Sealaska Heritage Institute 2018 Opening the Box Math and Culture Academy
All applications are time stamped and selections will be made on a first come first served basis.
Find more information about the summer camps or academies for youth camps by following the link below:
http://www.sealaskaheritage.org/institute/education/programs

Deadline to register is May 1, 2018

Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Mailing Address *
Your answer
City/Town *
Your answer
Zip Code *
Your answer
School currently enrolled in *
Your answer
Gender *
My student is from the following community: *
Required
Tribal Affliliation *
Required
Degree of Indian Blood *
Your answer
I am a lineal descendant of:
Shareholder (First and Last Name)
Your answer
Who is a shareholder of :
Who is my:
Emergency Contact #1 *
Full Name
Your answer
Relationship to Student *
Father, Mother, Step-Mother, Step-Father, Grandparent, Guardian, etc...
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Mailing Address
Your answer
Work Number
Your answer
Emergency Contact #2 *
Full Name
Your answer
Relationship to Student *
Father, Mother, Step-Mother, Step-Father, Grandparent, Guardian, etc...
Your answer
Phone Number *
Your answer
Mailing Address
Your answer
Work Number
Your answer
Email Address
Your answer
Has your student participated in other Sealaska Heritage programs?
If yes please list programs below
Your answer
Please list the heritage languages your student studies and their level of progiciency.
Beginner
Intermediate
Advanced
No previous experience/instruction
Lingít
X̱aad Kíl
Sm'algya̱x
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