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Once the completed application package and non-refundable $50 application fee is received and it is determined that you are eligible, you will be contacted.

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* 1. English Name - First/Last:

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* 2. Date of Birth

Date

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* 3. Email Address:

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* 4. Phone Number:

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* 5. Address:

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* 7. Home Community

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* 8. Onkwehonwehnéha Name:

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* 9. What is your Clan?

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* 10. Previous formal language education:

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* 11. Level of education completed (check all that apply):

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* 12. This is a 2 year commitment. Are you able to commit to regular attendance?

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* 13. If no, please provide a brief explanation of commitment conflict(s):

INSTRUCTIONS for document submission, PDFs are preferred:

**PLEASE NAME YOUR DOCUMENTS as per example below! **.

EXAMPLE:
Your Name_Essay.pdf
Your Name_Reference1.pdf
Your Name_Reference2.pdf

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* 14. Essay:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 15. Reference 1:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 16. Reference 2:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 17. *I certify that all statements on the application are true.

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