Native American Education Unit, Room 478 EBA, Albany, N

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.**********

QUESTIONS? Call our office at (518) 474-0537