IAIS Program Values
CIRCLE: Communication, Integrity, Respect, Cooperation, Leadership, and Excellence
Indigenous and
American Indian
Studies Program
Dear Prospective Student:
Thank you for your interest in the Indigenous and American Indian Studies Program (IAIS) at Haskell Indian Nations University. IAIS graduates have used their studies to prepare for
opportunities that include law, journalism, business, social work, linguistics, science, education, and tribal and federal employment. Many also have entered graduate programs in Indigenous Nations, American Indian Studies, or in their areas of undergraduate concentration.
For more information about our program or if you have you questions about the IAIS application, please contact the Haskell Indigenous and American Indian Studies faculty or visit our website . We look forward to working with you as you achieve your educational potential at Haskell Indian Nations University.
IAIS Program Values
CIRCLE: Communication, Integrity, Respect, Cooperation, Leadership, and Excellence
Please read the application carefully before completing the form. We suggest you make a photocopy of your completed application for your records. Your application will be reviewed by the IAIS Admissions Committee.
Important Dates: Application deadline for admission (as of Fall 2014): Fall Semester: Mar 15th
Spring Semester: October 15th IAIS Admission requirements:
Eligible for admission into Haskell Indian Nations University. Please see catalog for admission’s requirement. Please note: transfer students will require admission to the IAIS program prior to admission into Haskell Indian Nations University.
Completion of 45 hours of the Institutional and General Education requirements as outlined in the Haskell Catalog.
Minimum cumulative 2.50 GPA with no grade less than a B in the Haskell American Indian/Alaska Native citizenship courses (or their equivalent if a transfer student).
Completed Application: a. IAIS Application.
b. Official transcripts from all colleges attended.
c. Two completed reference letters. At least one letter needs to be written by a Haskell faculty teaching American Indian/Alaska Native citizenship courses (or equivalent if a transfer student).
d. A 200 word statement describing contributions you are committed to making in relation to the IAIS program and the intellectual community at Haskell. You may state your goals, with respect to education, your practical experience in Native communities, the areas of academic interests that you will share with your fellow classmates, etc.
NOTE: The statement should be typed using standard essay structure, carefully proofread, and demonstrate writing ability at the junior-level. e. Return completed application in an envelope to:
Indigenous and American Indian Studies Program IAIS Admissions Committee
Haskell Indian Nations University Parker Hall – 155 Indian Avenue Lawrence, KS 66046
Phone: (785) 749-8404 (Request IAIS Department) Fax: (785) 832 - 6643
IAIS Program Values
CIRCLE: Communication, Integrity, Respect, Cooperation, Leadership, and Excellence
Students will be notified by email regarding admission status
Please type or print clearly
Semester you plan to start IAIS Program Fall 20______ Spring 20______
Date of Birth ___________________________________________________
Gender [ ] Female [ ] Male
Last Name _________________________________________________________ First Name _________________________________________________________ Middle Name _________________________________________________________ Address _________________________________________________________ _________________________________________________________ _________________________________________________________
Campus Box Number_______________
Email _________________________________________________________ Phone _________________________________________________________ Tribal _________________________________________________________ Citizenship Language Profiency Primary Language _____________________________ Secondary Language _____________________________
Office Use Only
IAIS Program Values
CIRCLE: Communication, Integrity, Respect, Cooperation, Leadership, and Excellence
Education
Enrollment [ ] Haskell Student
Status [ ] Sophomore [ ] Junior [ ] Senior
[ ] Transfer Student
[ ] Sophomore [ ] Junior [ ] Senior
How many college credit hours earned? ____________ Credits
Previously applied to the Haskell IAIS program? [ ] Yes [ ] No
If yes, what year and semester? __________________ Previously enrolled in the Haskell IAIS program? [ ] Yes [ ] No
If yes, what year and semester? __________________ Applied to any other 4-year degree program at Haskell?
[ ] Yes [ ] No
If yes, which degree program? __________________
Previous College(s) Years Attended
& Degree earned Name, Location
High Schools(s) Year Graduated
Name, Location
IAIS Program Values
CIRCLE: Communication, Integrity, Respect, Cooperation, Leadership, and Excellence
Year Earned: ___________ State: _________
AIS Courses in Progress
Title / Credit Hours
Student, Honorary, Tribal, and Professional Organizations & Clubs
Club Name / Position Held / Calendar Year(s) of Participation
Scholastic Awards, Honors, Fellowships, and Merit-Based Scholarships
Award Name / Year Awarded
Professional Experience
List all work experience from the past two years or since graduating high school or GED. Attach a resume or second sheet if needed.
Service-Learning and Volunteer Experience
Name / Year
Military Experience
Military Branch, years of service
IAIS Program Values
CIRCLE: Communication, Integrity, Respect, Cooperation, Leadership, and Excellence
Recommendations
Please list the names of the two individuals that you requested to provide references. If a Haskell student, at least one of these letters of recommendation must come from an IAIS faculty. If a transfer student, faculty recommendations from your previous institution is strongly suggested.
Name University Contact Information
1. _________________________________________________________________________
2. _________________________________________________________________________
______________________________________________________________________________ I certify the information provided in this application is true and accurate.
________________________________________________ _______________________
Name (signature) Date
________________________________________________________________________ Name (Print)
IAIS Program Values
CIRCLE: Communication, Integrity, Respect, Cooperation, Leadership, and Excellence
Indigenous and American Indian Studies Program
Recommendation Form Dear ______________________________,
The following student is applying for admission into the Indigenous and American Indian Studies
Program at Haskell Indian Nations University. Please rate the student on your experience with him/her to the best of your knowledge. The information you provide will help the AIS committee evaluate the student for admission into the program.
This section to be completed by the student and submitted to faculty member: Name of Applicant: _______________________________________
Year in school: ____ Fr. _____ So. _____Jr. _____Sr. Hours completed: _____ Previous college: _________________________________________ GPA ______ This section to be completed by the faculty member:
Level of Performance Ranking Factors
Check One Exc epti ona l Above Ave ra ge Ave ra g e B elow Ave ra g e Una ble to r ate
1. Shows academic potential 2. Possesses a positive attitude 3. Shows maturity and responsibility 4. Shows leadership qualities
5. Shows a strong desire to graduate from the IAIS program Yes: _____
Provisional: _____ No: _____
6. Overall recommendation
Additional Comments: (use the back of this page if necessary)
_____________________________________ _________________
Signature of Faculty Date
IAIS Program Values
CIRCLE: Communication, Integrity, Respect, Cooperation, Leadership, and Excellence Recommendation Form
Dear ______________________________,
The following student is applying for admission into the Indigenous and American Indian Studies
Program at Haskell Indian Nations University. Please rate the student on your experience with him/her to the best of your knowledge. The information you provide will help the AIS committee evaluate the student for admission into the program.
This section to be completed by the student and submitted to faculty member: Name of Applicant: _______________________________________
Year in school: ____ Fr. _____ So. _____Jr. _____Sr. Hours completed: _____ Previous college: _________________________________________ GPA ______ This section to be completed by the faculty member:
Level of Performance Ranking Factors
Check One Exc epti ona l Above Ave ra ge Ave ra g e B elow Ave ra g e Una ble to r ate
1. Shows academic potential 2. Possesses a positive attitude 3. Shows maturity and responsibility 4. Shows leadership qualities
5. Shows a strong desire to graduate from the IAIS program Yes: _____
Provisional: _____ No: _____
6. Overall recommendation
Additional Comments: (use the back of this page if necessary)
_____________________________________ _________________