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SHAKOPEE MDEWAKANTON SIOUX COMMUNITY ENDOWED

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					   SHAKOPEE MDEWAKANTON SIOUX COMMUNITY ENDOWED SCHOLARSHIP
The Shakopee Mdewakanton Sioux Community (SMSC) Endowed Scholarship was established in 2008 through a
generous gift from the SMSC. The scholarship is utilized to recruit and retain talented American Indian students
who are enrolled or are eligible for enrollment in a federally recognized tribe or are identified as American Indian by
the Indian Education Act.
The SMSC created the scholarship to support incoming University of Minnesota freshmen and transfer students with
demonstrated financial need. Scholarships may also be awarded to newly admitted graduate and professional
students in specific disciplines.
Scholarships are issued on the basis of need and the availability of funds. The amount of each scholarship will vary
dependent on an individual’s demonstrated need and other awards received by the scholarship applicant. Scholarship
awards will not exceed $10,000. Scholarships are renewable for up to four years or until graduation (whichever
comes first) for undergraduates. For graduate and professional students, the length of funding is contingent upon the
degree program and will be determined on a case-by-case basis. To maintain funding, undergraduate SMSC
Scholars must be registered full-time and maintain a minimum 2.5 cumulative grade point average. Graduate and
professional SMSC Scholars must be registered full-time and maintain a minimum of a 3.0 cumulative grade point
average for renewal. In addition, merit awards of $500 are given each fall to undergraduate scholars who maintain a
3.0 or above grade point average.
Preference will be given to applications postmarked by March 1, 2012. Applications postmarked after September
1, 2012 will not be accepted. NOTE: Students are strongly encouraged to apply by the priority deadline. Due to a
competitive pool of applicants, applications received after the priority deadline have a decreased chance of being
awarded a scholarship.

Disclosure
Please read statement carefully before signing.

I hereby certify that the information provided on this application is, to the best of my knowledge, accurate and true.
All required documentation is enclosed. I understand that my fall 2012 University of Minnesota admission and
financial aid applications will also be taken into consideration for this scholarship. I hereby authorize the release of
this information to internal and external committee members as may be required to determine my eligibility for a
scholarship.
Applicant Signature ________________________________________________ Date ______________________

Application Checklist
Incomplete applications will not be considered. A complete application packet includes the following items:

          The completed SMSC application, and this cover sheet attached with your signature above.
          Your essay, as described on Page 2 of the application.
          A bulleted list of your community and cultural involvement, as described on Page 2 of the application.
          Two sealed letters of recommendation (one from an Academic Reference, and one from a Community
         Representative/Elder), as described on Page 2 of the application.
          Proof of your American Indian heritage (e.g. Tribal Enrollment/Registration, Bureau of Indian Affairs
         Certificate of Degree of Indian or Alaska Native Blood [CDIB]).
          Check here to indicate that you have completed the Free Application for Federal Student Aid (FAFSA).
         Please note that submission of the FAFSA is required for consideration for the SMSC scholarship. Please
         do not submit a copy of the FAFSA with this application. The FAFSA must be submitted by April 1
         every year for application or renewal of the SMSC scholarship. The University of Minnesota's code is
         003969.
Please mail completed application and materials to:
         SMSC Scholarship Selection Committee
         Office for Equity and Diversity
         University of Minnesota
         432 Morrill Hall
         100 Church Street S.E.
         Minneapolis, MN 55455
Preference will be given to complete applications postmarked by March 1, 2012. Applications postmarked after
September 1, 2012 will not be accepted.
                                                                                                      Updated 9/22/11
   SHAKOPEE MDEWAKANTON SIOUX COMMUNITY ENDOWED SCHOLARSHIP
                   APPLICATION FORM: Page 1

Student Information
Please type or print neatly in black or blue ink.

Name (First, Middle, Last) _______________________________________________________________

Home Address ________________________________________________________________________

City/State/ZIP _________________________________________________________________________

Email _______________________ Home phone #_________________ Cell phone # ________________

Gender:            Female              Male         Transgender             Other: _________________

Tribal Enrollment ____________________________________________
(Note: if you are not enrolled, but are descended from a federally-recognized tribe, please submit
appropriate proof of descent, such as Tribal Enrollment/Registration and/or Bureau of Indian Affairs
Certificate of Degree of Indian or Alaska Native Blood [CDIB].)

Date of Birth (dd/mm/yy) ______________ Birthplace ________________________________________

University of Minnesota ID# (if known) ______________________

Campus(es) applied to __________________________________________________________________
(Crookston, Duluth, Morris, Rochester, or Twin Cities)

Campus(es) admitted to _________________________________________________________________
(Crookston, Duluth, Morris, Rochester, or Twin Cities)

Intended Major _______________________ Career Interest(s) __________________________________

Check One:  Undergraduate  Graduate                              Check One:  First-year  Transfer

Other Scholarships
Please list other scholarships for which you have applied or have received.

Scholarship(s) Applied*                             Amount                    Period of Award
                                                                              (One-time only, annual, etc.)




* Please attach additional sheets, if necessary.

Scholarship(s) Received*                            Amount                    Period of Award
                                                                              (One-time only, annual, etc.)




* Please attach additional sheets, if necessary.

                                                                                                 Updated 9/22/11
  SHAKOPEE MDEWAKANTON SIOUX COMMUNITY ENDOWED SCHOLARSHIP
                  APPLICATION FORM: Page 2

Letter of Recommendation (Academic Reference)
Please list the name and contact information of the person who will submit your letter of recommendation.
Please ask your recommender to put the letter in a sealed envelope with the recommender’s
signature over the seal. This sealed letter must be included in your application packet.

Name ______________________________________________ Title _____________________________

Address ______________________________________________________________________________

City/State/ZIP _________________________________________________________________________

Phone # ________________________________ Email ________________________________________



Letter of Recommendation (Community Representative/Elder)
Please list the name and contact information of the person who will submit your letter of recommendation.
Please ask your recommender to put the letter in a sealed envelope with the recommender’s
signature over the seal. This sealed letter must be included in your application packet.

Name ______________________________________________ Title _____________________________

Address ______________________________________________________________________________

City/State/ZIP _________________________________________________________________________

Phone # ________________________________ Email ________________________________________



Essay
Please compose an essay about yourself and your educational, career and life goals. Your essay should
be between 250 and 500 words in length. Please attach your essay to this application on a separate
sheet(s) with your name in the upper-right hand corner of all pages. Essays must be typed.



Bulleted List of Your Community and Cultural Involvement
Please attach your list to this application on a separate sheet(s) with your name in the upper-right hand
corner of all pages. Lists must be typed.




                                                                                         Updated 9/22/11

				
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