Higher Education Application Page 1 of 4 App. Amended November 2019
PLEASE READ ALL INFORMATION BEFORE SUBMITTING
All applications MUST be completed and submitted by the following deadlines in order to be eligible for
scholarships. The Native Village of Barrow offers scholarships for HALF-TIME and FULL TIME STUDENTS
Spring Semester- December 15
Summer Semester- May 15
Fall Semester- August 15
YOUR APPLICATION WILL NOT BE PROCESSED IF IT DOES NOT HAVE THE FOLLOWING ITEMS!
Completed Scholarship Application-MUST BE SIGNED/DATED
Tribal Enrollment-(first time applicants)
College/University acceptance letter (first time applicants/transfer students)
Class registration/student schedule
Current grades (high school transcripts for first time applicants)
Financial need sheet
Summary of goals, plans and objectives (first time applicants)
Three letters of recommendations (first time applicants)
CHECKLIST BEFORE SUBMITTIGN APPLICATION
o Double check the application to see if its completed and signed (all pages)
o Tribal enrollment
o College/University acceptance letter
o Class registration/student schedule
o Current grades or high school transcripts
o Financial need sheet
o Summary of goals, plans and objectives
o Three letters of recommendations
***YEARLY DEADLINES ARE: DECEMBER 15; MAY 15 and AUGUST 15***
Name of Applicant:
First Middle Last
NATIVE VILLAGE OF BARROW
HIGHER EDUCATION APPLICATION
Higher Education Application Page 2 of 4 App. Amended November 2019
Check one: Initial Application Continuing Application Date:
YOU MUST BE HALF TIME OR FULL TIME STUDENT TO QUALIFY
Please check if you are full time or part time
Part Time 6 to 11 Credits Full Time 12 or more credits
Check box applying for
o Spring Semester- December 15
o Summer Semester- May 15
o Fall Semester- August 15
Personal Information and Permanent Home Address
First Name Middle Last
DOB Social Security # Student I.D #
P.O Box City State Zip
Email Address Phone/Cell #
Second Person Contact (This person is who we will contact if we cannot make contact with you regarding your scholarship)
First Name Middle Last
E-Mail address relationship phone/cell #
College/University Address
Name of School
Mailing Address City State Zip
Phone # Fax #
Higher Education Application Page 3 of 4 App. Amended November 2019
NATIVE VILLAGE OF BARROW FINANCIAL AGREEMENT FORM
Phone: (907) 852-4411 Fax: (907) 852-8844 Mail: PO Box 1130 Barrow, Alaska 99723 E-Mail: workforce@nvbarrow.net
Students Name: ______________________________________ E-mail: ___________________
Address: Phone:
Social Security Number: Student ID #:
I give permission for the college/training institution to release financial and academic information to Native Village of Barrow
Workforce Department.
Students Signature Date
Financial Aid Office: Please complete this form and return it to Native Village of Barrow Workforce Department. Please
fill expenses portion even if other resources information is unavailable.
Budget Forecast Expenses Student is going: (please circle one)
Tuition: $ Full Time Part Time
Fees $
Books $ Need cannot be determined because:
Room & Board $
Other (specify) $
$
$
Total Budget $
Student resources and institution awards:
Funding Types FALL SPRING SUMMER TOTAL
WELFARE ASSISTANCE
ALASKA STUDENT LOAN
COLLEGE SCHOLARSHIP
PERKINS LOAN
PELL GRANT
PARENT/SPOUSE CONTRIBUTION
GUARENTEED STUDENT LOAN
TRIBAL ASSISTANCE
TUITION EXEMPTION
VETERAN BENEFITS
OTHER (SPECIFY)
OTHER (SPECIFY)
Tuition Resource: $____________
Unmet Needs: $ ____________
Signature of Financial Aid Office Date
Institution Name Address City State Zip
E-Mail Phone # Fax #
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Higher Education Application Page 4 of 4 App. Amended November 2019
NATIVE VILLAGE OF BARROW FUNDING AGREEMENT FORM
Phone: (907) 852-4411 Fax: (907) 852-8844 Mail: PO Box 1130 Barrow, Alaska 99723 E-Mail: workforce@nvbarrow.net
I, ________________________________________, have read the Scholarship Grant Policies and Procedures. I
understand that these funds are supplemental funds. I affirm that I have sought other funding resources to help
fund my educational training needs listed below:
Semester: Spring Summer Fall Year: ___________________
Name of Accredited Institution
______________________________________________________________________________
Address City State Zip Code
Please attach your student schedule/class registration with credits.
By signing this document I certify that I fully understand that if in the event that I do not complete the semester by dropping out or
withdraw, that I must return the awarded amount back to Native Village of Barrow, furthermore, I understand that this can affect my
future financial assistance requests for financial aid scholarship.
I also understand that if I do not return these funds I will not be awarded Higher Educational funds until all past due funds are returned
to Native Village of Barrow.
DROP OR WITHDRAWAL
1. All awarded funds will need to be reimbursed back to the Native Village of Barrow if a student decides to drop out of courses
and does not complete the semester.
2. If student fails to have funds reimbursed to Native Village of Barrow student will not be awarded for future funds.
3. Native Village of Barrow will be billing the student.
_______________________________ ____________________
Signature of Student Date
________________________________ ______________________
Signature of Workforce Staff or Director Date
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