This application process takes time to verify pertinent information, please allow seven (7) to ten (10) business days for eligibility to be determined. E-mailing application may expedite process | dreamsgroupcounselors@cheyenneandarapaho-nsn.gov but please mail original copy to: DREAMS Program, P.O. Box 67, Concho, OK 73022.

I certify that the information provided is true and complete to the best of my knowledge and that there is no intent to commit fraud or perjury; or I will be subject to immediate termination. I understand that the information provided will be used to determine eligibility for DREAMS program services and subject to review and verification, and that I may be required to provide documents to substantiate income, benefits, prior and present work history, CDIB and other pertinent documentation to support this application. I further understand that a determination of eligibility is not a guarantee of services. I hereby authorize release of this information for verification purposes understanding all information is confidential and will not be released to any other agency, office, or individual unless the information is necessary to provide me with comprehensive services.

 

In accordance to the Privacy Act of 1974 (Title 5 U.S.C. 552a) the Cheyenne and Arapaho Tribes DREAMS program operates under the general authority of 25 U.S.C. 450 et seq., with specific regulations contained in 25 CFR, Part 46. In accordance with the accountability required for the administration of funds appropriated for the program, and in order to provide services to recipients, and to declare eligibility, certain information is required of all applicants. This form solicits the required information. Use of personal data will be available to authorized

I, the applicant, understand that the intent of collecting and maintaining this data on individuals is for determining eligibility of the applicant and to provide the means for producing certain statistical records required of this office.

And specifically, the release of information is regarding educational history, grades/transcripts, attendance, and certification test results, to the Cheyenne and Arapaho Tribes - DREAMS Program. Failure on the part of the applicant to provide the requested information will preclude the applicant from eligibility of the DREAMS

I have read and understand the statement of privacy listed with the application form. I hereby provide the requested information and authorize the use of such information to the uses specified in the statement. I, also, understand that I must furnish a certificate of completion, or vocational transcript, GED Test scores, for compliance before receiving future assistance from the Cheyenne and Arapaho Tribes DREAMS program.

In order to make an informed decision, it is important to assess yourself. Self-assessment allows you to develop your knowledge about yourself. This self-awareness will be a crucial tool as you research career fields and market yourself for new opportunities.

Like any other process, self-assessment requires practice. Therefore, block out time to answer the questions for each assessment. The assessment will include an interest, work values, and skills assessment. The assessment will be completed online at www.careeronestop.org/ExploreCareers/Assessments/what-is-assessment.aspx 

The Interest Assessment is a quick 30-question assessment that identifies your interests and matches them to careers. You may take this with a counselor or on your own at https://www.careeronestop.org/Toolkit/Careers/interest-assessment.aspx 

Based on your Career One Stop Interest assessment you tested the strongest in:

The Skills Matcher identifies your skills and matches them to careers that use those skills You may take this with a counselor or on your own at https://www.careeronestop.org/toolkit/Skills/skills-matcher.aspx 

 

Based on your Career One Stop Work Values Matcher assessment your 6 universal work values:

The Work Values Matcher is a card sort that helps you identify the qualities that are most important to you in a career and the place you work You may take this with a counselor or on your own at https://www.careeronestop.org/Toolkit/Careers/work-values-matcher.aspx  

 

Based on your Career One Stop Skills Matcher assessment list the top three career interests and the level of education usually needed to enter the career:

I hereby authorize the Cheyenne - Arapaho Tribes Developing Responsible Employee Aptitude and Marketing
Success (DREAMS) Program be provided all information to substantiate income, benefits, prior work history,
present work history, other pertinent documentation regarding employability to determine my/my child's
eligibility to participate in the DREAMS Program. It is my understanding that this information is required for
inclusion in my file, as an applicant, to verify eligibility for participation in the DREAMS Program.
Income eligibility will be determined using 2023 HHS Poverty Guidelines.
This consent will expire six (6) months from the date of signing.

Other Members of Immediate Family Supported by my Income
Please list name, age and last four digits. If over 18, must provide proof of income.

Part 1 Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter.

Part II Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.