Youth Program Application
This application is due 4 weeks in advance to the event that you are requesting.

Close Up/Educational Travel:
A student who is selected to attend an educational trip that is approved in coordination
with their school or occupation may be eligible for half of the total cost of the trip or the
conference registration fee. The other half or remainder will be the responsibility of the
student/family to fund raise.

Sports Scholarships:
The Education Program will pay the registration fee ONLY for sports teams 18 and under. It will be the student's responsibility to pay for their own meals, travel expenses and other costs.

Email address *
Name *
First and last name
Phone number *
Date of Birth *
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Mailing Address *
City *
State *
Zip *
Shoshone Enrollment Number *
Funds Requested For: *
Amount Requesting *
Starting Date of Event *
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Ending Date of Event *
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School/Organization/Team *
Have you ever been funded by the E. Shoshone Education Program? *
If yes, please indicate the date
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Personal letter requesting assistance, explaining why you are requesting the funds: *
Submit documents of official costs for what you are requesting funding for here.
Certification of Indian Blood
Picture Identification
Team Roster
Submit
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