 Higher Education Scholarship application (pages 3 & 4), the Financial Needs
Analysis (pages 5 & 6) and the Application Packet Check List (page 2).
The Higher Education Scholarship Application (pages 3&4) deadline date: Wednesday, May 1, 2019.
Priority file completion deadline date: Thursday, August 1, 2019.
If a student turns in an application after the May 1
st
deadline date it will be marked as LATE and kept on file.
We cannot guarantee any funding to late applicants but if we have available funding later in the year we will
go through the LATE applications and make a determination if we are able to assist with any funding.
Students need to acquaint yourself with the application process, complete all information, and sign all forms.
The Financial Needs Analysis (pages 5 & 6) should be submitted to the school’s Financial Aid Office, you plan
to attend, PRIOR TO May 1
st
; the school’s Financial Aid Office may send it back to the Tribal Education
Department once it is completed but students should always check to verify that they can send it directly back
to Tribal Education. All higher education funding will be sent to your school’s financial aid office. You are
advised that any award you may receive may be subject to an adjustment based on the level of funding you
receive from additional scholarships, grants, waivers, etc. Students should be aware that NOT all students
who apply will be awarded a scholarship. Due to the increase in the number of students applying for funding
and the rising costs of tuition scholarships have become more competitive than in the past. Only students in
good academic standing and with a complete application file will be considered for funding.
Feel free to call my office at (406) 675-2700 ext. 1074 or email Miranda.Burland@cskt.org for assistance,
clarification, or questions regarding the scholarship program or application process.
I look forward to working with you this upcoming year and wish you the best in all your educational and
career paths down the road.
Sincerely,
Miranda Burland
Scholarship Officer
Ext. 1074
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Tribal Higher Education Scholarship
Application Packet
Check List
Application deadline is Wednesday, May 1, 2019 and all other documents (#2-8) must be submitted by
Thursday, August 1, 2019 to have a complete application file. A complete file is to have all items listed below
turned in.
1. ( ) Higher Education Scholarship Application (pages 3 & 4). DUE: Wednesday, May 1, 2019
2. ( ) OFFICIAL college transcripts, if applicable. These will need to be submitted by mid-July when
you apply EVERY YEAR; wait until you have finished your spring qtr/sem before requesting them
from your school. Students need to request transcripts from ALL schools attended.
3. ( ) Financial Needs Analysis: Part 1 (page 5)
Student must fill out Part 1 of the Financial Needs Analysis and then send it to the Financial Aid
Office (FAO) at the school you plan to attend. It is the students’ responsibility to see if the FAO will
send it to Tribal Education or if you will need to get it back to Tribal Education.
The FAO will fill out Part 2 and send it back to the Tribal Education Office. You should check
back with the school in mid-July to verify completion.
4. ( ) Copy of your high school diploma or GED/HiSET certificate or test results (ATTENTION 2019
High School Graduates: Submit your diploma after your graduation date).
5. ( ) Copy of your acceptance letter from the school you plan to attend. You must have applied for
admission at the school(s) you plan to attend. Continuing students will already have this on file
unless you have changed schools.
6. ( ) Certificate of Indian Blood (CIB). You can contact the Tribal Enrollment Office (406)675-2700
ext. 1014 and request that it be sent to the CSKT Scholarship Officer or you can pick it up.
7. ( ) Copy of your 2019-2020 Student Aid Report (SAR). This document can be found at
www.fafsa.ed.gov in your student information. You will need your FSA ID Username or Verified Email
Address and your FSA ID Password to access your FAFSA. You will need your 2017 tax information.
8. ( ) Financial Needs Analysis Part 2. The Financial Aid Officer, from you school, may send it to our
office. You will need to contact your Financial Aid Office to make sure this has been sent to the Tribal
Education Department or if you will need to pick it up. Students should always check with the FAO to
make sure ALL of your paperwork is signed and completed with them.
NOTE TO STUDENTS: Application pages (refer to #1) due by Wednesday, May 1, 2019 and all of the items
listed above (refer to #2 - #8) must be submitted to the CSKT Scholarship Officer no later than Thursday,
August 1, 2019 for priority funding. Your file will be incomplete and you will not be considered for funding
if all items are not turned in. You can still submit items after August 1
st
but this will cause a delay in issuing
funding to your school.
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2019-2020 Tribal Higher Education Scholarship Application
Application Deadline Date: Wednesday, May 1, 2019
Tribal Education Department
PO Box 278, Pablo, MT 59855
Last Name: ________________________ First Name: M.I.
Mailing Address:
City: State: Zip:
Phone #: Email:
Date of Birth: Sex: Male ( ) Female ( ) CSKT Enrollment #:
I received a: ( ) High School Diploma OR ( ) GED/ HiSET
From: Year Received:
Name of College/University Selected:
Address: City: State: Zip:
College/University Student Id# (If available)
Quarters/Semesters applying for: ( ) Fall Term; ( ) Winter Term; ( ) Spring Term; ( ) Summer Term
(select all terms you will plan to attend)
College Major ___________________________ _ (Must declare by 2
nd
year)
Expected degree: ( ) Associate’s (2 year); ( ) Bachelor’s (4 year); ( ) Graduate/ Master’s
( ) Certificate ( ) Other: (list)
Expected graduation year:
2019-2020 year in college: ( ) Freshman; ( ) Sophomore; ( ) Junior; ( ) Senior
I am a: ( ) Continuing Student; ( ) New Student; ( ) Returning Student (see Policy definitions)
I will attend: ( ) Full-time student (at least 12 credits); ( ) Part-time student (under 12 credits)
(INITIAL ONE) I have __________ / have not __________ read and understood the Student Policy Handbook.
I have submitted my Financial Needs Analysis (pgs 5&6) to my school’s FAO. ( ) Yes ( ) No
I have completed and submitted my 2019-2020 FAFSA. ( ) Yes ( ) No
If not, I have started my 2019-2020 FAFSA. ( ) Yes ( ) No
(INITIAL ONE) I have been / have not been convicted of a felony in the past (1) year.
Statement of Education Purpose:
I declare that I will use the funding that I receive from the CSKT Higher Education scholarship solely for educational
expenses connected with my attendance at the school listed above.
I hereby certify that the above information is true and correct to the best of my knowledge. I, hereby, authorize the
CSKT Education Department to have access to my academic and financial records while attending an institution of
higher learning and receiving the Tribal scholarship funding from the CSKT Education Department. I agree to follow all
rules, regulations, and attendance requirements of the school. To the best of my ability I will satisfactorily complete the
major which I have selected.
________________________________________________ __________________________
Student Signature Date
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PRIVACY ACT AND PAPERWORK REDUCTION ACT STATEMENT:
1. The authority for solicitation of the information on this form is 25 U.S.C. 13 (42 Stat. 208) and P.L. 84-
959 (70 Stat. 986) as amended by P.L. 88-230 (Stat. 471, 25 U.S.C. 309).
2. Disclosure of the requested information is to determine your eligibility for financial aid.
3. The purpose of this information collection is to determine your eligibility for financial aid.
4. The routine use of this information is by the Tribal Education Department and school financial aid
offices to evaluate your request for assistance during your education.
5. Failure to provide requested information may result in a delay or denial in receiving a Tribal Education
Scholarship.
I have read the above statement. I agree to provide the required information and authorize the use of such
information to the extent of the purposes specified in the statement.
___________
Student Signature Date
RELEASE FORM:
I, , give my permission to the CSKT Scholarship
(Print Student Name)
Officer to communicate, share and receive appropriate student information with and/or from my selected
school regarding my file completion, Financial Aid for funding
(College Name)
disbursements, additional scholarships received, grades, credits, default status and/or academic standing.
I also give permission for relevant information to be shared with: (check those that apply and list names)
( ) Spouse or significant other
( ) Loan agency , if applicable
( ) Parent(s)
( ) Other individual(s)
(Please check all that apply)
___________
Student Signature Date
Submit on or before May 1, 2019
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2019-2020 FINANCIAL NEEDS ANALYSIS
Deadline for FNA: August 1, 2019
Tribal Education Department, Scholarship Officer, Miranda Burland
PO Box 278 Pablo, MT 59855
(406) 675-2700 Ext. 1074
Miranda.Burland@cskt.org
Part 1: To be completed by the student and given to the College/ University’s Financial Aid Office
School Name:
Student Name: Student ID#: ______________
Student Mailing Address:
City: State: Zip: Phone:
I understand that if I am eligible for other education funds, such as PELL aka - FAFSA, etc., this will be included
when computing my financial aid package and I agree to use these funds for the purpose intended. I am aware
that all Tribal funding will be distributed through the Financial Aid Office of the school I will be attending. I
authorize the school to release my grades, attendance, and income information to the CSKT Education
Department. I also understand and agree that I must apply for all campus-based aid for which I am eligible in
order to be considered for a Tribal scholarship. I have submitted the necessary forms to my college financial
aid office.
Signature: _______________________________________ Date: ______________
STUDENTS DO NOT FILL OUT BELOW THIS LINE!
Part 2: To be completed by the Financial Aid Officer
The above student has applied for the CSKT Higher Education Scholarship. Verified financial need
information is requested from your office before we can determine the student’s eligibility and award amount.
Please complete Part 2 and mail the original form to the Scholarship Officer at the address listed above.
Budget Period: ___ _, 20____ to ___ _, 20___ _, which will begin on ____ , 20____ .
Costs of Attendance Campus-Based Aid and Other Resources
Tuition/Fees $ Parent $ Student $
Contribution Contribution
Books $ PELL $ Scholarship $
Housing $ GSL $ Tuition Waiver $
Travel $ Other Loan $ Tribal Scholarship $
Personal $ SEOG $ Other $
(List)
Child Care $ Work Study $ Other $
(List)
TOTAL COSTS: $ TOTAL RESOURCE: $
WE VERIFY THAT THIS STUDENT’S UNMET FINANCIAL NEED IS: $
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INFORMATION REGARDING CAMPUS-BASED AID:
Student Identification # ________________________
Student is enrolled as a ( ) full-time ( ) part-time student Registered Credits:
Student ( ) has ( ) has not applied for campus-based aid.
Student applied on , 20 .
1) Application was ( ) complete ( ) incomplete.
2) Application was submitted ( ) on time ( ) late.
3) Student’s financial aid packaging is ( ) complete ( ) incomplete
(Forward revisions ASAP)
If student is not eligible for campus-based aid, give reason:
____________________________________________________________________
____________________________________________________________________
Financial Aid Officer: _______________________________________________________
Signature
Print Name: Date:
College:
(Please list where the higher education funding should be mailed to; CSKT Accounting Dept. will need a W9 on file from the
school):
Address:
Address City, State ZIP
Phone: E-mail:
4) ACADEMIC TERM OF COLLEGE: ( ) Quarter ( ) Semester ( ) Other:
(list)
5) Term start dates:
Fall term Winter term Spring term
FINANCIAL AID OFFICER, INFORMATION & DIRECTIONS
A. A student may apply once each academic year.
B. Fill in the amounts for costs and resources for the student for specified period.
C. Fill in your office verification of the student’s unmet need.
D. Please check off the correct responses to questions 1 through 5.
E. Your signature is required on this form. Do not forget to indicate your college
mailing address of where the funding should be sent to, academic term and start dates.
RETURN TO THE TRIBAL EDUCATION OFFICE BY August 1, 2019, for the 2019 - 2020 academic year. Please
provide as much information as possible. An updated FNA can be submitted at a later date, if needed.
Mail to: CSKT Education Department
Miranda Burland, Scholarship Officer
PO Box 278
Pablo, MT 59855
O
R scan and email to: Miranda.Burland@cskt.org
For questions call (406)675-2700 ext. 1074