ICTCC Application page 1
INDIAN CREEK TRIBE CHICKAMAUGA
CREEK & CHEROKEE NATION INC.
Records Management Department
Enrollment Office
1352 East Lombardy Drive
Deltona, FL 32725
Phone: 386-259-9063
Records.management@chickamaugacherokee.org
To be eligible for Membership/Tribal Citizenship with the Indian Creek Tribe Chickamauga
Cherokee Nation Inc., you must be able to provide documents that connect you to an enrolled lineal ancestor, who is listed on the “DAWES ROLL” FINAL ROLLS OF CITIZENS AND
FREEDMEN OF THE FIVE CIVILIZED TRIBES or the CHICKAMAUGA
CHEROKEE ROLLS, the Chickamauga Cherokee Nation.
This roll was taken between 1827-1920 of Citizens and Freedmen residing in Indian
Territory. Many applicants do not qualify for Tribal Citizenship as their ancestors did not meet the enrollment requirements and were not enrolled. Certain requirements had to be met in order to be placed on the Dawes Roll.
One example is the enrollee had to establish their permanent family member on one of the tribal rolls before 1920 to meet the requirement. Tribal Citizenship are issued through the natural parents.
In adoption cases, Tribal Citizenship must be proven through the BIOLOGICAL PARENT to the enrolled ancestor. A copy of the Final Decree of Adoption [will list the biological Indian parent(s)] and a State Certified Birth Record [will list the adopting parents] must accompany the application. All information will remain confidential.
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1. Complete the application in black/blue ink listing the closest lineal ancestor with a Tribal
Citizenship number. If the applicant is a minor, the parent or legal guardian must sign the application.
2. Legal documents (signed by a judge) will need to be submitted with the application if the applicant is legally represented, such as court appointed guardian or under court ordered custody, such as divorce custody.
3. Please include names (if known) of other family members who have received their Tribal
Citizenship cards recently. This reference maybe helpful when processing your application.
4. Attach the ORIGINAL FULL IMAGE STATE CERTIFIED BIRTH RECORD of the applicant and a copy of an immediate family member's Tribal Citizenship card.
5. If no one in the family has received Tribal Citizenship, attach ORIGINAL STATE
CERTIFIED DOCUMENTS (BIRTH/DEATH) CERTIFICATES beginning with the applicant back to the enrollee.
6. Birth/Death records must be signed by the State Registrar, bear the State Seal and have a
State File Number. Please note that some States only issue a computer- generated record and a sworn statement affidavit may need to be signed by a parent.
NOTE
We cannot accept hospital, county certified or abstracts records. Originals can be brought in and a copy will be made for files (we do not keep the originals).
7. If your enrollee ancestor DIED after 1962, submit the ORIGINAL STATE CERTIFIED
DEATH CERTIFICATE. This is needed to assist us in our review.
8. Mail completed application(s) and original document(s) to the address listed above.
9. Should further information be needed to complete the application(s), we will contact you for specific documents.
10. Should we be unable to issue you a Tribal Citizenship, a letter of explanation will be sent to you by certified mail?
11. An Appeals Process will accompany the letter, should you not agree with our findings/decision.
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12. We don’t use blood percentage, ask any Doctor will tell you that there is no way to tell what part of your blood was White or Black or Indian, or Yellow, so why play the game of the white man again.
13. RESEARCH REFERRAL: If you need help with your research, please contact the
Genealogy office at the Indian Creek Tribe Chickamauga Cherokee enrollment Center at
(386) 259-9063 or at the following e-mail, ( principle.chief@chickamaugacherokee.org
) you can access the "DAWES ROLLS" at: (Chickamaugacherokee.org) Indian Creek Tribe
Chickamauga Cherokee Inc.
Questions: contact us at 1-386 - 259-9063.
14. REMEMBER: GETTING YOUR CHILD ENROLLED AS A MEMBER OF THIS
TRIBE IS THE RESPONSIBILITY OF THE PARENTS/ GUARDIAN BY
ORDINANCE.
15. WE FILE TO BE FEDERAL RECOGIZES IN 2000, WE HAVE FILE ALL OUR
DOCUMENTS BUT THE LAST ONE, WE ARE STILL COLLECTING DOCUMENTS
FROM OVER SEA , FROM ENGLAND, SPAIN, AND FRANCE, OUR FILE PLACE
NUMBER IS #278. IN THE MEAN TIME WE STILL WORK TO IMPROVE THE
LIFES AND HAPPENESS FOR ALL OUR TRIBAL PEOPLE.
The Indian Creek Band Chickamauga Cherokee is a non-federally Recognized Tribe. The ICTCC has a partition to the BIA to be Federally Recognized but that is still in effect and can take years to be granted if ever.
All 8 Section has to be filled out completely / clearly readable and required Documents must be with your application are it will be rejected. Please download and fill out. Application must be filled out by computer or type writer format, Accept for family chart and ancestry chart. Just download the Application .from SkyDrive.
Once filled out print application out and complete the family records section and ancestry chart.
It will make it easier for the records department to process your application and get your membership cards to you sooner.
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Download Application from SkyDrive to Desktop
2.
Open Document in Microsoft Word
3.
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Must be filled out electronically
4.
Must be hand signed or hand filled out
5.
Enrollment Application
6.
Applicants Parent & Guardian Information.
7.
Adoption Information if Applicable.
8.
Family Records
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Ancestry Chart
10.
Tribal Agreement
11.
Statement of Confidentiality
12.
Print and Mail Application and all supporting Documents to ICTCC INC. 1352 EAST LOMBARDY DRIVE DELTONA, FLORIDA 32725
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ICTCC Application page 2
1.
STATE CERTIFIED BIRTH CERTIFICATE:
The applicant’s birth certificate must be submitted to the Enrollment Office. An original CERTIFIED BIRTH CERTIFICATE from your local
County Health District Office is the only birth certificate that will be accepted for enrollment purposes. You can secure the birth certificate at your local Health District Office or State Vital Statistics Office. (HOSPITAL BIRTH RECORDS OR STATEMENTS ARE NOT
ACCEPTED FOR ENROLLMENT PURPOSES.) Also note that some counties will issue an abstract copy (computer generated) automatically. We DO NOT accept abstract copies. We require a certificate that shows a parent’s signature. Please send the original.
We will make a copy and return it to you.
2. PROOF OF PATERNITY / MATERNITY
Original County or State Certified Birth Certificate: Signed by biological Parents
Biological Parents were married at time of birth: Marriage Certificate
Court Order stating who biological parents are: Court records / Child Support
Paternity / Maternity Statement: Notarized Statements by Father / Mother
DNA Test: Test Results for Father and/or Mother
Note: The Enrollment Application will not be processed through the Enrollment Office until ALL supporting documents are fully completed and received.
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ICTCC Application page 3
Application must be filled out by computer or type writer format, Accept for family chart and ancestry chart.
Just download the Application from SkyDrive. Once filled out print application out and complete the family records section and ancestry chart.
fill in the requested information completely about yourself and/or your family and then print it out and return it by mail to the address listed on the first page.
Uncompleted application will be rejected.
PLEASE FILL OUT COMPLETELY (ONE APPLICATION PER FAMILY MEMBER OVER THE AGE OF 18).
* Date of Application: _______________________________________
* Name of Applicant: __________________________________________________________________
(LAST) (FIRST) (MIDDLE)
* Maiden or Other Names You Are Known By: _____________________________________________
* Current Mailing Address: ______________________________________________________________
Mailing address City State Zip Code
* Current Residence Address: ____________________________________________________________
Residence Address City State Zip Code
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* Current Phone Number: ( ) _________________________________________________________
* Alternative Number ( ) ___________________________________________________________
* Sex: M / F
* Email Address: _____________________________________________________________________
* Date of Birth: ________________________________________________________________________
* Place of Birth: _______________________________________________________________________
* Is / Was the Applicant Adopted? Yes / No If Yes, Place of Adoption? _________________________
* If Yes, What name did the Applicant Apply Under? _________________________________________
If you do not have a parent on the roll and are applying for membership under extraordinary circumstances, please indicate the ancestor through whom enrollment rights are claimed.
* Name: __________________________________________ Allotment #:_________________________
* Relationship to the Applicant: __________________________________________________________
* Applicant’s Total Indian Blood Degree Claimed: _______________________________-__
* Tribe _______ Degree ______ Tribe ________ Degree___________
* Tribe _________ Degree ______ Tribe _______ Degree___________
* Is the Applicant an Enrolled Member of Another Tribe? Yes / No
* If Yes, What Tribe, Band or Rancheria? ___________________________________________________
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ICTCC Application page 4
Application must be filled out by computer or type writer format, Accept for family chart and ancestry chart.
Just download the Application .from SkyDrive. Once filled out print application out and complete the family records section and ancestry chart.
* Mother’s Name: ____________________________________________________________________
Last First Middle
* Maiden or Other Names by Which Known: _____________________________________________
* Current Mailing Address: ____________________________________________________________
Mailing address City State Zip Code
* Current Residence Address: _________________________________________________________
Residence address City State Zip Code
* Current Phone Number: ( ) __________________________________
* Alternative Number: ( ) ___________________________________
* Date of Birth: _________ Place of Birth: _________________________________________________
* Date of Death: ________ Place of Death: ________________________________________________
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* Is Applicant’s Mother an Enrolled Tribal Member? Yes / No
* Father’s Name: _____________________________________________________________________
Last First Middle
* Other Names by Which Known: ________________________________________________________
* Current Mailing Address: _____________________________________________________________
Mailing address City State Zip Code
* Current Residence Address: __________________________________________________________
Residence address City State Zip Code
* Current Phone Number: ( ) _______________________________________
* Alternative Number: ( ) __________________________________________
* Date of Birth: __________ Place of Birth ________________________________________________
* Date of Death: _________ Place of Death: _______________________________________________
ICTCC Application page 5
* Is Applicant’s Father an Enrolled Tribal Member? Yes / No
Application must be filled out by computer or type writer format ( * ) , Accept for family chart and ancestry chart. Just download the Application .from SkyDrive. Once filled out print application out and complete the family records section and ancestry chart.
And Sign the Application ( * )
* Guardian’s Name: ____________________________________________________________________
Last First Middle
* Current Mailing Address: ______________________________________________________________
Mailing address City State Zip Code
* Current Residence Address: ____________________________________________________________
Residence address City State Zip Code
* Date Appointed As Guardian: Current Phone Number: ( ) ________________________________
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* Name of Court : ______________________________________________________________________
City County State
All birth certificates and court orders must be original certified copies from the county or state issuing the document. No abstract or photocopies will be accepted. Maternity/Paternity statements may be required.
To become a full member, you are required to be Native American. If you are not Native American, you can become an Associate Member of the ICBCCI. Once you become a member, and your name has been added to the tribe index, it cannot be removed, even if you have been banished from the tribe under the law of banishment. You are subject to the laws of this Tribe and the United States
Government. These records are part of the Index File with the B.l.A. in Washington, D.C. A copy of the registration and financial information may be obtained from the Division of Consumer Services by calling (1-800-HELPFUL) REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR
RECOMMENDATION BY THE STATE OF FLORIDA. BY SIGNING THIS APPLICATION YOU ARE CERTIFYING
THAT ALL STATEMENTS ARE TRUTHFUL, FAILURE TO DO SO WILL BE CONSIDERED PERJURY AND
PUNISHABLE BY PROSECUTION.
# APPLICANT SIGNATURE: _____________________________________________ _DATE: ___________
ICTCC Application page 6
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Must be filled out by hand
ICTCC Application page 7
Must be filled out by Hand
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I CTCC Application page 8
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Application must be filled out by computer or type writer format, Accept for family chart and ancestry chart.
Just download the Application .from SkyDrive. Once filled out print application out and complete the family records section and ancestry chart.
Application fee Non-Refundable : $60.00
# SIGNED MEMBER NAME: _________________________________________________________
* DATE SIGN: __________________
Records Department Use Only:
ICBCCI NUMBER: ________________________________________________
ICTCC Application page 9
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INDIAN CREEK TRIBE CHICKAMAUGA CREEK & CHEROKEE NATION INC.
To all the Members of the Indian Creek Tribe Chickamauga Creek & Cherokee Nation Inc.; privileges and immunities may all be comprehended under the following general headings: The protection by the Tribal government: the enjoyment of life and liberty: the right to acquire and possess property of every kind: and to pursue and obtain happiness and safety, subject, nevertheless, to such restraints as the government may justly prescribe for the general good of the whole.
Once you become a member and your name has been added to the Tribe index, it cannot be removed, even if you have been banished from the Tribe under the law of banishment. You are subject to the laws of this Tribe and the United States Government. These records are part of the Index filed with the Bureau of Indian Affairs (BIA) in Washington, D.C.
You have the right as a citizen of one Clan to pass through or reside in any other Clan for the purpose of trade, agriculture, professional pursuits or otherwise. The benefit of the writ of habeas corpus; to institute and maintain actions of every kind in the courts of the Tribe; to take hold and dispose of property, both real and personal; and an exemption from higher taxes or impositions than are paid by the other citizens of the Tribe, to which may be added the elective franchise, as regulated and established by the laws and Constitution of the Tribe in which it is to be exercised.
Only members who live and work on tribal lands are eligible for free food; health care in tribal health center; free housing, water, and power, in exchange for a 40 hour work week. Members that live off of the tribal lands can receive food, clothes and other things at reduced cost in the Tribal store; reduced health care in the Tribal health care center;
All Members must agree to live by the Tribal, State and Federal laws on and off of tribal land. By signing this agreement you are acknowledging and agree that the Tribe has the power to enforce all
Tribal, State and United State laws on and off the tribal lands, granted under the Tribal Constitution of
ICTCC Application page 10
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1835 and revised in 2000, re-written to correct and improve the original Constitution, agreed to by the members at that time.
Any Member found to be doing any unlawful act, will be grounds for the Tribal council to order a hearing before the Tribal court for their removal from this Tribe, or serve time for breaking the laws, or whatever the judgment of a 12 member jury sworn to give a verdict on the matter at hand. All
Tribal Government members are subject to the laws and order, as no one is above the law.
When one speaks of putting his/her allegiance to the will of Yowa above his/her allegiance to the government, it is evident in the light of his/her entire statement that he/she means to make his/her own interpretation of the will of Yowa the decisive test, which shall conclude the government and stay its hand. We are a Totemism people, according to one another the equal right of religious freedom and acknowledging with reverence the duty of obedience to the will of Yowa. But also, we are a nation with the duty to survive, a nation who’s Constitution contemplates war as well as peace, whose government must go forward on that assumption, and safely can proceed upon no other. That unqualified allegiance to the nation with submission and obedience to the laws of the land and tribe, as well as those made for peace, shall not be inconsistent with the will of Yowa.
I the undersigned do uphold this Agreement to this Tribe and its people and will obey the laws of this
Tribe and this Nation. So help me Yowa.
I understand that the Indian Creek Band Chickamauga Cherokee is a non-federally Recognized Tribe.
The ICTCC has a partition to the BIA to be Federally Recognized but that is still in effect and can take years to be granted if ever.
* PRINT ELECTRONIC NAME : ____________________________________________________________
# SIGN NAME: _________________________________________________________________________
Records Department use only:
ICBCCI NUMBER: __________________
DATE: ___________________________
CLAN NAME: _____________________
ICTCC Application page 11
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Indian Creek Tribe Chickamauga Cherokee Inc.
As a Member or Council Members of the Indian Creek Tribe Chickamauga Cherokee Office, I understand that some of my work will involve access to information / records that are considered confidential and highly confidential.
I acknowledge my responsibility to respect the confidentiality of Tribal Members, Their Personal Info or department records, to follow office procedures in order to protect privacy, and to act in a professional miner, both to the public, Email and over the phone. At no time shell a members records be sent to any other tribe or person without notifying the National vice Chief or Principle Chief and signed Consent from the Member whose file that is being mailed or send electronically.
Due to Confidentiality laws any Members wishing to have a copy of their record must fill out a release form and send a copy of their ID. Even though the records are of the Members, they belong to the
Office of the Indian Creek Tribe Chickamauga Cherokee Inc.
I further understand that if I am found acting indiscreet with confidential material or not protecting privacy of a Tribal Members, Their Personal Info or department records through my actions, I will be dismissed from my job immediately and possibly be prosecuted by federal and state laws. I understand this action to be necessary in order to maintain high professional standards and
Confidentiality of the office and integrity of the Indian Creek Tribe Chickamauga Cherokee Inc.
I understand that the Indian Creek Band Chickamauga Cherokee is a non-federally Recognized Tribe.
The ICTCC has a partition to the BIA to be Federally Recognized but that is still in effect and can take years to be granted if ever.
# Signature of Member: ________________________________________________________________
* Members printed Name: __________________________________________ DATE: ______________
ELECTRONIC Signature of National Vice Chief: _____________________________ DATE: ___________
ELECTRONIC Signature of Principle Chief: __________________________________ DATE: ___________
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