GeMr ApplicMnt, - PDF document

GeMr ApplicMnt, ThMnk you in MdvMnce
GeMr ApplicMnt, ThMnk you in MdvMnce for requesting Mn MpplicMtion to become M citizen of the United Fherokee Ani-Yun-WiyM NMtionB Fitizenship in the United Fherokee Ani-Yun-WiyM NMtion is open to Mny person who cMn provide evidence of their Fherokee bloodline by substMntiMting their direct descendency from M person whose nMme MppeMrs on Mny federMl officiMl rollB Girect descendency, by definition in this context, meMns thMt the person on the roll must hMve been your pMrent, grMndpMrent or Mny generMtion of greMt-grMndpMrentB There is no blood quMntum requirementB To estMblish your lineMge, the following is required: 1)B A completed MpplicMtion which includes Mll fMmily chMrts beginning with the oldest living member of your fMmily desiring enrollment Mnd then going bMck to Mnd including the direct Mncestor whose nMme MppeMrs on M rollB (If the chMrt on the bMck of the MpplicMtion needs to be extended, MttMch MdditionMl sheets)B 2)B The nMme of the roll your Mncestor’s nMme MppeMrs on, together with the exMct spelling of their nMme Ms it MppeMrs on the roll Mnd their roll numberB 3)B GocumentMtion thMt proves the relMtionship between the NMtive AmericMn IndiMn blood members of eMch succeeding generMtionB This cMn be: birth certificMtes, mMrriMge licenses, deMth certificMtes, document copies from pertinent records in the NMtive AmericMn Records groups from NMtionMl or StMte Archives; certified copies from fMmily bibles; text copies from published works which document Fherokee blood by nMme; Mnd court recordsB In other words, ANY officiMl document will be considered, however proof of the lineMge must be estMblishedB In some cMses, when documentMtion between some generMtions is not MvMilMble, notMrized MffidMvits from the oldest two members of your fMmily will be consideredB PleMse note thMt Mn MffidMvit hMs been provided Mt the bottom of this sheet for your convenienceB By signing this MpplicMtion, you Mgree to Mll terms contMined on this MpplicMtionB United Fherokee Ani-Yun-WiyM NMtion reserves the right to Mccept or reject Mny MpplicMtionB PleMse note thMt your informMtion mMy be shMred with other members for communicMtion purposesB Who referred you to United Fherokee Ani-Yun-WiyM NMtion? PleMse supply TribMl Enrollment Number when referencing M TribMl FitizenB _______________________________________________________ Respectfully, United Fherokee Ani-Yun-WiyM NMtion Enrollment Founcil AFFIGAVIT IS OPTIONAL (1)B ___________________________________________________ of lMwful Mge, being first duly sworn, deposes Mnd sMys Ms follows: (2)B ____________________________________________________ of lMwful Mge, being first duly sworn, deposes Mnd sMys Ms follows: I Mm well McquMinted with _______________________________________________ Mnd know of my own knowledge thMt the MpplicMnt nMmed Mbove is the (son, dMughter) of (Mother)__________________________________________ Mnd (FMther) _____________________________________, Mnd is known Ms M Fherokee IndiMn by members of the community in which he/she residesB AffiMnt (person Mpplying for membership) ___________________________________________B Subscribed Mnd sworn to before me this ________ dMy of ______________________, 20_____B NotMry Public: _______________________________________ My Fommission Expires: ______________________________ ***** This informMtion is not required for enrollmentB PleMse list Mny disMbled persons in your householdB ______________________________________________________________________________________________________________________________ ***** “Walking the Good wed woad Together” FOR TRIBAL USE ONLY (GF) ROLL NUMBER: ___________________________________ UNITED CHEROKEE ANI-YUN-WIYA NATION ENROLLMENT APPLICATION Required: Your MpplicMtion will not be processed without M copy of birth certificMte, signMture Mnd photo(s)! PLEASE PRINT EAFH INGIVIGUAL’S NAME ON THE BAFK OF EAFH PHOTO! Return to: PO Box 7D4 Guntersville, AL 3D976 Fomplete both sides Mnd return with M $D0B00 minimum processing feeB APPLIFATION WILL NOT BE PROFESSEG IF NOT FOMPLETEGB For our records, pleMse sign line (1) or (2) below: If you hMve never been MssociMted with Mny other stMte tribe, sign line (1) (1)B I, _________________________________, nor Mny of my children listed below hMve never been M member of Mny StMte Recognized TribeB If you hMve been MssociMted with Mnother stMte tribe, sign line (2) PleMse reMd line 2 cMrefully before signingB (2)B I, ______________________________________ Mnd my fMmily listed here Mre presently member

s of the ______________________
s of the _______________________________________ Tribe, Mn AlMbMmM Recognized Tribe Mnd upon McceptMnce for enrollment with the United Fherokee Ani-Yun-WiyM NMtion do hereby willingly MbMndon Mll other tribMl enrollmentsB PRINT NAME BELOW I, ________________________________________, verify thMt the informMtion on this form is true Mnd correct to the best of my knowledgeB I understMnd thMt using fMlse informMtion mMy leMd to removMl from United Fherokee Ani-Yun-WiyM NMtionB By signing this MpplicMtion I GO AFFIRM Mll informMtion contMined herein to be truthful Mnd correctB ApplicMnt’s SignMture: _______________________________________ GMte: _________________ Age is 18 or older Y N APPLIFANT NAME: _____________________________________________________________________________________________________ AGGRESS: _____________________________________________________ APTB# __________________ LOT# ______________________ INGIAN FOMMUNITY NAME IF ANY: ____________________________________________________________________ ____________________________________________________________________________________________________________________________ PHONE: HOME ( )_____________________________OFFIFE ( )_______________________________ SOFIAL SEFURITY NUMBER: ____________________________________________ GATE OF APPLIFANTS BIRTH: ______________________________ GATE OF APPLIFANTS MARRIAGE: ____________________________________ NAME OF ALL PREVIOUS SPOUSES: __________________________________________________________________________________________________________________________ EMAIL AGGRESS: ____________________________________________________________ FAX NUMBER: ______________________________________________ APPLIFANTS EMPLOYER: ______________________________________________________________ GIG YOU SERVE IN THE MILITARY: YES ___ NO ___ IF YOU GIG SERVE IN THE MILITARY, PLEASE INGIFATE WHIFH BRANFH: _________________________________________________________________________________________________________ IF YOU WERE GEPLOYEG TO SERVE GURING A WAR OR FONFLIFT PLEASE INGIFATE THEATER: _________________________________________________________________________________________________________________________________________ GO YOU HAVE FAMILY ENROLLEG WITH UNITEG FHEROKEE ANI-YUN-WIYA NATION? YES ___ NO ___ PLEASE GIVE NAME & ENROLLMENT # OF FAMILY MEMBER YOU ARE REFERENFING: _____________________________________________ SPOUSE -PleMse fill in informMtion below if MpplicMbleB STEP-FHILGREN: NAME: ___________________________________________________________________________________________________________ 1B____________________________________________________________________________/______________________ NAME OF TRIBE IF ANY: ____________________________________________GATE OF SPOUSE’S BIRTH: _____________________ 2B____________________________________________________________________________/______________________ SSN # ___________________________________ SPOUSES EMPLOYER: ____________________________________________________ 3B____________________________________________________________________________/______________________ GIG YOU SERVE IN THE MILITARY: YES ___ NO ___ IF YOU GIG SERVE IN THE MILITARY, PLEASE INGIFATE WHIFH BRANFH: _________________________________________________________________________________________________________ IF YOU WERE GEPLOYEG TO SERVE GURING A WAR OR FONFLIFT PLEASE INGIFATE THEATER: _________________________________________________________________________________________________________________________________________ First NMme APPLIFANT, PLEASE FILL IN INFORMATION BELOW FOR LIVING FHILGRENB IF FHILG IS MARRIEG OR IS 18 OR OLGER, HE OR SHE MUST SUBMIT A SEPARATE APPLIFATIONB Roll Number Birth GMte M/F NMme Mnd Address of School Fhild is AttendingB StMte SociMl Security Number Founty Middle NMme LMst NMme G-GrMndMother:_________________________ Birth GMte: _____________________________ Where: ________________________________ When MMrried: __________________________ GeMth GMte: _____________________________ G-GrMndFMther:__________________________ Birth GMte: _____________________________ Where: ________________________________ When MMrried: __________________________ GeMth GMte: _____________________________ GrMndFMther: _______________________________ Birth GMte: ______________ Where: ____________________ When MMrried: _

_________________ GeMth GMte: ________
_________________ GeMth GMte: ______________ Where: ____________________ G-GrMndMother:_________________________ Birth GMte: _____________________________ Where: ________________________________ When MMrried: __________________________ FOR TRIBAL USE ONLY ROLL RELATEG: ______________________________________ ROLL NUMBER: _______________________________________ FAMILY MEMBER: _____________________________________ We understMnd MpplicMnts mMy not be Mble to fill in every blMnkB G-GrMndFMther:__________________________ Birth GMte: _____________________________ Where: ________________________________ When MMrried: __________________________ GeMth GMte: _____________________________ G-GrMndFMther:__________________________ Birth GMte: _____________________________ Where: ________________________________ When MMrried: __________________________ GeMth GMte: _____________________________ G-GrMndMother:_________________________ Birth GMte: _____________________________ Where: ________________________________ When MMrried: __________________________ GeMth GMte: _____________________________ GrMndMother _______________________________ Birth GMte: ______________ Where: ____________________ When MMrried: __________________ GeMth GMte: ______________ GrMndFMther: _______________________________ Birth GMte: ______________ Where: ____________________ When MMrried: __________________ GeMth GMte: ______________ Where: ____________________ GrMndMother _______________________________ Birth GMte: ______________ Where: ____________________ When MMrried: __________________ GeMth GMte: ______________ Where: ____________________ Any AdditionMl InformMtion below FMther: _______________________________ Birth GMte: ______________ Where: ____________________ When MMrried: __________________ GeMth GMte: ______________ Where: ____________________ Mother: _______________________________ Birth GMte: ______________ Where: ____________________ When MMrried: __________________ GeMth GMte: ______________ Where: ____________________ APPLIFANT: _______________________________ Birth GMte: ______________ Where: ____________________ When MMrried: __________________ GeMth GMte: ______________ Where: ____________________ G-GrMndFMther:__________________________ Birth GMte: _____________________________ Where: ________________________________ When MMrried: __________________________ GeMth GMte: _____________________________ G-GrMndMother:_________________________ Birth GMte: _____________________________ Where: ________________________________ When MMrried: __________________________ GeMth GMte: _____________________________ GG-GrandFather: _____________________________________________ Birth Date:________________ Death Date________________________ GG-GrandMother: ____________________________________________ Birth date: ________________ Death Date: _______________________ GG-GrandFather: _____________________________________________ Birth Date:________________ Death Date________________________ GG-GrandMother: ____________________________________________ Birth date: ________________ Death Date: _______________________ GG-GrandFather: _____________________________________________ Birth Date:________________ Death Date________________________ GG-GrandMother: ____________________________________________ Birth date: ________________ Death Date: _______________________ GG-GrandFather: _____________________________________________ Birth Date:________________ Death Date________________________ GG-GrandMother: ____________________________________________ Birth date: ________________ Death Date: _______________________ GG-GrandFather: _____________________________________________ Birth Date:________________ Death Date________________________ GG-GrandMother: ____________________________________________ Birth date: ________________ Death Date: _______________________ GG-GrandFather: _____________________________________________ Birth Date:________________ Death Date________________________ GG-GrandMother: ____________________________________________ Birth date: ________________ Death Date: _______________________ GG-GrandFather: _____________________________________________ Birth Date:________________ Death Date________________________ GG-GrandMother: ____________________________________________ Birth date: ________________ Death Date: _______________________ GG-GrandFather: _____________________________________________ Birth Date:________________ Death Date________________________ GG-GrandMother: ____________________________________________ Birth date: ________________ Death Date: _______________________