K-12 Benefit Application

Parent/Guardian Name(Required)
Mailing Address(Required)

Student Information

Student Name(Required)

Vendor Payment Information

Vendor Mailing Address

Activity Description

Category A
Category B-E (Cannot Exceed $3000)
Category F (Cannot Exceed $1500)
This request is for:(Required)

File Uploads

Please upload any supporting documents you want to submit with this application.
Drop files here or
Accepted file types: doc, docx, pdf, png, gif, jpg, tif, bmp, Max. file size: 256 MB, Max. files: 6.

    Funding Acceptance Agreement

    Parent/Guardian Applicant, you agree to the following:(Required)
    Clear Signature
    Parent/Guardian Name(Required)

    Student Release of Informaiton FERPA (Family Educational Rights and Privacy Act) Form

    The Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g, 34 C.F.R. Part 99 is a federal law that protects the privacy of financial and academic student education records. Generally, schools require have written permission from the parent or eligible student (if over 18 years of age) in order to release information from a student’s education record.

    By signing, the applicant understands that the Snoqualmie Indian Tribe’s intent of collecting and maintaining this data is to determine eligibility for Tribal educational benefits and to provide a means of producing statistical records. Failure on the part of the applicant to provide the requested information will preclude the applicant from eligibility in obtaining K12 education assistance under this program.

    The administration of this program requires certain information from the applicant. The forms included in this packet solicit the required information. This information may be made available to authorized organizations or individuals in compliance with all applicable laws.

    Student or Parent/Guardian Providing Authority
    • Financial aid awards, application data, disbursements, and/or eligibility
    • Billing statements, charges, credits, payments, and/or past due amounts
    • GPA/grades, demographic, registration, student ID number, enrollment information, and/or academic progress status
    • Access to student records maintained by the Registration Office and Financial Office, including all of the above examples

    By signing below, I consent to the release of the student information listed above to the Snoqualmie Indian Tribe Education Department. I acknowledge that this release is valid for the Academic Year listed above at the program listed above or until I have revoked this release in writing.

    Please Note: FERPA pertains to the release of records only. It does not give others the right to act on your behalf or change your records.

    Clear Signature

    The Snoqualmie Indian Tribe has established the K-12 Benefit Program to give Tribal children better access to educational opportunities by assisting Tribal families with K-12 education-related expenses. Proof of enrollment in school is required to be on file each year before funds are released.

    Eligibility

    To be eligible to receive this Benefit, the Snoqualmie child must be: an enrolled Snoqualmie Tribal Member; and

    • Enrolled in an accredited private or public elementary school, middle school, junior high school, high school, or public school secondary transition program. A student with an IEP or 504 plan in place with their school is eligible to continue to receive services under this program into adulthood until the school district has certified completion of required high school courses.

    Benefit Informaiton

    An eligible child in grades Kindergarten through Grade 12 may receive up to $25,000 per Tribal Academic Year to cover certain K-12 education expenses or to be used towards homeschooling expenses. This K-12 benefit is a discretionary benefit authorized by Tribal Council and subject to Tribal Council appropriations. Tribal Council reserves the right to alter or eliminate this benefit at any time. All requests must be dated within the current Tribal Academic Year to be considered for reimbursement or payment.

    The full benefit amount is available for expenses in Category A:

    Category A:

    • Assistance for private school, summer school, summer camps that are run by school/district/or similar educational program (i.e., science camp), educational enrichment classes offered by the school, including but not limited to: tuition, fees, school fees (ASB, class fees, parking pass), field trip fees, uniform fees, and all other fees, books and supplies required by the course or program. Tuition for Before/After School Care if offered by the school or through a school affiliate.
    • Tutoring. Applicants must complete a tutoring supplement form at the time of application and provide attendance reports at the end of each month/term. For students attending a tutoring program such as Sylvan Learning Center or other similar tutoring centers, the tutoring contract, assessment results and personal learning plan will be accepted in place of the tutoring supplement form. Applicant is responsible for calling and rescheduling any tutoring sessions that the student is unable to attend. Any tutoring sessions that result in a “no call, no show” will not be paid for or reimbursed by the Program. Applicant must ensure that an itemized invoice is submitted that lists the number of hours for which services are being rendered in order for the item(s) to be eligible for payment
    • IEP and 504 plans The program will provide assistance as needed with expenses associated with development of an IEP or 504 plan if the expense is not covered by the school/district. Expenses associated with implementation of an IEP or 504 plan should be covered by state/district resources. If an expense is recommended and not being covered, a letter from the school advising of the need will be required

    Up to $3000 of the overall benefit per Tribal Academic Year may be used towards the following categories:

    Category B: School lunch program fees, club fees, activity fees, sports fees, non school affiliated sport fees/extracurricular classes & supplies consistent with opportunities offered by schools at large (music, art, sport leagues). Student will be required to provide proof of enrollment in the course or program.

    Category C: Test fees or prep classes for SAT, ACT, or Drivers Education, application fees for college

    Category D: School spirit expenses: school logo gear, letterman’s jackets, class rings, student admission to school events, and school photos

    Category E: Graduation expenses: cap, gown, tassel, announcements and other senior gear included in graduation announcement packages.

    Up to $1500 of the overall benefit per Tribal Academic Year may be used towards the following category:

    Category F: Technology and software costs, including Microsoft Office or similar, educational software, and technology equipment as required or recommended by a teacher, tutor, or school program. Technology and software costs, including Microsoft Office or similar, other educational software, and technology equipment as required or recommended by a teacher, tutor, homeschool need, or school program. Purchase of same/similar technology equipment is only allowed every 3 years. Laptops, desktops, ipads, tablets are all defined for the purposes of this program as similar items.

    Ineligible Expenses

    • Non-school affiliated religious, social, fraternal or organization dues; Parental club or chaperone fees;
    • Homeschooling expenses;
    • Therapy of any kind (speech, sensory deprivation, behavioral etc.). These expenses are medical in nature and therefore
      must go through PRC or insurance.
    • A private tutor’s equipment and supplies;
    • Food, purchased at sports or other events;
    • Fines and penalties (e.g., late fees, overdue/damaged books);
    • General School or classroom supplies (i.e., pens, folders, paper, etc.);
    • Formal clothing, accessories, or other expenses for school dances; and
    • Recreational camps must go through TCR Program.