AVT/Educational Assistance Application
Vocational Scholarships:
Funds students who are pursuing a technical 2 year degree and have not received a Pell
Grant. There is a limit of one vocational training per student. Students are expected to
pursue employment in their field of study.

Adult Education:
Funds tribal members who wish to enroll in certification education courses (example: Certified Nurses Assistant). Requests MUST be submitted at least one month prior to the start of the program. Funding will be for tuition, books and fees only.

Email address *
Name *
First and last name
Phone number *
Date of Birth *
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Mailing Address *
City *
State *
Zip *
Eastern Shoshone Tribe Enrollment Number *
Requesting funds for: *
Amount Requesting: *
Starting Date: *
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YYYY
Ending Date: *
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School/Organization: *
Course/Class: *
School/Organization Address: *
Have you ever been funded by the E. Shoshone Education Program? *
If yes, please indicate the date of funding:
Type a personal letter here requesting assistance, explaining why you are requesting funds and how your efforts will benefit the Shoshone Tribe: *
Submit documents here of official costs for the items you are requesting for:
Submit copy of Certification of Blood (CIB) here:
Submit a copy of Picture Identification (ID) here:
Documents:
After completion of your application, you will receive an email with additional documents to sign: the Agreement; Release of Information forms. Please make sure you have a valid email address.
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