Graduation Incentive Request Form

Graduation Incentives are available to enrolled members of the Cahuilla Band of Indians. Incentive requests are reviewed and approved by Tribal Council per the tribal Graduation Incentive Policy and Procedure. Tribal member applicants must file an official proof of graduation, which will require original official transcripts, degrees, or certifications from an accredited learning institution, high school, college, or university.

Tribal Member Name(Required)

Tribal ID #(Required)

DOB(Required)

Name of Institution(Required)

Contact Number of Institution

Date of Completion

Accreditor of Institution

Type of Certificate or Degree Received

Student ID # (if applicable)

Should I be approved for a graduation incentive, my check can be addressed to:

Mailing Address(Required)

Street Address City State ZIP Code

My Contact Number is(Required)

Mail Ck/Pickup Ck

Mail Ck

Pickup Ck

Tribal Member Signature(Required)

Date submitted(Required)

For Cahuilla Band of Indians use ONLY (below the line):

COUNCIL