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Request for New York State Indian Aid

Have you applied for New York State Indian Aid before? ______ YES ______ NO
If NO, you must complete an Application for New York State
Student Aid for Native Americans.  This request form is for students whose application for aid has already been approved, who have received official notification regarding their award, and who have receive aid at least once.
If YES, complete the remainder of this form.
Full Name:  
First MI Last Maiden               
Address:  
Street City State Zip Code             
SS#:_________________   Program Type:  ____ 2 Yr.  ____ 4 Yr. ____ Other __________
Phone:_________________
College you will attend:______________________________________
Is this a new/different school? _____ No  ____ Yes
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 acceptance letter from the college.
Please list the last semester/year you received aid from this office:______________
Semester (term) for which you are currently requesting aid:________________
Number of credits you will carry this semester/term:_________
(Do not include developmental, remedial, noncredit-bearing, or college preparatory course work.  If you are on a QUARTER or TRIMESTER system, check here _____ and include credits for all terms during the academic year.  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
This form must be submitted to the Native American Education Unit prior to the deadlines noted below.   FILING DEADLINES ARE STRICTLY ADHERED TO - NO EXCEPTIONS ARE ALLOWED.  Do not wait for your grades to file your request.  Grades may be submitted after the deadlines, provided they are sent as soon as they are received by the student.
Term Filing Deadline
Fall July 15
Spring December 31
Summer May 20

Submit completed request to Native American Education Unit, Room 374 EBA, Albany, N.Y. 12234 or fax to (518) 474-3666.

Students are urged to keep copies of all correspondence with this office.
Have questions?  Contact our office at (518) 474-0537 or via e-mail.

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