OISHS Application

Unique ID

2022 Oklahoma Indian Student Honor Society Application

Before you begin, make sure you are ready to provide the following: 1)Tribal Membership/CDIB/Title VI Form/Statement of Title VI eligibility, 2) Transcript showing umulative an unrounded, weighted or unweighted 3.9 GPA with transcript (official or unofficial) 3) List of Service and Leadership Activities 4) List of Indian Cultural Activities 5) $15.00 Application Fee. Please note that the fee is NON-REFUNDABLE. Credit card or purchase order payable to Oklahoma Council for Indian Education are the only acceptable forms of payment. In response to the COVID-19 pandemic, the Oklahoma Council for Indian Education will honor awardees virtually. Additional information will be sent with OISHS membership confirmations. If you experience any issues please contact [email protected] We are honored to have your nominations!

Which applies to you?(Required)

I am a school or tribal representative nominating one or more students.

I am a self-nominating student or parent.

Nominator Name(Required)

First Last

Nominator Title(Required)

Nominator Email(Required)

Nominator Phone Number(Required)

School Name(Required)

School Phone Number(Required)

School Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student Name(Required)

First Last

Student Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student Phone Number(Required)

Student E-mail(Required)

Tribal Affiliation(Required)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Upload copy of student's Title VI form, tribal ID, CDIB card, or letter certifying enrollment from Indian Education Director with official name and tribe listed. Each student should have their own tribal documentation(Required)

Drop files here or

Max. file size: 512 MB.

Unweighted or weighted cumulative Grade Point Average (GPA)(Required)

Transcript(Required)

Drop files here or

Max. file size: 512 MB.

Transcript can be official or unofficial

Grade Level(Required)

Service Leadership(Required)

Club engagement

Community service

Band participation

Sports participation

Church participation

Other

Please select all that apply for the 2020-2021 or 2021-2022 school year and enter a brief description. Because OCIE is aware of the impacts of the COVID-19 pandemic, virtual service leadership activities are permissible.

Describe in detail the student's involvement in each selected activity(Required)

Indian Cultural Activities(Required)

Please select all that apply for the 2020-2021 or 2021-2022 school year and enter a brief description. Because OCIE is aware of the impacts of the COVID-19 pandemic, virtual cultural participation activities are permissible.

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.(Required)

Is this student’s fourth year to be honored in the Oklahoma Indian Student Honor Society?(Required)

Yes

No

Should the student be selected for OISHS, do they consent to be recognized virtually on social media?(Required)

Yes

No

Please feel free to upload a photo or bitmoji for possible inclusion in a slideshow.

Max. file size: 512 MB.

This is the last student I'm nominating.

I'm nominating more students.

Nominated students

Student Name	Tribal Affiliation	Upload copy of student's Title VI form, tribal ID, CDIB card, or letter certifying enrollment from Indian Education Director with official name and tribe listed. Each student should have their own tribal documentation	Unweighted or weighted cumulative Grade Point Average (GPA)	Transcript	Grade Level	Service Leadership	Describe in detail the student's involvement in each selected activity	Indian Cultural Activities	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.	Is this student’s fourth year to be honored in the Oklahoma Indian Student Honor Society?	Should the student be selected for OISHS, do they consent to be recognized virtually on social media?	Please feel free to upload a photo or bitmoji for possible inclusion in a slideshow.	Actions

There are no Students.

Signature(Required)

Please check to be sure uploaded tribal and academic documents are correct and complete for each student. Submitting two copies of tribal documentation or academic documentation will disqualify a student. By signing this e-signature you certify that all of the above information is correct and complete.

Payment Information(Required)

I am paying by credit card.

I am paying by purchase order.

Total due: $15 x # of students. Please note that this amount is non-refundable.

OISHS Nomination(Required)

Price: $15.00

Total

IF PAYING BY CREDIT CARD - I have checked that the total price and quantity is correct.(Required)

Yes

N/A

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 [email protected]

Credit Card(Required)

Card Details

Cardholder Name

Almost there!

To submit your nomination(s) for the Oklahoma Indian Honor Society please click the submit button. An invoice will be e-mailed to you within 1-3 days. OCIE will review submissions and contact all applicants within 4-6 weeks. Should you have any questions, please contact [email protected] Thank you for your commitment to and advocacy for Indian education!

Unique ID

2022 OISHS Application

2022 Oklahoma Indian Student Honor Society Application

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