WAAR application

Participant Checklist

Copy of CDIB Card (if applicable)Short Narrative (Participant should provide written statement of expectations of this project)
Veteran Status

I am a veteranI am the spouse of a veteranI am the child of a veteran
What Branch?
Cohorts the individual is interested in (Check all that apply)

Plant and Soil systems (December 7, 2020 - December 12, 2020)Grassland systems (February 15, 2021 - February 20, 2021)Applied project (Alfalfa, Hemp, Wheat) (April 12, 2021- April 17, 2021)Insect Science (September 20, 2021 - October 15, 2021)
Please mail the applicable documents to the Office of Admissions.

Mailing Address: Office of Admissions
Attn: Arise Veteran Foundation
2216 G. Street NW
Miami, OK 74354

For more information, Contact:
G.S. Will Briscoe, Project Director Arise WAAR Project
s_kahni@yahoo.com or call (918) 961-0541
The Arise Veteran Foundation "We Are All Related" project is funded in part by the USDA Grant Under the Enhancing Agricultural Opportunities for Military Veterans CFDA 10.334
WAAR (We Are All Related) Admission Application

***All sections of this Application Must Be Completed**
Are you attending Pawnee Nation College or Nebraska Indian Community College?

Fall 21Spring 22Summer 22
Legal Name (as appears on legal documents, i.e. birth certificates, court documents)

First NameMiddle NameLast Name
Maiden/Other Names
Assigned Student Number
Date of Birth

MonthDayYear
Date
Permanent Mailing Address
Street or P.O. Box
City
State
ZIP
Telephone Number(s)
Email Address
example@example.com
Emergency Contact
First & Last Name
Relationship

ParentSpouseOther:
Street or P.O. Box
City
State
ZIP
Student Demographic Information
Gender:

MaleFemale
Marital Status

SingleMarriedSeparatedDivorced
Date of Birth
MM/DD/YYYY
Are you currently on or pending criminal probation or parole?

YesNo
If yes, please explain:
Ethnic Background

Native American or Alaska NativeAfrican AmericanNative HawaiianAsianCaucasianHispanic or LatinoNon-Resident Alien
If Native American, list Tribe (Enrolled Member) and complete a copy of CDIB.
High School Information
Name of High School
City
State
Date from

MonthDayYear
Date
Date to

MonthDayYear
Date
Have you graduated from high school?

YesNo
If yes, list date of graduation Date If no, list anticipated date of graduation Date
Have you taken the GED?

YesNo
If yes, please submit an official copy of your scores. If no, list date of GED exam Date
Have you ever applied or attended PNC or NICC:

YesNo
If yes, when? Date
Expected Enrollment:

Full-timePart-time
Are you a First-Time Entering Freshman?

YesNo
Have you ever attended another College or University?

YesNo
If yes, list all Colleges, Universities, or Vocational/Technical Institutes attended.

(Failure to list ALL institutions previously attended may result in loss of credit or dismissal from Pawnee Nation College.)
Name of School
City and State
Date from

MonthDayYear
Date
Date to

MonthDayYear
Date
Name of School
City and State
Date from

MonthDayYear
Date
Date to

MonthDayYear
Date
Name of School
City and State
Date from

MonthDayYear
Date
Date to

MonthDayYear
Date
Name of School
City and State
Date from

MonthDayYear
Date
Date to

MonthDayYear
Date
Certification of Information

I hereby certify that the facts set forth on this application of admission are true and complete to the best of my knowledge. I understand that I must provide the Admissions Office of Pawnee Nation College with official transcripts from ALL schools attended. I understand that I may be denied admission or ineligible to continue admission at PNC for withholding or falsifying records or information.
Print Name
Student Signature

Clear
Date

MonthDayYear
Date
Publicity Release
I hereby authorize the Arise Veteran Foundation (AVF) administration, staff, and/or faculty members to take and use any photographs, likeness, characterizations, or other resemblances of me, with or without endorsement, or biological data concerning me, for any and all purposes, including but not limited to advertising and publicity surrounding the Pawnee Nation College or use on the website of the Pawnee Nation College.

The AVF agrees to use the above information and materials in the best reproduction quality

I hereby waive any right I may have to approve the final form and content of the use of any

I hereby release the AVF administration, staff, and faculty members, their successors and assigns, and anyone authorized by any of them, from any and all rights, claims, demands, and actions, which I, my heirs, executors or assigns may have on account of the use of any of the above.

I REPRESENT AND AFFIRM THAT I AM OF FULL AGE AND THAT I HAVE EVERY RIGHT TO CONTRACT IN MY OWN NAME. I REPRESENT AND AFFIRM THAT I HAVE READ THE

FOREGOING IN WITNESS WHEREOF, I HAVE HERE UNTO SET MY HAND AND SEAL:
Participant Signature

Clear
Date

MonthDayYear
Date
Social Media Policy
Social Media refers to popular virtual hubs where users interact such as Facebook, Twitter, YouTube, etc. While PNC encourages students to make use of social media to enrich communication and educational discussion, there are certain limitations that need to be reviewed.

Privacy Participants are encouraged to protect personal information such as cell numbers, social security numbers, student records, credit card or payment information, information to subject non-disclosure, email addresses, etc. Adjust privacy settings when needed and publish updates only to intended audiences.

Compliance Participants are to obey the current terms of their social media platform and check for updates every six months. Comply with all general academic honesty and conduct policies concerning respect, harassment, bullying, cheating, and plagiarism, etc.

For participant sites not under AVF supervision, it is recommended that participants add the phrase: Views expressed here are my own, and do not necessarily express the views of Arise Veteran Foundation. If you identify your affiliation with AVF on the site, readers equate you with the Foundation even with the disclaimer. Take the high ground and refuse to pick a fight. Discuss ideas civilly and professionally.

Be respectful and follow the Golden Rule to treat others as you wish to be treated. If this post would not be acceptable to communicate face to face or over the phone, refrain from posting it. Refuse to harm any individual on social media including you. Refrain from ethnic slurs, obscenity, and personal insults when disagreeing and especially when addressing sensitive topics such as religion and politics. Do not post anything that could not be discussed on public forum.

Make sure to check sources for accuracy of information. Site and link sources whenever possible, get a photo release before sharing photos on a site of identifiable students, faculty, or staff where interactions may be recorded. Do not share information from someone else that would infringe on their privacy.
Participant Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

WAAR (We Are All Related) Admission Application

Permanent Mailing Address

Emergency Contact

Student Demographic Information

High School Information

Certification of Information

Publicity Release

Social Media Policy