OISHS Application | Oklahoma Council for Indian Education

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Which applies to you?
- I am a school or tribal representative nominating one or more students.
- I am a self-nominating student or parent.

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Who are you nominating on behalf of?
- Tribe
- School
Nominator Name
First Last
Nominator Title
Nominator Email
Enter Email Confirm Email
Nominator Phone Number
Nominator Address
Street Address Address Line 2 City State ZIP Code
School Name
School Phone Number
School Address
Street Address Address Line 2 City State ZIP Code
Nominating Tribe

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Student

Student Name	Student Address	Student Phone Number	Student Email	Parent/Guardian Name	Parent/Guardian Email	Tribal Affiliation	Tribal Affiliation Form	Unweighted, Cumulative Grade Point Average (GPA)	Student Transcript	Grade Level	Service Leadership	Indian Cultural Activities	If "Other" please describe	Actions
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Student Name
First Last
Student Address
Street Address Address Line 2 City State ZIP Code
Student Phone Number
Student Email
Enter Email Confirm Email
School Name
School Phone Number
School Address
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Name
First Last
Parent/Guardian Email
Enter Email Confirm Email
Tribal Affiliation
Upload copy of student’s Title VI form, tribal ID, CDIB card, or letter certifying enrollment from Indian Education Director.
Accepted file types: jpg, gif, png, pdf.
Unweighted, Cumulative Grade Point Average (GPA)
Upload copy of transcript (can be official or unofficial)
Accepted file types: jpg, gif, png, pdf.
Grade Level
Service Leadership
Please list and describe all service leadership involvement (e.g. club engagement, church participation, community service, etc.).
Indian Cultural Activities
- Tribal Youth Advisory Board
- Tribal activities (e.g. "Trail of Tears" Bike Ride or Walk)
- Powwow/Festival Attendance/Participation
- Tribal Stomp Dances or Social Dances Attendance/Participation
- Indian Education Summer Programs Participation
- Tribal Enrichment Programs
- Assisted with Tribal Program/Event (e.g. decorating, setting up, or volunteering for tribal event)
- Tribal language course participation
- Tribal Youth Camp attendance
- Tribal Youth Leadership Programs (e.g. Potawatomi Leadership Program)
- Dance Presenter
- Native American Club Participation
- United National Indian Tribal Youth (UNITY) Member
- Indian/Tribal Challenge Bowl (e.g. Oklahoma Indian Challenge Bowl, MCN Challenge Bowl, Chickasaw Challenge Bowl)
- Johnson O’Malley Cultural Activity Participation (e.g. drum-making, beading, etc.)
- Title VI Cultural Activity Participation (e.g. drum-making, beading, etc.)
- Indian Storytelling Activities
- Tribal Museum/Exhibit Attendance
- Oklahoma Council for Indian Education cultural activity
- Eagle Aviary Visit
- Tribal Ceremonial Participation (e.g. sweatlodge, drum group, etc.)
- Other
If "Other" please describe
Describe in detail the student’s involvement in each selected activity. Please be aware that solely signing up for Title VI or JOM will not qualify a student for selection.

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Nominator E-signature: I certify that all of the above information is correct and complete. (type name in box)

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Student Registrations
Price: $ 15.00
Student Registration
Price: $ 15.00
How are you paying?
- Credit Card
- Purchase Order
Purchase order number
If you do not have the purchase order number available at this time, please email the information when you have it to NEW OCIE EMAIL ADDRESS.
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

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[email protected]

P.O. Box 2217

Sapulpa, OK

74067

Student Name
First Last
Student Address
Street Address Address Line 2 City State ZIP Code
Student Phone Number
Student Email
Enter Email Confirm Email
School Name
School Phone Number
School Address
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Name
First Last
Parent/Guardian Email
Enter Email Confirm Email
Tribal Affiliation
Tribal Affiliation Form
Upload copy of student’s Title VI form, tribal ID, CDIB card, or letter certifying enrollment from Indian Education Director.
Accepted file types: jpg, gif, png, pdf.
Unweighted, Cumulative Grade Point Average (GPA)
Student Transcript
Please upload an official or unofficial copy of student transcript showing 3.9 or higher unweighted GPA.
Accepted file types: jpg, gif, png, pdf.
Grade Level
Service Leadership
Please list and describe all service leadership involvement (e.g. club engagement, church participation, community service, etc.).
Indian Cultural Activities
Please be aware that solely signing up for Title VI or JOM will not qualify a student for selection.
- Tribal Youth Advisory Board
- Tribal activities (e.g. "Trail of Tears" Bike Ride or Walk)
- Powwow/Festival Attendance/Participation
- Tribal Stomp Dances or Social Dances Attendance/Participation
- Indian Education Summer Programs Participation
- Tribal Enrichment Programs
- Assisted with Tribal Program/Event (e.g. decorating, setting up, or volunteering for tribal event)
- Tribal language course participation
- Tribal Youth Camp attendance
- Tribal Youth Leadership Programs (e.g. Potawatomi Leadership Program)
- Dance Presenter
- Native American Club Participation
- United National Indian Tribal Youth (UNITY) Member
- Indian/Tribal Challenge Bowl (e.g. Oklahoma Indian Challenge Bowl, MCN Challenge Bowl, Chickasaw Challenge Bowl)
- Johnson O’Malley Cultural Activity Participation (e.g. drum-making, beading, etc.)
- Title VI Cultural Activity Participation (e.g. drum-making, beading, etc.)
- Indian Storytelling Activities
- Tribal Museum/Exhibit Attendance
- Oklahoma Council for Indian Education cultural activity
- Eagle Aviary Visit
- Tribal Ceremonial Participation (e.g. sweatlodge, drum group, etc.)
- Other
Please Describe Tribal Youth Advisory Board
Please Describe Tribal activities (e.g. "Trail of Tears" Bike Ride or Walk)
If "Other" please describe