2025 CLOTHING ALLOWANCE FORM

HEAD OF HOUSEHOLD INFORMATION
Name*

First NameLast Name
TRIBAL ENROLLMENT ID#*
SPOUSE (IF APPLICABLE)*
TRIBAL ENROLLMENT ID#*
CUSTODY-(CHECK ALL THAT APPLY) MUST PROVIDE DOCUMENTATION*

LEGAL PARENTLEGAL GUARDIANFOSTER PARENTCASEWORKEROther
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
STUDENT INFORMATION

PLEASE LIST AND COMPLETE ALL FIELDS OR YOUR APPLICATION WILL BE RETURNED AS INCOMPLETE.
*LIST ALL STUDENTS IN HOUSEHOLD IN BOX BELOW.
STUDENT(s) NAME | DATE OF BIRTH | GRADE | YST ENROLLMENT ID# *
PLEASE LIST ALL STUDENTS IN THIS BOX WITH ALL THE INFORMATION LISTED ABOVE FOR EACH STUDENT.
!! NON-CUSTODIAL PARENTS MUST PROVIDE GUARDIANSHIP PAPERS OR SCHOOL ENROLLMENT VERIFICATION!!

PRE-SCHOOL/ELEMENTARY/HIGH SCHOOL:
PLEASE LIST SCHOOL INFORMATION HERE: SCHOOL NAME | ADDRESS | GRADE | SCHOOL PHONE NUMBER*
CLOTHING ALLOWANCE RELIEF GUIDELINES

*All minor Tribal members who are in school Pre-K-12th grade shall be eligible for the clothing allowance relief. If applying using the print only form, you must attach required information. School verification forms can be faxed to the YST at 605-384-5687. ATTN: "SCHOOL CLOTHES".*

*YST IS NOT RESPONSIBLE FOR LOST OR STOLEN CARDS*

DEADLINE FOR ALL APPLICATIONS IS SEPTEMBER 12, 2025 BY 4:30 PM

*IMPORTANT REQUIREMENT FOR ELIGIBILITY*

PLEASE UPLOAD THE FOLLOWING REQUIREMENTS BELOW USING THE UPLOAD BOX

1. YST ENROLLMENT

2. VERIFICATION OF ENROLLMENT SUMMARY (CURRENT - NOT ACCEPTING PAST ENROLLMENT)

USE OF FUNDS ACKNOWLEDGEMENT: The guardian applying will be held accountable. I certify that the statements made on this application are true and correct to the best of my knowledge. I further understand that I agree NOT to purchase alcohol, vapes, tobacco, sell my child's card, or get ATM cash back. If you have any questions please feel free to call the Tribal Headquarters office at 605-469-6576.
File Upload*

Cancelof
Signature of Parent/Legal Guardian:*

Clear
Date Received:*

MonthDayYear
Date
Should be Empty: