We are excited to create a coloring book that highlights the stories of Native college students and their amazing journeys. Your experiences and wisdom can inspire young children and show them the limitless possibilities for their futures.
Please note: This book is for young children, so please consider their reading level when sharing your story.

Question Title

* 1. Full Name

Question Title

* 2. Tribal Affiliation

Question Title

* 3. Degree/Training/Career (with a short explanation)

Question Title

* 4. What inspired you to pick this journey?

Question Title

* 5. What impact do you hope to have?

Question Title

* 6. Please share some words of encouragement or affirmations for Native youth.

Question Title

* 7. Please upload symbols or images that represent you or your tribe.

Question Title

* 8. Please upload symbols or images that represent you or your tribe.

Question Title

* 9. Please upload symbols or images that represent you or your tribe.

Media Release Agreement:

By typing your name below, you authorize Native American Lifelines and those acting pursuant to its authority to:
  1. Record your participation, appearance, and likeness in photographs, video, and audio media, as well as written and/or recorded oral descriptions.
  2. Use your name, appearance, likeness, voice, and/or biographical material in connection with these recordings.
  3. Exhibit and/or distribute such recordings in whole or in part without restrictions or limitation for informational and/or educational purposes only.
  4. Disseminate your participation, appearance, likeness, name, voice, and/or biographical information via various media, including but not limited to video, DVD, CD Rom, and posting on the World Wide Web.
You understand that Native American Lifelines, and those acting pursuant to its authority, may revise, annotate, edit, and otherwise alter the recorded material. You release Native American Lifelines, and those acting pursuant to its authority, from any and all claims of any nature whatsoever which you have now or may hereafter have in connection with these recorded materials, including but not limited to claims based on defamation, copyright infringement, trademark infringement, infringement of your right of privacy or of your right to publicity.

Question Title

* 10. I have read and agree to the terms and conditions of the media release agreement.

Question Title

* 11. Please type your name below to bind yourself to this agreement:

T