RIGHTS AND RESPONSIBILITIES
Parents/legal guardian acknowledges that the funds distributed through the SCP are solely for the purpose of purchasing school clothing for the applicant. The Parents/legal guardian understands that if the card is lost and is re-issued there will be a fee deducted from the re-issued card. If necessary, I give the SCP permission to verify my child’s tribal enrollment.
Notice Regarding False Statements
Whoever, in any matter within the jurisdiction of any Department or Agency of the United States knowingly and willfully falsifies, or covers up by trick, scheme, or devise a material fact or makes a false, fictitious, or fraudulent statement or representation or makes or uses any false writing or documents, knowing the same to contain any false, fictitious or fraudulent statement or entry, may be punished by fine, imprisonment, or both. (8 U.S.C., Section 1001).
I have read and understand the preceding Rights and Responsibilities, Notice Regarding False Statements, and the program guidelines. I verify that I am a custodial parent/legal guardian for the minor listed above or have been given permission to receive and spend the funds
on behalf of the above named tribally enrolled student by the custodial parent/legal guardian.