Fort Lewis College Office of Admission
Certification of Tribal Membership for American Indians

Agency for Tribe ___________________

Date _____________________________


I hereby certify that: ______________________________ _________________________
(name of student) (date of birth)

______________________ ________________________ is an enrolled member of
(social security #) (enollment/census #)

_________________________________ Indian Tribe. The above-named student is ______ degree
(Tribe name)

Indian blood. The referenced Indian Tribe is under federal jurisdiction.


_____________________________________
Signature of Appropriate Tribal or BIA Official

_____________________________________
Title

_____________________________________
Telephone Number

_____________________________________
Date

Tuition Waiver Requirements

To be considered for Native American Tuition Waiver at Fort Lewis College you must provide a Certificate of Indian Blood or a copy of your Tribal Membership Card.

To qualify for the Native American Tuition Waiver you must be at least 50% Native American or an enrolled member of a Federal Recognized Tribe. Note: Shareholders or descendants of members do not qualify if they are unable to prove they themselves:
1. have their own enrollment or census number, or
2. are ½ Native American, or
3. are direct descendants to a tribal member who lived on a reservation prior to June 1, 1934.

It is to the student’s benefit to provide this information with the application for admission. Please contact the Office of Admission at 970-247-74184 or admission@fortlewis.edu for further information or questions regarding the Native American Tuition Waiver.

FORT LEWIS COLLEGE      1000 RIM DRIVE DURANGO, COLORADO 81301      (877)FLC-COLO(TOLL FREE)      ADMISSION@FORTLEWIS.EDU