MANIILAQ ASSOCIATION EMPLOYMENT & TRAINING HIGHER EDUCATION SCHOLARSHIP APPLICATION Eligibility

Purpose



The purpose of the Maniilaq Association Employment & Training Higher Education Program is to financially assist eligible tribal members who are enrolled to an accredited college or training institution; and who can demonstrate financial need. Before funding from our program can be considered, applicants are required to apply for all available state, federal and private financial aid.

  

Must be enrolled into one of the following Federally Recognized Tribes: Ambler, Deering, Kivalina, Kobuk, Noorvik and Shungnak. Must be enrolled into an accredited school Students must be working towards a minimum of an Associate’s Degree Minimum GPA eligibility 2.0

Eligibility Required Documents (First Time Applicant)

Note: Applications without documentation will not be Accepted! Completed Application Official Transcripts Verification of Tribal Enrollment Acceptance Letter from University or School Class Registration or schedule Statement of Purpose (500 words min)/Letter of intent Two Letters of Recommendation Copy of State ID High School Diploma/GED or High School Transcript Budget/Need Sheet Completed ISP (Individual Self-Sufficiency Plan)

Eligibility Required Documents (Returning Student)

Note: Applications without documentation will not be Accepted! Completed Application Statement of Purpose/Letter of Intent Official Transcripts Class Registration or schedule Budget/Need Sheet/Cost of Training

Application Deadlines

Funding Coverage Assistance is provided to students with tuition and fees for up to $1200 per semester; to tribal members enrolled in Amber, Shungnak, Deering, Kivalina, Noorvik and Kobuk. We do not fund certificate programs. For vocational non-degree programs; refer to the AVT Scholarship

Goals and Objectives Maniilaq Employment & Training Program’s goal is to extend educational and vocational training opportunities to all tribal members of the Maniilaq service area, for the purpose of developing leadership and increasing employment opportunities in professional and vocational fields. All tribal members, who meet eligibility requirements, will receive financial assistance so they may obtain a quality education. Financial assistance is contingent on available funding. Higher education and vocational training will help prepare our tribal members for employment, leadership, and self-sufficiency, thus allowing them the opportunity to be successful.

Student Responsibility It is the student’s responsibility to contact the Maniilaq Employment & Training office to ensure his/her application is complete and submitted or postmarked by the appropriate deadline. If your application is incomplete, we will contact you to inform you of what’s needed, and you will have 30 days to get the required information back to us. If you have not contacted us after 30 days, your application will be shredded.

Fall Semester - August 10th (or next business day) Spring Semester - January 10th (or next business day) Summer Semester - June 10th (or next business day)

We would like to congratulate you on your decision to improve yourself and further your education!

Submit Complete Applications to: Maniilaq Association Employment & Training P: (907) 442-7021 Fax: 1-866-832-9350 [email protected]

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MANIILAQ ASSOCIATION EMPLOYMENT & TRAINING HIGHER EDUCATION SCHOLARSHIP APPLICATION Incomplete applications will be held for 30 days. If all required documentation is not received within that time period your application will be denied.

Applicant Information Name:

First

Middle

Last

Social Security Number

Maiden Name: Or other Names Used:

Date of Birth:

Male:

Mailing Address:

City:

State:

Zip:

Physical Address:

City:

State:

Zip:

Home Phone:

Message Phone:

Female:

Work Phone:

E-mail Address:

Tribal Village IRA you are enrolled in: _____________________________________________ Attach Copy of Tribal Card

List All Household Members Name

Relation to Head Self

Birth Date

Tribal Enrollment Village

Social Security #

Employment Information Employer:

Job Title:

Phone:

Length of Employment:

Educational Background High School Attended Address:

Highest Grade Completed: City:

Date received GED:

State:

Zip:

9th

10th

11th

12th

Date of Graduation: Last Year Attended School:

College/School(s) attended:

Submit Complete Applications to: Maniilaq Association Employment & Training P: (907) 442-7021 Fax: 1-866-832-9350 [email protected]

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MANIILAQ ASSOCIATION EMPLOYMENT & TRAINING HIGHER EDUCATION SCHOLARSHIP APPLICATION Barriers to Self Sufficiency (Check all that may apply): Currently employed/low income BIA General Assistance Recipient Last date of employment Lack significant work history Limited English Proficiency Criminal History Lack of Child Care Not at age appropriate H.S. grade level Domestic Violence No Driver’s License Foster Care Child Support Issues Public Assistance (Food Stamps, GA, etc.)

Long-Term TANF(30 Months)/ATAP Recipient TANF Recipient Unemployed 15 + weeks Substance Abuse Issue Reading Skills below 7th grade Math skills below 7th grade Lack of Transportation High School Dropout/no GED Single parent Disabled Individual Homelessness Pregnant/Parenting Teen Lack of Degree

Post-Secondary Institution Institution

Semester

Address

City

State

Zip

Field of Study for training Academic year (check one) UNDERGRADUATE: Freshman

Term

Expected Graduation Date

Degree being sought (Certificate, AA, BA, BS, etc.)

Sophomore

Start date Full-time Student

Quarter

Junior

Senior or GRADUATE:

1st

2nd

3rd

4th

5th

Expected Graduation Date Part-time Student

Have you received this scholarship before?

Beginning date of school term

On Campus

Off Campus

What years?

I hereby certify that all the information provided on this application is true and correct to the best of my knowledge. I request that any scholarship awarded to me be mailed to the financial aid office at the institution named above. I also understand that it is my responsibility to ensure my end of semester/quarter grades are submitted to the Education Department by the deadlines.

Signature_______________________________________________________Date_______________________________

Submit Complete Applications to: Maniilaq Association Employment & Training P: (907) 442-7021 Fax: 1-866-832-9350 [email protected]

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MANIILAQ ASSOCIATION EMPLOYMENT & TRAINING HIGHER EDUCATION SCHOLARSHIP APPLICATION Privacy Act Notice (PL 93-579) The law requires every federal agency maintaining records about people to inform each person, from whom information is obtained, about the nature and purpose of the record. This includes employment and vocational training records maintained by the Maniilaq Association Higher Education and Career Development Department, as we have contracts with the U.S. Department of the Interior, Bureau of Indian Affairs; the U.S. Department of Labor, Division of Indian and Native American Programs; and the Department of Health and Human Services, Administration for Children and Families. The purpose of the forms and questions asked of you is to enable us to organize, staff and provide comprehensive employment and vocational training services to the people we serve. In most instances you may choose not to answer the questions if you so desire, without risk to your rights and entitlements. However, by giving the information requested of you, we will be able to carry out our responsibilities to you more effectively, and render better services. Information provided by you is held in confidence, and is only available to Maniilaq employees who have a need to know in the performance of their duties. In addition, certain data may be provided to local, state, federal, and other health and welfare facilities and agencies on a need-to-know basis for continuation of services, to provide for a proper evaluation of your case file and for reporting as required by the aforementioned federal agencies. Data may also be made available to approved accreditation agencies and performance standard review organizations for evaluation of our system; to authorized research personnel with an approved research protocol when no personal identification data is included, and to the Department of Justice or other law enforcement agencies. I CERTIFY THAT I UNDERSTAND THE AUTHORITY BY WHICH INFORMATION IS ASKED OF ME, AND THE PURPOSE AND USE TO WHICH THAT INFORMATION WILL BE PUT, AND THAT PROVIDING ANY INFORMATION IS VOLUNTARY ON MY PART.

_____________________________________________

Printed Name of Applicant

____________________________________________ Signature

_____________________________________________

____________________________________________

Social Security Number

Date of Applicant Signature Authorization for Release of Information

I, _____________________________________________________, hereby authorize the release of information requested by the Tribal Government Services, Employment & Training Program. The requested information shall be used solely in the administration of Employment & Training and will not be release to any other person or agency outside the Employment & Training Program or its agents. I hereby authorize the Employment & Program Services to obtain and exchange information related to my applications to participate in their programs. And, to arrange for such participations based on my employability assessment and plan to employment related services and activities. This release of information shall be in effect while I am an applicant or recipient of Employment & Training benefits. Persons or organizations that may be contacted include, but are not limited to: the Department of Law, the Department of Public Safety, the Department of Fish & Game, the Department of Labor, the Department of Military Affairs, Alaska State Housing Authority, Social Security Administration, local and tribal governments, public assistance program contractors, stock and grantees, Health Care Providers, Tax Assessors, Financial Institutions, Native Corporations, Stock Brokerage Firms, Landlords, Employers, School Authorities, private individuals and all departments and programs within and administered by the Tribal Government Services.

_____________________________________________

Applicant Signature Submit Complete Applications to: Maniilaq Association Employment & Training P: (907) 442-7021 Fax: 1-866-832-9350 [email protected]

____________________________________________

Date of Applicant Signature

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MANIILAQ ASSOCIATION EMPLOYMENT & TRAINING HIGHER EDUCATION SCHOLARSHIP APPLICATION INDIVIDUAL SELF-SUFFICIENCY PLAN (ISP) Participant Name:

Date of Plan:

Are you currently employed? ___Yes ___No Highest grade completed:

Eligibility Review Date:

If yes, where?

How long?

Date graduated/received GED:

Date last attended school:

STEPS NEEDED TO ACHIEVE SELF-SUFFICIENCY Work Activities: Education/Training:  Employment: __Full-time__Part-time  High School Diploma  Job searching  GED  Volunteer Work Experience  ESL(English as a 2nd Language)  Job Sampling or Job Shadowing  Adult Vocational Training  On-the-job training  Literacy Improvement  Job Readiness  Employment Counseling  Other:__________________  Other:__________________

Other Activities:  Life Skills Instruction  Parenting Skills Workshop  Childcare Assistance  Child Support  Substance Abuse Assessment  Substance Abuse Treatment  Other:_________________

SELF-SUFFICIENCY ACTIVITY PLAN AND GOALS (CURRENT AND/OR FUTURE GOALS ONLY) GOAL #1

START DATE

DATE TO BE ACHIEVED

ACTUAL COMPLETION DATE

GOAL #2

START DATE

DATE TO BE ACHIEVED

ACTUAL COMPLETION DATE

GOAL #3

START DATE

DATE TO BE ACHIEVED

ACTUAL COMPLETION DATE

Step 1. Step 2. Step 3.

Step 1. Step 2. Step 3.

Step 1. Step 2. Step 3. I understand that the purpose of this Individual Self-Sufficiency Plan is to meet the goal of employment through specific action steps and I am required to follow the steps developed in the ISP. I must participate in work activities and/or other activities and referrals developed in this plan that will promote my self-sufficiency and failure to do so may constitute suspension from the Employment & Training Program for a period of 60 days, but not more the 90 days. I also understand that if there are any changes to be made that I will contact my Case Worker in a timely manner to ensure my success in the Employment & Training Program.

___________________________________ Signature of Applicant

Submit Complete Applications to: Maniilaq Association Employment & Training P: (907) 442-7021 Fax: 1-866-832-9350 [email protected]

________________ Date

______________________________ Employment & Training Staff

____________ Date

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MANIILAQ ASSOCIATION EMPLOYMENT & TRAINING HIGHER EDUCATION SCHOLARSHIP APPLICATION FINANCIAL AID PACKAGE/NEED SHEET Student fill out top portion Bottom portion to be filled out by school Financial Aid Officer Students Name: _____________________________ DOB: ____________SSN:______________________ Mailing Address ________________________Phone No._____________ Native Corp: __________________ College/University/Training Center __________________________________________________________ Mailing Address at school: ___________________________________________________________ Have you been accepted for admission? [ ] Yes [ ] No Major: ____________________________________ Credits Earned to Date: _____________ Credits registered for this term: ________________

I give _____________________________________________ permission to release the information in Name of College/University/Training

my financial aid academic files to the Maniilaq Employment & Training Program.

________________________________________________ Students Signature

________________________ Date

FAX THIS FORM TO YOUR SCHOOL Bottom portion to be filled out by school Financial Aid Officer COLLEGE / UNIVERSITY/TRAINING BUDGET: Comments: Tuition Fees Room Board Books Other (Specify) Total Budget

$ $ $ $ $ $ $

[ ] Student has not yet applied for financial aid. [ ] Need cannot be determined. [ ] Student’s application is incomplete & cannot be considered. [ ] Funds exhausted at institution. [ ] Freshman [ ] Sophmore [ ] Junior [ ] Senior [ ] Undergraduate

STUDENT RESOURCES AND INSTITUTION AWARDS:

Forecast for term beginning: _______________________and ending: ________________________ TYPE OF AID: FALL SPRING SUMMER TOTAL Alaska Student Loan Federal Loans/Direct Loans College Work Study Program PELL Grant SEOG Social Security Student and Parents Contribution Tribal Assistance/BIA Scholarships Tuition Exemption Veteran’s Benefits Other Scholarships, Endowment or Grants

Total Resources: $_________________ Unmet Need:

$________________

Financial Aid Officer Signature: _____________________________Date: ____________ Title_____________________________________ Phone_______________________ Submit Complete Applications to: Maniilaq Association Employment & Training P: (907) 442-7021 Fax: 1-866-832-9350 [email protected]

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