United Cherokee Nation - Aniyvwiya
P.O. Box 245, Springfield, Missouri 65801 USA.
P O. Box 191793, Atlanta, Georgia 31119, USA
Tel: 417-691-5009
www.unitedcherokeerepublic.org
Treaties of 1620, 1621, 1730, 1785, Treaty of Holston 1791 (7 Stat.39), Treaty of 1816 (7 Stat. 138),
Treaty of Hopewell 1785 (7 Stat.18), Treaty of 1835 (7 Stat. 478),
Article VI, sec.2, U.S. Constitution - Treaties are the Supreme Law of the Land.
Under the Jurisdiction of Cherokee Tribal Law
Full Name:__________________________________
2 -2x2 passport pictures
to be included
Cherokee Name______________________________
Male:_____ Female: _______
2. Maiden or other name by which you are known:
___________________________________________
3. Present address:____________________________________________________________________________
(Street)
(City) (County)
(State) (Zip Code)
Mailing address:___________________________________________________________________________
4. Telephone Number: __________________________ SS# _________________Email_____________________
5. Date of Birth:_____________________ Place of Birth:____________________________________________
Please send a certified copy of your birth certificate.
6. Physical Description: Height: _______ Weight: ______ Eye Color:_____ Hair Color: _____Blood Type:______
7. Is your birth certificate on file with the Tribal Office?
8. Your degree of Cherokee Indian blood (if known)? ____
9. Do you possess Indian blood of another tribe?
10. Name of other tribe, if yes?
[ ] Yes
[ ] No
Ever served in law enforcement or military? ____
[ ] Yes [ ] No
Degree of other Indian blood? _______
11. Are you enrolled with another tribe? [ ] Yes [ ] No
If yes, have you received benefits in land or money by virtue of such enrollment? [ ] Yes
[ ] No
12. Name of applicant’s spouse: _______________________________________________________________
13. Applicant’s eligible children: ______________________________________________________________
(A separate application MUST be filed for each child to become enrolled as a member of the tribe.)
14. Do you have a relative already enrolled in the United Cherokee Nation? [ ] Yes [ ] No If so, whom?
Enrollment number_____________________
Date of application: /
/
/
15. Please describe your occupation and how your can contribute to the United Cherokee Nation.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Please answer questions:
!. What is the “heartfelt prayer” of The United Cherokee Nation of Indians?
Answer is found in the “About” article.
2. How many treaties have been entered into between the U.S. government and the Cherokee?
Answer in the article entitled “Interpretation”.
3. What two treaties specify the protection of the Cherokee “…against interruption and intrusion from citizens of the
United States…”?
Answer in the article entitled “Interpretation”.
4. What two events in 1828 helped to seal the Cherokee fate and propel them toward the infamous “Trail of Tears”?
Answer in the article entitled “A Brief Cherokee History”.
5. What future president described the Indigenous People of the Southeast as “the unfortunate sons of nature”?
Answer in the article entitled “Andrew Jackson and the Subjugation of the Native Tribes of the Southeast”.
6. What is wrong with the name “Indian” as it applies to the Indigenous People of North America?
Answer in the article entitled “My Objection to the Term “Indian”.
I, the undersigned, verify that all statements and the information provided with this application to be true and subject
to penalties as stated in the Constitution and By-Laws of the United Cherokee Nation of Indians.
Signature of applicant: ___________________________________________________
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NON-REFUNDABLE
APPLICATION FEE: $149.00 for Cherokee, $499.00 other tribal affiliation and $999.00 No Tribal Affiliation
(payment plans available if eligible)
(ALL APPLICATIONS MUST BE APPROVED BY TRIBAL COUNCIL BEFORE ACCEPTANCE)
(ANY APPLICATION NOT ACCEPTED FEES ARE FULLY REFUNDED)
Fees payable by cashier check, money order, or personal check. Make payable to:
WHITE SOARING EAGLE TRUST dba The United Cherokee Nation of Indians - Aniyvwiya
P.O. Box 245, Springfield, MO 65801
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DO NOT WRITE BELOW THIS LINE - FOR OFFICE USE ONLY
Date application received:
/
/
Enrollment fee amount received Elder : ____Check #_____
Application denied:
If denied, state reasons for denial:
Application accepted:
Log Roll Number:__________
Initials of Enrollment Committee members: _______________________________________________
Tribal Council Elder Signature: ____________________________________