Tel. 907.586.1432 www.ccthita-nsn.gov Toll Free 800.344.1432
CENTRAL COUNCIL
Tlingit and Haida Indian Tribes of Alaska
Office of the PresidentEdward K. Thomas Building
9097 Glacier Highway • Juneau, Alaska 99801
Youth Commission Application
Deadline: September 18, 2020 • Email:deptfob@ccthita-nsn.gov • Fax: 888-335-8981
Mailing Address: Office of the President • 9097 Glacier Highway, Juneau AK 99801
Student Profile:
Last Name: First Name:
Mailing Address:
City: State: Zip Code:
Date of Birth: Phone: Email:
School Information:
Name of Current School:
School Address:
City: State: Zip Code:
Major: Expected Graduation Date:
Type of Degree You are Seeking or Have Received:
High School Certificate Associates Bachelors Masters Doctorate
Other
Vocational Training Program: __________________
Tel. 907.586.1432 www.ccthita-nsn.gov Toll Free 800.344.1432
CENTRAL COUNCIL
Tlingit and Haida Indian Tribes of Alaska
Office of the PresidentEdward K. Thomas Building
9097 Glacier Highway • Juneau, Alaska 99801
Verification and Release of Information
I certify that the information provided in this application is true and correct to the best of my
knowledge and ability. I understand that any misrepresentation or any concealment of
information will be sufficient for rejection of this application or removal from Youth
Commission position.
I agree to abide by the Terms and Conditions (enclosed with this application) of the Tlingit &
Haida Youth Commission Position, and I understand that failure to comply may result in the
removal from the advisory position.
I authorize the release of my name, community, school, major field of study or program,
graduation and special honors, for use by Tlingit & Haida for educational and/or public relations
use.
Signature of Application Date
Signature of Parent/Guardian (Applicants Under 18) Date
Signature of Tlingit & Haida Community Council President Date
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signature
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Tel. 907.586.1432 www.ccthita-nsn.gov Toll Free 800.344.1432
CENTRAL COUNCIL
Tlingit and Haida Indian Tribes of Alaska
Office of the PresidentEdward K. Thomas Building
9097 Glacier Highway • Juneau, Alaska 99801
Per
sonal Statement
Please provide a one to two page personal statement describing:
1. Who you are and your personal goals
2. How you are involved or would like to be involved in your community
3. An issue facing Indigenous people in your community or region and what changes you
would like to see