THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / ALBANY, NY 12234
Office for Elementary, Middle, Secondary and Continuing Education
Native American Education Unit
Tel. (518) 474-0537
Fax (518) 474-3666
Request for New York State Indian Aid Form
Have you applied for New York State Indian Aid before? No Yes. If yes, when?
If NO, you MUST complete an APPLICATION FOR NEW YORK STATE INDIAN AID. This request form is for students whose application for aid has already been approved and who have received aid at least once from this office.
Full Name:
First MI Last Maiden
Home Address: Street City State Zip Code
SS# : Program Type: 2 YR 4 YR Other Phone:
College/Institution you will attend: Is this a different school? YES NO
NOTE: If you have discontinued your studies for any period of time, or if you have transferred to a different college, you MUST submit an updated letter of acceptance from that college.
Please list the last semester you received aid from this office:
Semester/Term for which you are currently applying:
Number of credits you will carry this semester: . Do NOT include developmental, remedial, noncredit-bearing, or college preparatory course work. YOU MUST INDICATE THE NUMBER OF CREDITS YOU WILL TAKE FOR APPROVAL OF THIS REQUEST.
Class Status: Freshman Sophomore Junior Senior GRADE REPORT ATTACHED: YES NO
Anticipated Award Amounts: Full-Time (12 credits minimum) $1,000.00 / semester
Part-Time (less than 12 credits) prorated at $85.00 per credit
Part Time Examples: 3 credit hours $255.00
6 credit hours $510.00
THE FOLLOWING FILING DEADLINES (postmark) ARE STRICTLY ADHERED TO, NO EXCEPTIONS:
Fall Semester: July 15 Spring Semester: December 31 Summer Session: May 20
This form MUST be postmarked to the Native American Education Unit prior to the deadline. Do NOT wait for your grade report to file this request form. Grades may be submitted after the deadline, provided they are sent as soon as they are received by the student.
**********Students are urged to keep copies of all correspondence sent to this office.**********