Goldbelt Tináa Distribution Trust Scholarship Application

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Name(Required)

Shareholder ID(Required)

Alaska Native Name (Optional)

Email(Required)

Date of birth(Required)

MM slash DD slash YYYY

Scholarship applying for(Required)

Higher Education Scholarship

Youth Extracurricular Scholarship (YES)

Level-Up Vocational Scholarship

Non-Degree Enrichment Scholarship

Enrollment Status(Required)

Full-Time

Part-Time

Degree Level(Required)

Undergraduate

Graduate

Post-Graduate

Major(Required)

Minor

Class Standing/GPA(Required)

Term Type(Required)

Semester

Trimester

Quarter

Other

Terms Attending(Required)

Fall

Spring

Summer

Other

Explain(Required)

Expected graduation/completion date(Required)

School Attending(Required)

Financial Aid Address(Required)

Street Address Address Line 2 City State ZIP Code

Host organization name(Required)

Please provide the name of the organization, business, or institution that the activity is hosted through.

Letter of Acceptance

Max. file size: 15 MB.

Institution Enrollment Verification Letter

Please provide proof of enrollment (i.e., verification letter or registration screen capture)

Max. file size: 15 MB.

Transcripts(Required)

Please upload unofficial/official transcripts and/or proof of good standing

Max. file size: 15 MB.

Resume

Please provide a resume or list of work experience

Max. file size: 15 MB.

Total Amount Requested(Required)

Proof of Payment

Drop files here or

Max. file size: 15 MB.

Proof of Payment(Required)

Drop files here or

Max. file size: 15 MB.

Photo Upload

Max. file size: 15 MB.

What clubs or volunteer activities do you participate in?(Required)

Are you interested in applying or learning more about an internship opportunity at Goldbelt?(Required)

Yes

High School Name