Fillable H.S. & College Graduation Assistance Program (Delaware Nation)

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H.S. & College Graduation Assistance Program (Delaware Nation)

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The H.S. & College Graduation Assistance Program (Delaware Nation) form is 2 pages long and contains:

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  • 10 check-boxes
  • 26 other fields

Country of origin: US
File type: PDF

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1
Education Form 011 Revised March, 2019
H.S. & College Graduation Assistance Program
The High School & College Graduation Assistance Program will be available to High School &
College Senior’s to help with the following options ONLY:
1. Senior Pictures up to $275
2. Graduation Announcements up to $75
3. Cap & Gown up to $50
4. Test Prep up to $100
ELIGIBILITY REQUIREMENTS
• Must be enrolled with the Delaware Nation
• High School & College Senior must have at least a 2.5 overall GPA
• High School Seniors must have no more than 5 unexcused absences in one semester
• APPLICATION DEADLINE: 30-45 days prior to graduation date.
• Applications will be reviewed for completeness and eligibility. Application approvals will
be done in writing by the Delaware Nation Education Office.
• All checks will be made payable and mailed to the vendor.
• NO REIMBURSEMENTS will be made for purchases made prior to this application.
REQUIRED DOCUMENTS
• Complete application with supportive documents.
• Copy of CDIB card
• Invoices MUST be submitted with application.
• Copy of high school transcript and current report card. Must reflect attendance.
• Invoices for senior pictures, graduation announcements and cap & gown must be
submitted with complete application.
• A typed essay stating:
✓ The name of applicant and what school student attends
✓ Age of student
✓ List type of extracurricular activities the student is involved in such as:
➢ Athletics
➢ Culture, Academic and/or Art clubs
➢ Volunteer work or Community Service
➢ Internships
➢ Employment
✓ The future plans the applicant has after graduation.
SERVICES AREA
Nationwide
2
Education Form 011 Revised March, 2019
High School & College Graduation Assistance Program
Applicant Information
Full Name:
Roll #:
Last
First
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Phone:
Email
Date of birth:
Social Security No.:
Are you requesting assistance with CAP & GOWN?
YES
NO
Amount of invoice
$
Are you requesting assistance with SENIOR PICTURES?
YES
NO
Amount of invoice
$
Are you requesting assistance with ANNOUNCEMENTS?
YES
NO
Amount of invoice
$
Are you requesting assistance with TEST PREP?
YES
NO
Test Fee
$
School Information
Please attach a copy of TRANSCRIPT and/or CURRENT REPORT CARD to application
School Information
School:
Graduation
Date
Address:
GPA:
I hereby certify that this application is true to the best of my knowledge. It is my responsibility to submit a copy of all
invoices, high school and/or college transcript and CDIB card to the Delaware Nation Education Department office.
OFFICE USE ONLY
Approved
Denied
DELAWARE NATION
Education Department
PO Box 825
Anadarko, OK 73005
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H.S. & College Graduation Assistance Program (Delaware Nation)

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Completed 20 July 2020

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