AIGC All Native American High School Academic Team

AY 2012-2013 Application
3701 San Mateo Blvd. NE #200 | Albuquerque, New Mexico 87110 | (505) 881-4584 | fax (505) 884-0427 | www.aigcs.org

The AIGC All Native American High School Academic Team (ANAHSAT) honors ten American Indian and Alaska Native high school seniors each year. Students who have outstanding academic achievements, leadership in school, civic and extracurricular activities, and motivation to serve and succeed should apply. To be considered for the AIGC ANAHSAT, an applicant must: Be an enrolled member of a United States federally recognized American Indian or Alaska Native group; Have attained an outstanding academic record; Have attained a cumulative high school GPA of 3.3 on an unweighted 4.0 scale; Have demonstrated leadership and community service activities; Be enrolling at an accredited college or university as a full time degree seeking undergraduate student in the 2012 Fall term; and Be a high school senior at time of application.

Application Process: Materials to be submitted with your application: Tribal Eligibility Certificate form (attached); High School Transcript with unweighted GPA based on a 4.0 scale; One Nomination Letter: Each applicant must be nominated by an adult. The nominator should describe a project in which the student played a significant role and note how the student contributed to the success of the project. The nomination should be a minimum of 500 words. The nominator may be an educator, school administrator or a community member, and may not be a family member; One Recommendation letter: The recommender is required to submit a letter describing the students academic achievements and demonstrated leadership. The recommendation should be a minimum of 500 words and may not be a family member; Admission letter from the university you are intending to attend in the fall (if available). Award: Members of the ANAHSAT will receive a $250 honorarium and will be featured in the American Indian Graduate magazine and Indian Country Today. Notification of Award/Denial: All applicants are notified by mail of award or denial. No information will be given over the phone. If awarded, you will receive a packet in the mail with information regarding the All Native American High School Academic Team. Please make sure AIGC has updated contact information. The deadline to submit these materials is April 4, 2012: We recommend that you contact AIGC prior to the deadlines to confirm that all application documents have been received. We suggest that you mail application materials Certified/Return Receipt or Overnight Delivery. Omission of any of the required documents will render the application incomplete.

Deadline: April 4, 2012

Academic Year 2012-2013

AIGC All Native American High School Academic Team Application

Deadline: April 4, 2012
1. Personal Information To be completed by student

Name: ___________________________________________________________________________________
Last Name First Name MI

Home Address:__________________________________________________________________________________
PO Box/Street Address City State Zip

Gender ( ) Male (

) Female

Social Security Number ___________- _________- ___________

Home Phone: ___________________________________Cell Phone: ________________________________ E-mail: ________________________________________Tribal Affiliation: ___________________________ 2. Education High School currently attending: __________________________________ City/State: __________________ Unweighted GPA: _________________ SAT Score: ________________ACT Composite: _______________ 3. Undergraduate Information University/college you are planning to attend Fall 2012 (include city and state): __________________________________________________________________________________________ Major: _________________________________________ Degree: _____________ Grad Date: ___________

4. Education, Honors and Awards, Leadership, and Community Service Topics (please use additional pages to complete the following sections). When referring to awards and organizations, use complete names rather than acronyms. Do not send a resume. Education List all College Preparatory and/or Advanced Placement courses (if any).

Honors and awards List honors and awards received for 10th, 11th and 12th grades. Please list dates and type of award including a description of activities (international, tribal, national, regional, school).

Leadership List leadership roles and positions held in school, community, and employment Give a brief explanation of your role and duties. List the name or organization the role was affiliated with, the date, the position held/role, and a description of each role/position.

Community Service List any unpaid volunteer work or community service activities. Include the total number of hours, the name of the organization, and a brief description of your activities.

5. Essay Question: What is your most outstanding intellectual endeavor? In 1,000 words or less, write an essay about your most outstanding intellectual endeavor. This endeavor can include scholarly research, the arts, journalism, public affairs, or community service. Please explain how this endeavor is significant or a potential benefit to society. If you are writing about a group project, be specific about the role you played and how much initiative you took. The judges will consider originality of the endeavor, level of difficulty required to complete the task, potential or actual result of the endeavor and its significance to society. Please type and double-space the essay, using 12-point font. Supplemental materials such as CDs, photos, scrapbooks, newspapers clippings, etc. will not be accepted.

This information I have submitted is true to the best of my knowledge. I acknowledge that if any of the contents of this form are untrue or if I engage in activities inconsistent with being help up nationally as an outstanding student; I could be disqualified even after notification. I give the American Indian Graduate Center permission to use my responses and/or photo needed for promotional purposes.

Signature of Student: ___________________________________________Date: _______________________

Applications Must Be Submitted By April 4, 2012

Mail Applications to: American Indian Graduate Center Attn: All Native American HS Academic Team 3701 San Mateo Blvd. NE #200 Albuquerque, NM 87110

Mail TEC form to: Accenture American Indian Scholarship Program 3701 San Mateo Blvd. NE #200 Albuquerque, New Mexico 87110 Telephone: 505-881-4584 | Fax: (505) 884-0427

Academic Year 2012-2013

Tribal Eligibility Certificate (TEC)

To be eligible for assistance an applicant: Must be an enrolled member of a federally recognized American Indian tribe or Alaska Native group in the United States, or provide documentation of ancestry to possession of degree Indian blood of a federally recognized tribe. Complete this section and send to your Tribal Enrollment Office or USDIBureau of Indian Affairs Agency. A certificate forwarded by the applicant is NOT VALID. Copies of your Certificate of Indian Blood (CIB) or any other documents are NOT ACCEPTED as verification. AIGC will accept a faxed Tribal Eligibility Certificate to meet the deadline, but the original must be forwarded to our office. SSN: ____________________Last Name: ___________________________ First Name: __________________________ MI ____ Former Name(s): __________________________________Date of Birth: _______________________ Gender: Male Female

Parents Name(s): ________________________________________________Place of Birth: ________________________________ Current Mailing Address: _____________________________________________________________________________________ PO Box/Street Address State City Zip I hereby authorize my tribal office/BIA agency to release my tribal information to the American Indian Graduate Center, Inc.. Applicants Signature: _____________________________________________________Date: _____________________________

**** To be completed by Tribal or Bureau of Indian Affairs (BIA) Enrollment Office ****
The above named student is applying to the American Indian Graduate Center (AIGC), for a graduate fellowship. AIGC is requesting verification of tribal enrollment from your office. The original form must be completed and mailed directly to our office. This documentation must be received by April 4, 2012, and can be faxed to meet the application deadline for the AY 2012-2013. If faxing this form, please forward the original to our office. AIGC reserves the right to validate all enrollments. Name of Tribe: Is this tribe U.S. Federally Recognized? Yes or No Applicant is an enrolled member (check here) Degree of Indian Blood: __________________ Enrollment Number: _____________________ Applicant is a descendant of an enrolled member (check here) Degree of Indian Blood: ________________________ Please include any and all documentation.

Enrollment Officers Signature: Title:

Date: Telephone: Ext. To the Tribal or BIA Office: Please sign and date this form. Not doing so may jeopardize student(s) eligibility. Mail this form directly to the AIGC office at the above address. Thank you. Date Received: Approval: Valid

Email: For AIGC Use Only:

Invalid

Date Approved: Date Postcard Sent

Deadline: April 4, 2012