2015- Spring BIA/AVT GRANT APPLICATION
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1 BISHOP INDIAN EDUCATION CENTER Spring BIA/AVT GRANT APPLICATION Bishop Paiute Tribe Application Deadline: Thursday, December 18, 2014 Please include the following information in order for your application to be considered. Complete 2015-BIA/AVT Spring Application 2015-Spring Class Schedule Proof of Tribal Enrollment Signed Student Agreement 2015-Financial Needs Analysis Attach an essay describing your Educational Goals (400 Words minimum) Bishop Indian Education Center 50 Tu Su Lane. Bishop, CA Tel: (760) ~ Fax: (760)
2 BIA APPLICATION PROCESS AND GRANT PROCEDURES Student should apply for admittance to an accredited college or university while applying for grant assistance. Students are to be directed to the Financial Aid Office of the college they plan to attend, or are attending, to have their financial need evaluated. A student should request that an official financial needs analysis be forwarded to the Bishop Paiute Scholarship Committee, by one of the college s Financial Aid Officers. This analysis will include all sources of financial assistance, which are to be applied toward meeting the student s total need. The Bishop Paiute Scholarship Committee will review the official analysis and base the amount to be awarded on available funding. ANY INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED APPLICATION DEADLINES: Documents need to be complete and must be received no later than the established deadline dates. Spring Semester Thursday, December 18, ) ELIGIBILITY REQUIREMENTS: BIA Grants are available to full-time students that are enrolled or accepted for enrollment, in an accredited college or university and demonstrate financial need. 2) UNIVERSITIES AND COLLEGES: The college or university a student elects to attend must be accredited by a nationally recognized accrediting agency, or be an institution whose credits are accepted on transfer by not fewer than three institutions that are accredited by a nationally recognized accrediting agency. 3) REQUIRED APPLICATION DOCUMENTS: Students must have a completed BIA grant application, by the deadline, to be considered for the semester. After all application documents are submitted, an acknowledgement letter will be mailed to the student notifying them if their application status. It is the student s responsibility to provide all of the documents needed to complete their application by the stated deadline. A complete application package must include: a.) A Complete BIA Grant Application. b.) A Complete FAFSA Application (Used To Determine the Student s Financial Need). c.) Current Tribal Enrollment Resolution/Verification. d.) High School Transcripts or GED, For First Time Students. e.) Official Financial Needs Analysis; Form provided and is to be completed by the financial aid office. f.) Current College Schedule and Final Grades from the Last Semester Completed, if applicable.
3 4) REASONS FOR DENIAL OF GRANT: a.) Application not submitted by the grant application deadline. b.) Incomplete application (missing information, transcripts, etc.) c.) Student not attending school, dropped out, or did not register. d.) Student is in default with school s Financial Aid Office or the Bishop Paiute Tribal Scholarship Program. 5) CONDITIONS FOR CONTINUATION OF GRANT: Students receiving grants must maintain acceptable academic standing at their college or university; maintain social conduct within the policies and rules of the institution attended, demonstrate satisfactory progress toward degree requirements and successfully complete the school year, or grant period, specified by the college. Grade reports of each student are to be reviewed at the end of each semester. Students earning less than a 2.0 GPA may be continued on a probationary basis, providing the college recommends their continuance. The recipient shall agree to the following conditions set forth by signing and dating this application form. a.) Student shall submit a new application each year. b.) Student shall submit their grades from their last semester attended. c.) Student shall be responsible for keeping the Bishop Paiute Scholarship Committee informed of his/her status once he/she has entered college. A change of address, change of income, intent to transfer to another institution, and academic progress shall be made known as soon as possible to the Student Services Coordinator. All changes must be made in writing for documentation. d.) A new Financial Needs Analysis must be submitted every year. 6) ACADEMIC PROBATION PROCEDURES: Students currently receiving funding will be put on probation IF one, or more, of the following events occur. a.) Student s G.P.A springs below the minimum 2.0 requirement. b.) Students who withdraw to less than full-time status (12 units), or under the full-time credit requirement of the institution attended. c.) Special circumstances may be considered but they must be submitted in writing to the Bishop Paiute Scholarship Committee. For Further Assistance, Please Contact Bishop Indian Education Center C/o Student Services Coordinator 50 Tu Su Lane. Bishop, CA Tel: (760) Fax: (760) tribal.scholarship@bishoppaiute.org Date Received: / / By:
4 BIA HIGHER EDUCATION & ADULT VOCATIONAL TRAINING BIA/AVT SCHOLARSHIP APPLICATION DEADLINE TO APPLY: THURSDAY, DECEMBER 18, 2014 CHECK ONE: Reapplying New Applicant TYPE OF ASSISTANCE REQUESTING: Higher Education Adult Vocational Training TRIBAL ENROLLMENT NO. # PERSONAL INFORMATION Name: SSN: Last First Maiden Address: Street City State Zip Code Apt. # Parents Names: Phone: DOB: / / Sex: Female Male Marital Status: Single Married Divorced Separated Number of Dependents: Are you a High School graduate? YES NO If no, have you received a GED? YES NO High School attended: Year obtained diploma or GED: HIGHER EDUCATION/ADULT VOCATIONAL TRAINING INFORMATION Student Status: Full-time Part-time Credit hours: Expected Graduation Date: Name and Address of College Selected: College Major: # of Semesters Earned: Expected degree: AA BA BS MA other: Year in College: Freshman Sophomore Junior Senior Graduate BIA GRANT INFORMATION Have you received a BIA Grant Before? YES NO If yes, what year? STATEMENT OF EDUCATIONAL PURPOSE: I declare that I will use any funds I receive from this grant solely for expenses connected with my education at: Name of Institution Privacy Act and Paperwork Reduction Act Statement 1. The authority for solicitation of the information on this form is 25 U.S.C. 13 (42 Stat. 208) and P.L (70 Stat.986) as amended by P.L (77 Stat. 471, 25 U.S.C.). 2. Disclosure of the requested information by the applicant is voluntary, but required to obtain benefit. 3. The purpose of this information collection is to determine your eligibility for services. 4. The routine use of this information is by the Bishop Paiute Scholarship Committee, and its personnel, and school counselors to evaluate your request and to assist you before and during your academic career. The application will be used in a routine manner by counselors working with you who need background information and by those people involved in financial control who need budgeting information contained in this application. 5. I certify that the above information on this form in true and correct to the best of my knowledge and consent to the release of this information to necessary agencies to complete my financial aid package. 6. Failure to provide requested information may result in a delay, or denial, in receiving the funding or assistance you are seeking. Signature of Student: Date:
5 ACADEMIC SCHOOL YEAR 2014/15 BISHOP PAIUTE TRIBE SCHOLARSHIP COMMITTEE BISHOP PAIUTE TRIBAL SCHOLARSHIP COMMITTEE STUDENT AGREEMENT All students must read, sign and date this document before receiving any funding. By signing this document and by my acceptance of any scholarship award/funding, I am acknowledging my responsibility to comply with the following terms. I understand that I must be enrolled as a full-time student (12 units or more) Official institution verification of Full-time status for the spring semester must accompany this application. Completion of less than full-time during the spring session will result in probation penalties and/or repayment of monies as stipulated by the Scholarship Committee I agree to immediately notify the Student Services Coordinator of any circumstances that cause any changes in my academic standing or status. Notification must be submitted in writing and within 10 days of those changes. I agree to submit my semester grades and class schedules as requested for each funding cycle. I agree to complete an information release form with the college or institution that I attend to enable the Student Services Coordinator and/or the Education Director to monitor/verify my attendance status and assist me if necessary. I agree that the Scholarship Committee has my consent to use my name for information related to the scholarship for various media use such as local, state, national, and internet recognition as deemed appropriate by the scholarship committee. I understand that I ll need to complete a Community Service Project. I understand if any penalty/repayment of scholarship monies are assessed upon me, that a repayment plan will be established by the Scholarship Committee and failure to adhere to the plan, may result in retention of 100% of per capita/tribal distribution monies. Until repayment of scholarship received is paid in full. Please refer to the Bishop Paiute Tribal Scholarship Policies and Procedures for further stipulations and guidelines. I have read and understand the terms and conditions as stated above. I understand that false or incomplete information submitted by me, or on my behalf, or failure to adhere to the terms of this award in any way may result in the cancellation of my scholarship award and repayment of any funds as determined by the scholarship committee. Student Signature: Date:
6 BISHOP PAIUTE TRIBE FINANCIAL NEEDS ANALYSIS FORM School Year Part A TO BE COMPLETED BY APPLICANT: Name: SSN: Last First Middle Maiden Address: Telephone: Street City State Zip Code Student is residing at: On Campus Off Campus With Parents other: Marital Status: Single Married Divorced Separated Number of Dependents: Part B TO BE COMPLETED BY FINANCIAL AID OFFICER: The above student has applied for a Bishop Paiute Tribe/BIA Grant. The student is required to apply for college related aid: Pell Grant, state grants and all other funding sources that are available. Verified financial need information is needed through your office before the Bishop Paiute Scholarship Committee can take action on this application. Thank you for your assistance. College/Vocational Major: Student Status: Full-time Part-time Credit hours: Year in College: Freshman Sophomore Junior Senior Graduate Student is considered: Dependent: Academic Year: 20 Independent: Part C Budget: TO BE COMPLETED BY FINANCIAL AID OFFICER: Aid/Resources - Original Request - Supplemental Request: Tuition/Fees: $ Pell Grant: $ $ Room/Board: $ WS: $ $ Books/Supplies: $ GSL: $ $ Transportation: $ Perkins Loan: $ $ Personal Child Care: $ Cal Grant: $ $ Other: $ SEOG: $ $ TOTAL EXPENSES: $ EOP&S: $ $ VA: $ $ BEOG: $ $ Personal: $ $ Family: $ $ Other: $ $ Recommended BPSC: $ $ TOTAL RESOURCES: $ $ I certify that the above information to be in accordance with the established rules and regulations for determining financial need and resources as ordered by existing Federal Manuals and the institution administering Federal and State Aid Programs. College Name: Telephone Number: Address: Street City State Zip Code I accept this Financial Aid Package as shown and give my permission for the Financial Aid Officer to release any information to the Bishop Paiute Scholarship Committee and personnel. I understand and agree that the funds budgeted to me by the Bishop Paiute Tribe can only be used toward educational expenses. I agree to comply with the following conditions. 1. I will notify the Financial Aid Officer and the Bishop Paiute Scholarship Committee and/or the Student Services Coordinator, if I withdraw from school at any time during the current academic year. 2. I will return my unused portion of my grant to the Bishop Paiute Tribe upon withdrawal from school. 3. I will assure that an official transcript of my college records will be forwarded to the Bishop Paiute Scholarship Committee. 4. I will maintain a minimum of 12 units with a grade point average of not less then 2.0 for each semester. Failure to do so will be cause for termination of my Bishop Paiute Tribal award. 5. I will adhere to the terms in the signed Student Agreement It is necessary to reapply for the Bishop Paiute Tribe s BIA Grant Program each academic year or when transferring to a different school. I authorize the school to release grades, financial information and class schedules to the Bishop Paiute Scholarship Committee and its personnel. The Financial Needs Analysis form needs to be complete and returned to the: Student Services Coordinator 50 Tu Su Lane. Bishop, CA Name of the Financial Aid Officer Signature Telephone Number Date Name of Student Signature Telephone Number Date
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