K-12 Education Assistance

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K-12 Education Assistance Goal and Purpose- To assist with costs related to school clothes/supplies, extracurricular, recreational and educational activities for tribal member youth.

Eligibility for K-12 Education Assistance Program:

1. Must Be an Enrolled Tribal Member

2. Assistance payment shall not exceed $800.00 per calendar year (School clothes/supplies shall not exceed $400) (Jan-Dec).

3. Student must have a 2.0 GPA or higher (excludes school clothes/supplies or graduation expenses)

Documentation:

Report Card -(excludes school clothes/supplies or graduation expenses)

Backup Documentation -Informational fliers, copy of registration/application form for upcoming event, Receipts, etc.

School Clothes/supplies – $400 yearly that can be spent on clothes and/or supplies, You must turn in your receipts to the tribe or you will be subject to our tribal repayment policy.

Vendor Form (attached) – Must be completed with Name, Address and amount owed to each vendor. If the check is being made out to a parent, please put your information.

If the documentation is not attached, we will not be able to process your assistance.

ENTERPRISE RANCHERIA

2133 Monte Vista Ave.

Oroville, CA 95966

Phone: (530) 532-9214 Fax: (530) 532-1768

K-12 Education Assistance Program

Student Information

Name of Student(Required)

Date of Birth(Required)

Name of Parent / Guardian(Required)

Parent / Guardian Phone(Required)

Address(Required)

Enrollment Number

Name of School(Required)

Grade in School(Required)

School Phone

Address of School

Please Describe Your Request(Required)

Required Documentation

Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 64 MB.

Signature

Typed Signature(Required)

Signature Date(Required)

Vendor 1

Vendor 1 Name

Vendor 1 Address

Vendor 1 City, State & Zip

Vendor 1 Amount Due

Vendor 2

Vendor 2 Name

Vendor 2 Address

Vendor 2 City, State & Zip

Vendor 2 Amount Due

Vendor 3

Vendor 3 Name

Vendor 3 Address

Vendor 3 City, State & Zip

Vendor 3 Amount Due

Vendor 4

Vendor 4 Name

Vendor 4 Address

Vendor 4 City, State & Zip

Vendor 4 Amount Due

Vendor 5

Vendor 5 Name

Vendor 5 Address

Vendor 5 City, State & Zip

Vendor 5 Amount Due

K-12 Education Assistance