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February 2012 - Absentee Shawnee Tribe Of Oklahoma

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<strong>Absentee</strong> <strong>Shawnee</strong> <strong>Tribe</strong> of <strong>Oklahoma</strong><br />

Education Department<br />

2025 South Gordon Cooper Drive<br />

(405) 275-4030 Toll free (800) 256-3341 Fax (405) 273-1192<br />

youthaward@astribe.com<br />

□ $1,000 Big Jim Academic Achievement Award (Male)<br />

□ $1,000 Big Jim Academic Achievement Award (Female)<br />

□ $1,000 Big Jim Athlete of the Year (Male)<br />

□ $1,000 Big Jim Athlete of the Year (Female)<br />

STUDENT INFORMATION<br />

Name: ___________________________________________________<br />

(LAST) (FIRST) (MI)<br />

Enrollment #:<br />

Applications accepted:<br />

Jan. 1 st –March 1 st<br />

Finalists announced:<br />

April <strong>2012</strong><br />

Address: _________________________________________________________________________________<br />

(STREET) (CITY) (STATE) (ZIP)<br />

Home Phone: ( ) Cell Phone: ( )<br />

Email:<br />

HIGH SCHOOL INFORMATION<br />

High School Name:<br />

City:<br />

State:<br />

Class Year:<br />

Guidance Counselor: Phone #:<br />

Sport:<br />

Position:<br />

Coach: Phone #:<br />

(FIRST)<br />

(LAST)<br />

May include with application:<br />

□ <strong>Of</strong>ficial High School Transcript<br />

□ Letter of Recommendation (Educator/Coach)<br />

□ Tribal Enrollment Card (copy)<br />

□ Resume of Accomplishments and Activities<br />

□ Video (optional): no more than 10 minutes in length<br />

□ 500-word Essay: How do you feel your accomplishments (knowledge/training) will influence your future<br />

30 Happy Valentine’s Day

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