Summer College Scholarship Application This application applies to summer school funding ONLY

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COMANCHE NATION OFFICE OF HIGHER EDUCATION Summer College Scholarship Application This application applies to summer school funding ONLY P.O. Box 908 Lawton, OK 73502 Phone: (580) 492-3363 Fax: (580) 699-7242 Toll-Free (877) 703-2288 highered@comanchenation.com page 1 of 7

Summer School Guidelines and Requirements The Comanche Nation Higher Education () Scholarship is designed to assist students who are seeking an undergraduate or a graduate degree from a college/university. For summer scholarship assistance, graduates and seniors will be given first priority and are dependent on funds available, however, all Comanche students are encouraged to apply. The deadline to turn in the summer school application is April 1 st. The summer scholarship is provided on a first-come, first-served basis. This summer scholarship is a separate application from the annual school year application. This application only applies to summer school funding ONLY. All documentation must be submitted before funding is released. Eligibility Requirements Must provide proof of tribal membership (Comanche Tribal Enrollment Verification Form) Must be admitted for enrollment to an accredited institution of higher education Students Students approved and receiving scholarship assistance from the Comanche Nation Higher Education must maintain an acceptable academic standing and social conduct within the policies and rules of the college/university they are attending. Full-time students are required to carry a minimum of 6 hours for the summer session and earn a 2.00 Grade Point Average (GPA). Students must get prior approval from before withdrawing from any class. Students with complete applications will be notified by letter of the approval or denial of their scholarship in May. A copy of your award letter will also be sent to the college Financial Aid Office. Students are personally responsible for their own housing arrangements, deposits or fees that are required for admission purposes. Therefore, make sure you have made arrangements for your deposits/fees before school begins. Student information given to the is considered confidential. This means the staff cannot disclose or give access to any information given to the department without written consent from the applicant. The FERPA form is designed to give access to parties in which the student may give permission to the staff to designate specific information to be released on the students behalf. Students can complete and sign this (FERPA) form and to designate the type of information they want to release to specific individuals that are listed on the form. If a student does not have a FERPA form signed, dated and designated for specifics, no information will be released from the office. After the summer semester, students are required to send their official transcript before funds can be released for the fall semester. Probation or Suspension Guidelines A students will be placed on probation when: o A student earns less hours than the number of hours they were funded for or o A students GPA is below a 2.00 o Students have one semester to either pass with a 2.00 GPA or greater for the number of hours they were funded of the semester they became on probation. o For example, if you did not pass 12 hours in the Fall then you would be put on probation for the Spring semester. During the Spring semester you must pass 12 hours or more with at least a 2.00 GPA for all courses taken. If you do not pass the 12 hours you will be placed on suspension from the scholarship program. o Students must meet the requirement of the scholarship by the end of the probationary period or the student will be suspended from the scholarship. A student placed on suspension is required to go through a reinstatement process to be eligible to receive financial assistance from the Scholarship. o To be reinstated to the program after suspension, a student must earn at least 12 credit hours with a 2:00 GPA or higher on their own without tribal assistance. page 2 of 7

Comanche Nation 2018 Summer Scholarship Application Total credit hours student expects to take: Full-time: Part-time: Name of University/College for Summer Session: Name: Other names used: Address: City State Zip Home Phone: Cell: Email: SSN: DOB: Tribal Roll # Have you ever received assistance from the Comanche Nation Office of Higher Education? r Yes r No If yes, when? Current academic year: r 1 r 2 r 3 r 4 r 5 If you are a graduate student what year? r 1 r 2 r 3 r 4 Major: Minor: r Undecided major Type of Degree you expect to receive: r Associate r Bachelor r Graduate Credit hours you expect to take for summer session: Expected graduation: Year Month Please carefully read, sign and date ALL 3 of the following statements: The information contained in this application is correct and true to the best of my knowledge. I understand that any scholarship/grant awards I receive are subject to nullification if I withdraw from classes or fail to maintain the required Grade Point Average (GPA) of 2.00. Signature Date I have read the Guideline and Requirements and understand the contents of the policies and do hereby agree to abide by all items listed. Signature Date Privacy Statement: The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. 1232g; 34 CFR Part 99) is a Federal law that protects the privacy of student education records. The law applies to recipients that receive Federal funding for educational purposes. These rights transfer to the student when he or she reaches the age of 18 or attends a school beyond the high school level. In accordance with this, Comanche Nation Office of Higher Education will discuss student information with the student applying for assistance ONLY. I have read the Privacy Statement and understand the contents and do hereby agree to abide by all items listed. Signature Date page 3 of 7

UUUU Scholarship Disclaimer UUUU The Comanche Nation Summer School Higher Education Scholarship is provided on a firstcome first-serve basis. Funding will NOT be provided unless the following criteria are met: 1. A completed application with all required documents must be in the student s file: Application completed, signed and dated CDIB Certificate of Indian blood verifying Comanche blood certified by the Comanche Nation enrollment office Transcript Official only Letter of Admission Official admittance to an accredited, post-secondary institutions by one of the regional agencies recognized by the Comanche Nation (for new admissions only) Letter of Intent A personal letter stating why you want to attend college (signature and dated) Enrollment Verification Submit a class enrollment schedule provided by the school of the semester you are requesting funding, showing the name of the school, student name, classes, and total credit hours. (Funding will not be released until our office receives this documentation) Scholarship Disclaimer signed and dated FERPA Federal Educational Rights Privacy Act (optional- this Federal form must be signed/dated each year when someone other than the student makes an inquiry about the students scholarship. The student must designate the person(s) and the type of information that can be released) 2. It is the student s responsibility to follow-up and ensure documentation was received by the Higher Education Office. Contact our office via: Email: highered@comanchenation.com Phone: (580) 492-3363 Fax: (580) 492-4017 3. The deadline dates are as follows: Applications received after deadline will NOT be funded. Summer April 1 (dependent on funds available) I have read and agree to the terms of this disclaimer and guidelines of Scholarship Application. I understand this scholarship is provided on a first-come first-served basis and all documentation must be submitted before funding is released. I understand that I must follow all scholarship guidelines or I could be placed on probation or suspension from the Scholarship. Print Name Signature Date page 4 of 7

Certificate of Degree of Indian Blood (CDIB) Request Form Dear STUDENT: To complete your CDIB requirement, please fill out this form AND provide a copy of your CDIB card. Please fill out to the best of your knowledge, sign, and send form to: COMANCHE NATION ENROLLMENT OFFICE P.O. BOX 908 LAWTON, OK 73502 OR You may submit your form to our office and we will forward this form to the Office of Enrollment. The Comanche Nation Office of Higher Education is requesting a CDIB for all students applying for scholarships. The following information is herewith submitted: NAME: ROLL #: ADDRESS: CITY: STATE: ZIP: DOB: SSN: SPOUSE S NAME: FATHER S NAME: MOTHER S NAME: ROLL: ROLL: ROLL: MOTHER S MAIDEN NAME: SIGNATURE: DATE: FOR ENROLLMENT OFFICE USE ONLY: Please sign to verify the information provided is true and correct. Thank you. SIGNATURE: DATE: page 5 of 7

PRIVACY STATEMENT The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. 1232g; 34 CFT Part 99) is a Federal law that protects the privacy of the student education records. The law applies to recipients that receive Federal funding for educational purposes. These rights transfer to the student when he or she reaches the age of 18 or attends a school beyond the high school level. In accordance with the FERPA Law: The Comanche Nation Higher Education will discuss information with the student applying for assistance only. Please read The Family Educational Rights and Privacy Act (FERPA) law and sign the privacy statement located at the bottom of the Comanche Nation Scholarship Application. page 6 of 7

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