USDA/1994 Tribal Scholars Program
USDA/1994 Tribal Scholars Program
5 1994 Scholars Application.rtf
USDA/1994 Tribal Scholars Program
OMB: 0503-0016
USDA/1994
Tribal Scholars Program
Application Booklet
For Students Attending
1994 Land-Grant Tribal Colleges and Universities
Seeking careers in food, agriculture, and natural resource sciences,
and/or other related disciplines
What are the benefits of the USDA/1994 Tribal Scholars Program?
Scholarships are awarded annually and must be used at one of the thirty-two 1994 Land-Grant Institutions, the accredited Tribal Colleges and Universities, also known as 1994 TCUs.
USDA agencies provide scholars with the following benefits:
Loan of a USDA computer (laptop, printer, and software)
Transportation stipend
One-week orientation in Washington, DC
Mentoring, tutoring, career development, and leadership training
Paid summer employment/internship with sponsoring USDA agency
Permanent USDA position upon completion of the program
What are the eligibility requirements for the USDA/1994 Tribal Scholars Program?
Eligibility requirements for the USDA/1994 Tribal Scholars Program are as follows: Applicants must be U.S. citizens who have a high school diploma or a G.E.D. certificate and are either an incoming freshman who has demonstrated an aptitude and interest in an agriculture related field or an existing student who has declared themselves a student in an agriculture related majors. Applicant must:
Begin their educational career at a 1994 Land-Grant Institution
Demonstrate an interest in public service and pursuing a career with USDA
Have a recommended minimum GPA of 2.75 (on a 4.0 scale)
Study agriculture, food, natural resource sciences, or other related disciplines
Not yet have a bachelor’s degree
Be a U.S. citizen
PAYBACK
The USDA/1994 Tribal Scholars Program recipients incur an obligation of 1 year of service to USDA for each year of scholarship support received (or the part-time equivalent) with a minimum service period of 1 year at either a Washington, DC, USDA agency or a USDA field office, which may or may not be close to the Scholar’s home community.
USDA/1994 Tribal Scholars
Program Application
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0503-0016. The time required to complete this information collection is estimated to average 3.5 hours per response, including the time needed for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information.
Privacy Act Advisory Statement
The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with this request for information.
Accordingly, pursuant to the requirements of the Act, please be advised:
1. The authority for the collection of these data is Executive Order 11155.
2. Furnishing the information requested is voluntary.
3. The data will be used for selection of USDA/1994 Tribal Scholars, printing of certificates, and related activities.
4. Other routine uses of the data are for preparation of the public affairs and press releases to news media.
This is a fillable form. Please complete on a computer if possible.
Affirmation of Candidacy and Authorization for Release Information
u
nderstand
that I am a candidate for the honor of USDA/1994 Tribal Scholar, have
read the Privacy Act Advisory Statement, and affirm that I wish to be
considered. In the event I am named a USDA/1994 Tribal Scholar,
permission is hereby given for the release of materials submitted by
me for the use of the U.S. Department of Agriculture and the
thirty-two 1994 Land-Grant Institutions as deemed appropriate for
purposes of the USDA/1994 Tribal Scholars Program. I further consent
to the release of photographs which may be taken of me, by or for the
U.S. Department of Agriculture, in connection with the Program. I am
(check one) willing unwilling
to appear on radio and/or television if such arrangements can be made
by the U.S. Department of Agriculture in connection with the
USDA/1994 Tribal Scholars Program.
Section I. Biographical Information
5
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Are you a U.S. Citizen? Yes No
Section II. Education
1. Name of High School:
2. Location (City & State):
3. Telephone:
4. School Counselor Contact:
5
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Contact Telephone:
6. Cumulative High School GPA (4.0 Scale):
7. Or GED Received (date):
8. Are you currently enrolled in college? Yes No
9. Name of college in which you are currently enrolled (if applicable):
1
0.
Declared/Intended Major:
11. College/University Advisor (if available):
1
2.
College/University Advisor Telephone:
13. College Address:
11. List any other school or college you have attended in the last 4 years. List the schools in order of attendance with the one you attended most recently first.
Name of School |
Location (City & State) |
Dates of Attendance |
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12. List any advanced or special programs, or summer courses, you have taken, listing the most recent first.
Course/Program |
Name of School |
Location (City& State) |
Dates of Attendance |
Hours/ Week |
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13. What course of study (major) will you pursue if you were to receive a USDA/1994 Tribal Scholars Award?
1st Choice:
2nd Choice:
14. What 1994 TCU do you want to attend?
1st Choice:
2
nd
Choice:
3rd Choice:
Section III. Transcripts
If you have received no college credit, you must provide an official signed and sealed transcript from your high school and include it with your application. If you have received any college credit, you must provide an official signed and sealed transcript from every college or university you have attended and include them with your application. The USDA/1994 Program will accept an unofficial transcript from the college registrar provided it meets the deadline and a receipt from the registrar is included indicating an official, signed transcript is being sent.
If not a high school applicant, please have the official, signed and sealed transcript sent to the USDA Tribal College Liaison that represents the school or schools you want to attend. If you want to attend more than one school and that school is represented by another USDA Tribal College Liaison, you must complete another application package and have it sent to her. Please see Appendix 1 of this application for the contact information of the appropriate USDA Tribal College Liaison for each Tribal College and University.
Section IV. Course of Study
The USDA/1994 Tribal Scholars Program offers support for an Associate’s Degree (up to 2 Years of support) or a Bachelor’s of Science Degree (up to 4 Years of support).
I am applying for:
Place an X in the box that applies.
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1-Year Scholarship Support (student will have completed at least 1 year of coursework in an Associate’s degree program before award period OR is a rising senior in Bachelor’s degree program |
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2-Year Scholarship Support (student will be a new entering student who plans to enroll in an Associate’s degree program OR is a rising junior in a Bachelor’s degree program). |
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3-Year Scholarship Support (student will have completed at least 1 year of coursework in a Bachelor’s degree program OR the first year in an Associate’s/Bachelor’s degree program). |
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4-Year Scholarship Support (student will be a new entering student who plans to enroll in a Bachelor’s degree program OR the first year in an Associate’s/Bachelor’s degree program). |
1. Are you currently enrolled in or planning to enroll in an Associate’s Degree (2-Year) Program?
Yes. If yes, please indicate field of study:
No
2. Are you enrolled in or planning to enroll in a Bachelor’s Degree Program?
Yes. If yes, please indicate field of study:
No
3. Are you currently enrolled in or planning to enroll in an Associate’s Degree (2-Year) Program and plan with the intention of transferring to a Bachelor’s Degree Program elsewhere (“2 + 2 Program”)?
Yes
No
4. If yes, please indicate whether it is your first or second year. 1st Year 2nd Year
5. If yes, which educational institution will you choose to attend once you transfer?
1
st
Choice:
2
nd
Choice:
3rd Choice:
6. What will you study at this institution?
7. List any activities in which you have participated in or outside school, i.e. sports, music, student government, clubs, church, civic, etc.
Activity |
Dates of Participation |
Offices Held |
Special Awards, honors, recognition |
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8. List all volunteer services or jobs held in the last three years.
Volunteer services/Jobs |
Name of Employer /organization |
Dates of service /employment |
Hours /Week |
Special Awards |
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Section VI. Essay Question
Essay must be addressed to the USDA/1994 Selection Committee
Write a 500-800 word essay describing 1) How you became interested in studying food, agriculture, and natural resource sciences or another related discipline in college; (2) How USDA will benefit if you are selected for the USDA Tribal Scholars Program (immediately and in the long term); and (3) What motivated you to consider a career in public service working for the U.S. Department of Agriculture? Include information about your educational and career goals and how this scholarship may assist you to achieve them.
Section VII. Recommendation Instructions
You will need to submit two letters of recommendation from two different sources addressing the following question: “Considering what you know of the applicant’s interests, work habits, and life goals, what is your assessment of the chances that the applicant will be motivated to take advantage of the opportunities available in college and within the federal public service system, especially the United States Department of Agriculture?” One recommendation must be from someone who knows your academic work. The second recommendation can be from (as an example) a current or previous school counselor, teacher, principal, tribal college and university president, or employer. Make sure the recommendation is from someone who knows you well and can provide comments on your abilities.
VIII. USDA/1994 Tribal Scholars Application Check List
□ I have read this section, especially those elements detailing the eligibility requirements, schools that I must attend, and the February 1st deadline in which my completed application package must be postmarked.
□ I have filled out Section I.
□ I have filled out Section II. I understand Section II must be postmarked no later than February 1st, in order to meet the eligibility requirements.
□ I have included an official signed and sealed transcript or have included an unofficial copy of my transcript from the college registrar and a receipt from the same registrar to indicate that the official copy will be received shortly from the schools I have attended and have included any and all in my application package to complete Section III.
□ I have filled out Section IV.
□ I have filled out Section V.
□ I have written my essay and included it in my application to complete Section VI.
□ I have provided the Recommendation Instructions to my recommenders and have ensured that one of them knows my academic work to complete Section VII.
Section IX. Signatures
Please review this form to make sure you have answered all the questions completely.
I certify that I have completed this application and that all statements are true and accurate to the best of my knowledge. Any false statements may eliminate me from consideration for this scholarship.
S
ignature
of Applicant
D
ate
Signature of Parent or Legal Guardian (if applicant is under 18 years of age)
D
ate
Appendix 1
Please Note: This appendix is for reference only. Please do not send with application materials.
WESTERN REGION 1994 LAND-GRANT INSTITUTIONS CONTACT INFORMATION
Velma Real Bird
USDA Tribal College Liaison – WESTERN REGION
1994 Programs
United States Department of Agriculture
Little Big Horn College
PO Box 370
Crow Agency, MT 59022
TEL: (406) 638-3194, Mobile: 202-657-9989
FAX (406) 638-3169
Email: Velma.Realbird@ascr.usda.gov and realbirdv@lbhc.cc.mt.us
WESTERN REGION 1994 LAND-GRANT INSTITUTIONS
Blackfeet Community College: PO Box 819, Browning, MT 59417
www.bfcc.org; Financial Aid, TEL: 406-338-5421
Chief Dull Knife College: PO Box 98, Lame Deer, MT 59043
www.cdkc.edu; TEL: 406-477-6215
Diné College, Arizona/New Mexico campuses, PO Box 126, Tsaile, AZ 86556
www.dinecollege.edu; Admissions, TEL: 918-724-6630; Email: registrar@dinecollege.edu
Fort Belknap College: PO Box 159, Harlem, MT 59526
www.fbcc.edu; Admissions, TEL: 406-353-2607, Ext. 233. Financial Aid, TEL: 353-2607, Ext. 235
Fort Peck Community College: PO Box 398, Poplar, MT 59255
www.fpcc.edu; Financial Aid, TEL: 406-768-6327; Email: lclark@fpcc.edu
Ilisagvik College: PO Box 749, Barrow, AK 99723
www.ilisagvik.cc; TEL: 907-852-3333
Institute of American Indian Arts: 83 Avan Nu Po Rd., Santa Fe, NM 87508
www.iaia.edu; Admissions, TEL: 505-424-2332
Little Big Horn College: PO Box 370, Crow Agency, MT 59022
www.lbhu.edu; Admissions, TEL: 406-638-3116; Email: tina@lbhc.cc.mt.us
Navajo Technical College: PO Box 849, Crownpoint, NM 87313
www.navajotech.edu; Admissions, TEL: 505-786-4107, Ext. 14107. Financial Aid, TEL: 505-786-4183, Ext. 14183
Northwest Indian College: 2522 Kwina Rd., Bellingham, WA 98226
www.nwic.edu; Admissions, TEL: 360-392-4269. Financial Aid, TEL: 360-392-4206
Salish Kootenai College: PO Box 70, Pablo, MT 59855
www.skc.edu; Admissions, TEL: 406-275-4866; Email: jackie_moran@skc.edu. Financial Aid, TEL: 406-275-4855; Email: elaine_frank@skc.edu
Southwestern Indian Polytechnic Institute: 9169 Coors Rd., NW, PO Box 10146, Albuquerque, NM 87184. www.sipi.edu; Admissions, TEL: 505-346-2338. Financial Aid, TEL: 505-346-2344
Stone Child College: RR1, Box 1082, Box Elder, MT 59521
www.stonechild.edu; TEL: 406-395-4875
Tohono O’odham Community College: PO Box 3129, Sells, AZ 85634
www.tocc.cc.az.us; TEL: 520-383-8401
CENTRAL REGION 1994 LAND-GRANT INSTITUTIONS CONTACT INFORMATION
Lisa Yellow
USDA Tribal College Liaison –CENTRAL REGION
1994 Programs
United States Department of Agriculture
Sitting Bull College
1341 92nd Street
Fort Yates, ND 58538
TEL: (701) 854-8130, Mobile: 202-657-9977
FAX: (701) 854-3403
Email: Lisa.Yellow@ascr.usda.gov and lisay@sbci.edu
CENTRAL REGION 1994 LAND-GRANT INSTITUTIONS
Cankdeska Cikana Community College: PO Box 269, Fort Totten, ND 58335
www.littlehoop.edu; TEL: 701-766-4415; Email: info@littlehoop.cc
Fort Berthold Community College: 220 8th Avenue North, PO Box 490, New Town, ND 58763
www.fbcc.bia.edu; Admissions, TEL: 701-627-4738, Ext. 286. Financial Aid, TEL: 701-627-4738, Ext. 245
Haskell Indian Nations University: 155 Indian Ave., PO Box 5030, Lawrence, KS 66046-4800
www.haskell.edu; Admissions, TEL: 785-749-8454. Financial Aid, TEL: 785-749-8468
Leech Lake Tribal College: PO Box 180, Cass Lake, MN 56633
www.lltc.edu; Admissions, TEL: 218-335-4222; Email: veronica.veauz@lltc.edu. Financial Aid, TEL: 218-335-4200
Little Priest Tribal College: PO Box 270, Winnebago, NE 68071
www.lptc.bia.edu; Admissions, TEL: 402-878-3360; Email: darlaw@lptc.bia.gov
Nebraska Indian Community College: College Hill, PO Box 428, Macy, NE 68039
www.thenicc.edu; Admissions, TEL: 402-837-5078
Oglala Lakota College: 490 Piya Wiconi Rd., Kyle, SD 57752
www.olc.edu; Admissions, TEL: 605-455-6033; Email: lmesteth@olc.edu. Financial Aid, TEL: 605-455-6037; Email: bhornbeck@olc.edu
Sinte Gleska University: 101 Antelope Lake Circle, PO Box 105, Mission, SD 57555
www.sintegleska.edu; TEL: 605-856-8100
Sisseton Wahpeton Community College: Agency Village Box 689, Sisseton, SD 57262
www.swc.tc; Financial Aid, TEL: 605-698-3966, Ext. 1182; Email: jmanylightnings@swc.tc
Sitting Bull College: 1341 92nd St., Fort Yates, ND 58538
www.sittingbull.edu; TEL: 701-854-8000; Email: info@sbci.edu
Turtle Mountain Community College: PO Box 340, Belcourt, ND 58316
www.tm.edu; Admissions, TEL: 701-477-7862
United Tribes Technical College: 3315 University Dr., Bismarck, ND 58504; www.uttc.edu; Admissions, TEL: 701-255-3285
White Earth Tribal & Community College: 210 Main St. South, PO Box 478, Mahnomen, MN 56557
www.wetcc.org; Financial Aid, TEL: 218-936-5731
EASTERN REGION 1994 LAND-GRANT INSTITUTIONS CONTACT INFORMATION
Stephanie Koziski
1994 Program Analyst and
USDA Tribal College Liaison –EASTERN REGION
USDA/1994 Programs Office
Office of the Assistant Secretary for Civil Rights
United States Department of Agriculture
300 7th Street SW, Suite 266
Washington, D.C. 20024
TEL: (202) 205-4490
FAX: (202) 205-3831
Email: Stephanie.Koziski@ascr.usda.gov
EASTERN REGION 1994 LAND-GRANT INSTITUTIONS
Bay Mills Community College: 12214 West Lakeshore Dr., Brimley, MI 49715
www.bmcc.edu; TEL: 906-248-3354
College of Menominee Nation: PO Box 1179, Keshena, WI 54135,
www.menominee.edu; Admissions, TEL: 1-800-567-2344. Financial Aid, TEL: 715-794-6226
Fond du Lac Tribal and Community College: 1720 Big Lake Rd., Cloquet, MN 55720
www.fdltcc.edu; Admissions, TEL: 218-879-0808; Email: admissions@fdltcc.edu. Financial Aid; TEL: 218-879-0816; Email: dsutherland@fdltcc.edu
Lac Courte Oreilles Ojibwa Community College: 13466 West Trepania Rd., Hayward, WI 54843
www.lco.edu; TEL: 715-634-4790
Saginaw Chippewa Tribal College: 2274 Enterprise Dr., Mount Pleasant, MI 48858,
www.sagchip.edu; TEL: 989-775-4123
Appendix 2
QUALIFYING DISCIPLINES for the USDA/1994 Tribal Scholars Program
“Food and agricultural sciences” (as defined by the National Agricultural Research, Extension, and Teaching Policy Act of 1977 (7 U.S.C. 3103 (8))) means: Basic, applied, and developmental research, extension, and teaching activities in food and fiber, agricultural, renewable natural resources, forestry, and physical and social sciences, including activities relating to the following: (a) animal health, production, and well-being; (b) plant health and production; (c) animal and plant germplasm collection and preservation; (d) aquaculture; (e) food safety; (f) soil and water conservation and improvement; (g) forestry, horticulture, and range management; (h) nutritional sciences and promotion; (i) farm enhancement, including financial management, input efficiency, and profitability; (j) home economics; (k) rural human ecology; (l) youth development and agricultural education, including 4-H clubs; (m) expansion of domestic and international markets for agricultural commodities and products, including agricultural trade barrier identification and analysis; (n) information management and technology transfer related to agriculture; (o) biotechnology related to agriculture; and (p) the processing, distributing, marketing, and utilization of food and agricultural products.
The following disciplines are examples of possible majors and interests for students to consider:
Sciences:
Agriculture
Agronomy
Animal Science
Biological Sciences
Botany
Chemistry
Computer Engineering
Computer Science Specialist
Computer Scientist
Engineering
Entomology
Food
Forestry
Genetics
Mathematics
Microbiology
Natural Resources Management
Nutrition
Public Health
Soil Conservation
Statistics
Veterinary Medicine
Zoology
Administrative/Professional
Intern Program
Accounting
Administrative Officer
Agricultural Marketing/Business
Auditing
Budget
Civil Rights
Compliance Officer
Computer Specialist
Contracting
Economics
Finance
Human Resources
Information Technology Specialist
Investigation
Journalism
Loan Specialist
Policy Analyst
Political Science
Program/Management Analyst
Public Administration
Public Affairs
Research Economics
Social Science
Telecommunications
Other Appropriate Administrative/Professional Occupations
AUTHORITIES
5 Code of Federal Regulations Part 213—Excepted Service, Student Educational Employment Program—Student Career Experience Program
5 Code of Federal Regulations Part 410—Training
Equity in Education Land Grant Status of 1994
Executive Orders 12015 and 13270
Food, Agriculture, Conservation and Trade Act of 1990; P.L. 101-624, Sec. 2501, Sec. 2830
Farm Security and Rural Investment Act of 2002; P.L. 107-171; H.R. 2646
Federal Agriculture Improvement and Reform Act of 1996
Office of the Assistant Secretary for Civil Rights
USDA/1994 Programs
United States Department of Agriculture
1400 Independence Avenue, SW
Washington, DC 20250
Tel: (202) 720-1772
Fax: (202) 205-3831
Website: http:www.ascr.usda.gov/1994program.html
Email: 1994init@usda.gov
The
U.S. Department of Agriculture (USDA) prohibits discrimination in all
its programs and activities on the basis of race, color, national
origin, age, disability, and where applicable, sex, marital status,
familial status, parental status, religion, sexual orientation,
genetic information, political beliefs, reprisal, or because all or a
part of an individual's income is derived from any public assistance
program. (Not all prohibited bases apply to all programs.) Persons
with disabilities who require alternative means for communication of
program information (Braille, large print, audiotape, etc.) should
contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To
file a complaint of discrimination write to USDA, Director, Office of
Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C.
20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD).
USDA is an equal opportunity provider and employer.
"The
U.S. Department of Agriculture (USDA) prohibits discrimination in
all its programs and activities on the basis of race, color,
national origin, age, disability, and where applicable, sex, marital
status, familial status, parental status, religion, sexual
orientation, genetic information, political beliefs, reprisal, or
because
all or a part of an individual's income is derived from any public
assistance program. (Not all prohibited bases apply to all
programs.) Persons with disabilities who require alternative means
for
communication
of program information (Braille, large print, audiotape, etc.)
should contact USDA's
TARGET
Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination write to USDA, Director, Office of Civil Rights, 1400
Independence Avenue, S.W., Washington, D.C. 20250-9410 or call (800)
795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal
opportunity provider and employer."
USDA is an equal
opportunity employer.
"The
U.S. Department of Agriculture (USDA) prohibits discrimination in
all its programs and activities on the basis of race, color,
national origin, age, disability, and where applicable, sex, marital
status, familial status, parental status, religion, sexual
orientation, genetic information, political beliefs, reprisal, or
because
all or a part of an individual's income is derived from any public
assistance program. (Not all prohibited bases apply to all
programs.) Persons with disabilities who require alternative means
for
communication
of program information (Braille, large print, audiotape, etc.)
should contact USDA's
TARGET
Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination write to USDA, Director, Office of Civil Rights, 1400
Independence Avenue, S.W., Washington, D.C. 20250-9410 or call (800)
795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal
opportunity provider and employer."
USDA is an equal
opportunity employer.
| File Type | text/rtf |
| File Title | USDA/1994 Tribal Scholars Program Application |
| Author | jkrehbiel |
| Last Modified By | usda |
| File Modified | 2009-08-31 |
| File Created | 2009-08-31 |
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