Appendix D Soboba Foundation, Inc. EIN 453656119
Page 1 of 9
Sponsorship Application for
Higher Education Assistance
($2,500.00 Yearly Maximum)
Please note that applications may take up to 90 days to review following the
deadline date. We will contact you once your proposal has been considered
and a determination has been made.
Please provide the following information:
PERSONAL INFORMATION:
Name:
Address:
Email Address:
Social Security Number:
Phone Number:
Date of Birth:
TRIBAL INFORMATION:
Tribal Enrollment, Affiliation or
Descendant:
Reservation:
(Attach Proof of Tribal Enrollment or Affiliation)
CURRENT ACADEMIC INFORMATION:
Name of Institution:
Class Status: (Freshman, Sophomore, etc)
Total Number of Years in Higher Education:
Total Number of Years at Current Institution:
Degree You Are Currently Pursuing:
Expected Graduation Date:
Major:
Minor:
Current GPA:
Cumulative GPA:
POST SECONDARY EDUCATION (COMPLETED):
Appendix D Soboba Foundation, Inc. EIN 453656119
Page 2 of 9
Name of School:
Degree Sought:
Degree Earned:
Years Attended:
FINANCIAL INFORMATION
Have you applied for financial aid through Soboba in the past? If yes, provide detail.
Describe any scholarships, grants, and other financial assistance that you are receiving
towards your education. You must demonstrate that you have applied for funding from at
least two other sources and still have unmet financial needs. Use additional pages if
needed.
Please itemize all of your education expenses. Note which items are expected to be paid by
other funding sources. Describe how you plan to pay those costs that exceed outside funding
commitments and this scholarship request.
Name of School:
Degree Sought:
Degree Earned:
Years Attended:
Appendix D Soboba Foundation, Inc. EIN 453656119
Page 3 of 9
PERSONAL STATEMENT AND ESSAY QUESTIONS
In two pages or less, on a separate piece of paper, please discuss the following:
1) Personal Statement: a) discuss your academic career, career, and personal goals, b)
discuss any extenuating circumstances/ relevant information that you would like the
Tribe to be aware of, c) discuss how you view your Native American heritage and its
importance to you, d) discuss how you plan to give back to the Native American
community after you graduate, and e) describe your on-going involvements in the
Native American community.
2) Essay Questions: a) in your opinion, what are the most critical issues facing Tribal
communities today, b) how do you see yourself helping to resolve these issues, c)
where do you see Native Americans in the 21
st
century in terms of survival,
governance, and cultural preservation, and d) what role do you see yourself in this
future?
PLEASE MAKE SURE THE FOLLOWING ARE SUBMITTED WITH YOUR APPLICATION PACKET:
Application
Essay Attach your response to the Personal Statement and Essay Questions
Academic Study Plan Form The attached form must be completed by an academic
advisor.
Official Transcripts Freshman students must submit official high school transcripts or
GED scores. Transferring and continuing students must submit official transcripts from
each college or university previously attended.
Signed Terms and Conditions
Letters of Recommendation 2 letters of recommendation are required. 1 Academic
Recommendation and 1 Native American community recommendation. Letters are to be
submitted separately and directly by the recommender. Send Attn: Sponsorship
Coordinator by mail to PO Box 487, San Jacinto, CA 92581 or fax to 951-654-4198.
Appendix D Soboba Foundation, Inc. EIN 453656119
Page 4 of 9
ACADEMIC STUDY PLAN FORM
APPLICANT: PLEASE FILL OUT THE SECTION BELOW AND TURN IN TO YOUR ACADEMIC ADVISOR
Student Name:
Student ID Number:
Phone Number:
Email:
Expected Graduation Date:
THE SECTION BELOW MUST BE COMPLETED BY YOUR ACADEMIC ADVISOR
This student is applying to the Soboba Foundation for a scholarship. This form is required as part of the
completed application. Your cooperation in the completion the following is appreciated. If you have any
questions, please contact the Tribal Administration Office at (951) 654-2765 and ask for Andrew Vallejos.
GENERAL EDUCATION
Has the student completed all general
education requirements?
If no, what courses are needed to complete?
MAJOR DEGREE REQUIREMENTS
Has the student declared a major?
What courses are needed to fulfill the major
degree requirements?
PROPOSED STUDY PLAN
FALL COURSES
CREDIT HOURS
SPRING COURSES
CREDIT HOURS
Current GPA:
Cumulative GPA:
COMMENTS
CONTACT INFORMATION
Name:
Title:
Department:
Email:
Signature:
Appendix D Soboba Foundation, Inc. EIN 453656119
Page 5 of 9
TERMS AND CONDITIONS
1. Must be an enrolled member of a federally recognized California Indian Tribe (or have Tribal
affiliation solely pending enrollment age) or provide proof student is Tribal descendant.
Appropriate documentation and a letter from the Tribe is required.
2. Student must be enrolled part-time or full-time in a degree seeking program at an
accredited college or university.
3. At the end of the Fall semester, Sponsorship Coordinator will review official copies of the
academic grade reports. Fall grade reports will be used to determine student’s continued
eligibility for funding. It is the student’s responsibility to ensure that all grades have been
posted and that they are accurate.
4. Student must keep the Sponsorship Coordinator informed of any changes in students
status (i.e. new address, name change, intent to withdraw, transfer, reduction of full-time
enrollment, etc.)
5. Undergraduate recipients must complete each term with a minimum of 6 15 units.
Graduate student recipients must complete each term with a minimum of 6 units. This unit
requirement must be met with new coursework only, no repeat classes are allowed as part
of the part-time/full-time course load.
6. The following types of classes will not be accepted as part of a part-time/full-time course
load: Audits, Repeats, or Workshops. Students may take no more than 3 units of special
study courses per semester as part of the part-time/full-time course load.
7. Recipients must maintain the following Cumulative Grade Point Average (CGPA) in a degree
seeking program to be eligible for continued funding:
a. Undergraduates: 2.75 CGPA
b. Graduates: 3.5 CGPA
8. Suspension: Failure to maintain the minimum CGPA or part-time/full-time course load will
result in automatic suspension. Once on suspension, the student’s subsequent award will
be automatically canceled. Prior to reapplying for a scholarship, the student must have
completed the number of units for which they initially received funding and/or have met
the minimum CGPA for which they received funding. Failure to do so will render the
student ineligible for future scholarship consideration.
9. Scholarships will be granted to eligible applicants on an annual basis with each award being
for a 12 month period. Recipients are eligible to apply for a second year pending
demonstration of exceptional progress.
10. Applicant agrees to have their name, degree being pursued, photograph, and graduation
announcement included in any press releases made by the Soboba Band of Luiseño Indians.
11. Once submitted, all applicant documents become the property of the Soboba Band of
Luiseño Indians.
12. Applicants are responsible for ensuring that all required materials are received by the
deadline date. Incomplete applications will not be reviewed.
13. As a condition to this scholarship the applicant must complete a minimum of 10 hours of
community service for the Soboba Band of Luiseño Indians to be completed within 12
months.
14. All decisions made by the Soboba Foundation are final and binding.
Appendix D Soboba Foundation, Inc. EIN 453656119
Page 6 of 9
I hereby certify that the information contained in my scholarship application is true and correct
to the best of my knowledge. In the event that I receive funding, I agree to comply with all of
the foregoing terms and conditions. I hereby give permission to the Soboba Band of Luiseño
Indians and the Sponsorship Coordinator to request and receive copies of my academic grade
and progress reports as needed.
Signature: Date:
Print Name:
Appendix D Soboba Foundation, Inc. EIN 453656119
Page 7 of 9
ACADEMIC RECOMMENDATION FORM
THIS SECTION TO BE FILLED OUT BY APPLICANT
Student Name:
Address:
Email:
Phone Number:
TO THE RECOMMENDER: Please provide your opinion of the above named individual, who
has applied to the Soboba Foundation for a scholarship. We are particularly interested in an
evaluation of the applicant’s potential for academic and professional achievement.
Please include the following information in your letter:
Your name, title, company name, email address, signature, and date.
The applicants name.
The capacity in which you know the applicant.
A strong distinction of strong and weak characteristics.
Discuss the following characteristics in your letter: character, personality, integrity,
commitment to community, intellectual ability, promise as a student, promise as a
professional, maturity, and motivation.
Please send your letter of recommendation directly to the Sponsorship Coordinator via any of
the following methods:
Mail: Attn: Sponsorship Coordinator
Soboba Band of Luiseño Indians
PO Box 487
San Jacinto, CA 92581
Fax: Attn: Sponsorship Coordinator
951-654-4198
Email: sponsorships@soboba-nsn.gov
Appendix D Soboba Foundation, Inc. EIN 453656119
Page 8 of 9
NATIVE AMERICAN COMMUNITY RECOMMENDATION
THIS SECTION TO BE FILLED OUT BY APPLICANT
Student Name:
Address:
Email:
Phone Number:
TO THE RECOMMENDER: Please provide your opinion of the above named individual, who
has applied to the Soboba Foundation for a scholarship. We are particularly interested in an
evaluation of the applicant’s potential for academic and professional achievement.
Please include the following information in your letter:
Your name, title, company name, email address, signature, and date.
The applicants name.
The capacity in which you know the applicant.
A strong distinction of strong and weak characteristics.
Discuss the following characteristics: character, personality, integrity, commitment to
community, intellectual ability, promise as a student, promise as a professional,
maturity, and motivation.
Please send your letter of recommendation directly to the Sponsorship Coordinator via any of
the following methods:
Mail: Attn: Sponsorship Coordinator
Soboba Band of Luiseño Indians
PO Box 487
San Jacinto, CA 92581
Fax: Attn: Sponsorship Coordinator
951-654-4198
Email: sponsorships@soboba-nsn.gov
Appendix D Soboba Foundation, Inc. EIN 453656119
Page 9 of 9
COMMUNITY SERVICE REQUIREMENT
If an applicant receives a scholarship from the Soboba Band of Luiseño Indians, he/she must
complete 10 hours of community service for Soboba. The purpose of this community service is
to require students to be actively involved in enhancing the Indian community through
academic and community efforts. Students will be required to communicate with a
representative from an eligible department to sponsor a project, program, event or volunteer
opportunity they wish to be involved in. Community Service Coordinators will provide the
Sponsorship Coordinator with a quarterly service report on the status of the student’s
assignment and personal development. A final report will be submitted by the applicant to
both the sponsoring agency and the Sponsorship Coordinator. Guidelines for reports will be
outlined by both the sponsoring agency and the Sponsorship Coordinator. Students must
complete community service projects by deadline dates and projects must be completed within
one year.
Please list three organizations you wish to perform community service for:
1.
2.
3.
The following are possible projects, service programs and events for community service:
Oral History Project
Language Preservation
Youth Mentoring
Staffing Community events such as conferences and other tribal events.
If you have additional projects in mind, please discuss them with the Sponsorship Coordinator.
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome