Fillable Form 12: Tlingit and Haida Indian Tribes of (Central Council Tlingit and Haida Indian Tribes of Alaska)

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Form 12: Tlingit and Haida Indian Tribes of (Central Council Tlingit and Haida Indian Tribes of Alaska)

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U.S.A. forms for Central Council Tlingit and Haida Indian Tribes of Alaska

BROWSE CENTRAL COUNCIL TLINGIT AND HAIDA INDIAN TRIBES OF ALASKA (AK) FORMS

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Tel. 907.586.1432 www.ccthita.org Toll Free 800.344.1432
Educational Support Services
Online Tutoring Overview
Central Council of the Tlingit and Haida Indian Tribes of Alaska (Central Council) in partnership with the
Juneau School District Indian Studies Program, Juneau Johnson O’Malley program, Sealaska Corporation,
Goldbelt Inc., and Alaska Native Brotherhood and Sisterhood Camp 70, is pleased to offer online tutoring
scholarships for tribal students. Scholarships cover the cost of online mathematics subscriptions for 3
rd
– 12
th
grade, and licenses and materials for ACT (American College Testing) and SAT (Scholastic Aptitude Test)
preparation. Scholarships are available on a first-come, first-serve basis and contingent upon funding.
ALEKS (www.aleks.com) is a mathematics
program that uses artificial intelligence and
adaptive questioning to assess a student’s
knowledge and delivers individualized instruction
on the exact topics a student is most ready to learn.
The online mathematics tutorial programs are self-
explanatory systems that offer continual
assessment, individualized learning paths, and
immediate feedback to encourage students as they
progress, allowing students to master foundational
concepts before moving on to the next. Up to date
progress reports are also available to parents and
teachers. Online support is provided and study
sessions and program demonstrations will be
scheduled to offer assistance to students, parents,
teachers, and administrators. The programs
currently being offered are 5-month subscriptions
for third – twelfth grade, and advanced level
courses.
Green Test Prep (www.greentestprep.com) is a
self-guided, step-by-step SAT and ACT prep
system that improves its average student’s scores
by over 346 points on the SAT and 4.66 points on
the ACT.
Green Test Prep offers comprehensive online prep
systems for the new SAT and ACT. The license
provides unlimited, never-expiring access to
proven curriculum, strategies, and tactics for SAT
and ACT math, reading, writing, English, science,
and essay sections. Green Test Prep incorporates
supplementary problems to hone skills, and real
practice ACTs and SATs to track progress and
improve test-taking abilities. The system is web-
based, accessible through any web-browser and
available from any internet connected device.
Green Test Prep works for students of all levels of
advancement and is adaptable to individualized
schedules, timelines, strengths, and weaknesses.
Users can advance at their own pace.
Scholarship applications and donation forms to sponsor students are also available on Central Council’s website
at www.ccthita.org/services/overview/forms.
For more information, please contact:
ATTN: Tina DeAsis-Wright, TANF Program Coordinator
PO Box 21488 • Juneau AK 99802
907.463.7174 • tdeasiswright@ccthita.org • F 907.885.0038
CENTRAL COUNCIL
Tlingit and Haida Indian Tribes of Alaska
477 Employment & Training Division • Educational Support Services
PO Box 21488 • Juneau, Alaska 99802
Tel. 907.586.1432 www.ccthita.org Toll Free 800.344.1432
Online Tutoring Scholarship Application & Referral Form
Student Info (must be tribally enrolled and reside in Juneau)
Student Name:
Name (Last, First, MI)
Contact # / Email Add.
D.O.B. Tribal ID
School / Grade
Referred By
Contact Number
Parent/Guardian(s):
Name
Contact Number
Email Address
Name
Contact Number
Email Address
Program Selection
ALEKS (www.aleks.com): A mathematics program
that uses artificial intelligence and adaptive questioning
to assess a student’s knowledge and delivers
individualized instruction on the exact topics a student
is most ready to learn.
☐
Grade 3-12 / 5-Month Subscription
Green Test Prep (www.greentestprep.com): A self-
guided, step-by-step SAT and ACT prep system that
improves its average student’s scores by over 346
points on the SAT and 4.66 points on the ACT.
☐
Grades 9-12 / Non-Expiring License
Current Educational Standing and Objectives:
_________________________________________________
__________________________________________________________________________________________
____
_______________________________________________________________________________________________________
Include current or last Math course name and grade if applying for ALEKS, and GPA if applying for Green Test Prep.
Authorization for Release of Information
I certify that I
have legal custody or guardianship of the student named above and authorize a release of
information regarding the student’s enrollment and academic performance between school personnel and
Central Council Tlingit
& Haida employees. All information will be kept confidential and used for the sole
purpose of collaboration to promote student access and success in the online tutoring programs.
Signature Date
IMPORTANT: Have you received services from Central Council in the past 90 days?
☐
Yes
☐
No
Please indicate if you are a current recipient of services from Central Council:
☐
TANF
☐
EA/GA
Please submit application to:
ATTN: Tina DeAsis-Wright
PO Box 21488 • Juneau AK 99802
907.463.7174 • tdeasiswright@ccthita.org
• F 907.885.0038
CENTRAL COUNCIL
Tlingit and Haida Indian Tribes of Alaska
477 Employment & Training Division • Educational Support Services
PO Box 21488 • Juneau, Alaska 99802
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Completed 26 January 2021

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