State University of New York College of Environmental Science and Forestry Haudenosaunee Scholar Award This prestigious four-year scholarship provides $5,000 per year for two Haudenosaunee students entering SUNY-ESF with strong potential as environmental leaders. Students are selected based on their high school or college academic records, leadership potential, and recommendations from teachers and community members. Scholarship eligibility also requires student citizenship in one of the historic Haudenosaunee nations and admission to full-time undergraduate study at SUNY-ESF. Scholarships are renewed each year for up to five years, contingent upon successful academic performance. Please contact the Undergraduate Admissions Office (phone 800-777-7373) or ESF’s Center for Native Peoples and the Environment (phone 315-470-6785) for additional scholarship information. To be eligible a student must: be an admitted first-year or transfer student; be a certified citizen of one of the historic Haudenosaunee nations (Mohawk, Oneida, Onondaga, Cayuga, Seneca, or Tuscarora); have continuously resided on a listed Haudenosaunee nation territory for a minimum of twelve (12) months immediately prior to enrollment at SUNY-ESF; be in pursuit of his or her first bachelor’s degree. Terms of the Award: Students must file a financial aid application (FAFSA) by May 1. Students must maintain full-time status, make satisfactory academic progress, and achieve a cumulative grade point average of 2.5 or higher each year. Awards may be renewed for up to five years of undergraduate study. Awards made under this program will be credited against direct SUNY-ESF or Syracuse University expenses and are not refundable. Eligible Haudenosaunee Territories: Akwesasne Mohawk Kanatsiohareke Mohawk Ganienke Mohawk Kahnawake Mohawk Kanesatake Mohawk Tyendinaga Mohawk Oil Spring Seneca Tuscarora Oneida Oneida of the Thames (Ontario) Onondaga Allegany Seneca Cattaraugus Seneca Niagara Falls Seneca Tonowanda Seneca Six Nations Reserve (Canada) 687285520, 11/06 State University of New York College of Environmental Science and Forestry Haudenosaunee Scholar Award Application Students interested in the Haudenosaunee Scholar Award Program should complete this application and send it to SUNY ESF’s Undergraduate Admissions Office for review. All information is confidential and used only to assess eligibility for the Haudenosaunee Scholar Award Program. Please print clearly or type your responses. Date________________(dd/mm/yy) Personal Information Name ___________________________________________________________________ (First) (MI) (Last) Address__________________________________________________________________ (Street) __________________________________________________________________ (City) (State or Province) Date of Birth ____/____/____ Telephone ( )_______________ (Country) Gender: _____Male (Zip/Postal Code) _____Female Email:___________________________________ Citizenship and Residency Information Please list your Haudenosaunee nation and provide a copy of your Federal enrollment card with this application. If you do not have an enrollment card, you may provide other documentation of citizenship for consideration. ________________________________________________________________________ If you currently reside on one of the following Haudenosaunee nation territories, please indicate the appropriate territory: Akwesasne Mohawk Oneida Kanatsiohareke Mohawk Oneida of the Thames (Ontario) Ganienke Mohawk Onondaga Kahnawake Mohawk Allegany Seneca Kanesatake Mohawk Cattaraugus Seneca Tyendinaga Mohawk Niagara Falls Seneca Oil Spring Seneca Tonowanda Seneca Tuscarora Six Nations Reserve (Canada) Other: Explain on a separate page if necessary 687285520, 11/06 State University of New York College of Environmental Science and Forestry Please list the dates of your permanent residence on the qualified territory. From:_______________________ to: _______________________ Admissions Information Please note: This is not an admissions application. Entering Semester: September (Fall) 20_____ or January (Spring) 20_____ (Year) (Year) Entering Status: _____Freshman or _____Transfer Proposed Major/Area of Interest: ________________________________________________________________________ (If Applicable) School currently attending:______________________ Year of Graduation: ________ If you are applying as a transfer student: College/University attended: ________________________________________________ _____________________________________________ Signature Please return this scholarship application to: ________________________ Date Susan Sanford, Director Undergraduate Admissions SUNY-ESF 1 Forestry Drive Syracuse, NY 13210 Students must be accepted for admission to the SUNY College of Environmental Science and Forestry in order to be considered for this scholarship program. Please go to www.esf.edu/admissions to obtain additional information and an application for admission, or call 1-800-777-7373. 687285520, 11/06