POL Direct Education Scholarship

DIRECT EDUCATION SCHOLARSHIP APPLICATION

Academic Year 2025 • Spring
SUBMISSION DEADLINE: JANUARY 24, 2025 4:30pm MST

Click here to watch a video with step by step instructions

Click here to read the DES Guidelines and Updated Policy

Below, you may complete the following online:
1. Direct Education Scholarship Application
2. W9 Form
3. Upload Required Documents:
- Pueblo of Laguna Certificate of Indian Blood (CIB) or POL Tribal ID Card
- Enrollment Verification for Spring 2025 Semester. Incoming freshman may submit a College/Vocational Admissions Letter
- Concise Class Schedule (Spring 2025)
- New or Updated Personal Statement
- Degree Plan, Degree Audit or Degree Checklist
- Males 18+ need to provide a Letter of Presentation to their Village [Download Letter]
- Note: Official High School/ABE or College Transcripts should be sent directly from your Educational Institution
You may also email the Required Documents:

e.romero@lagunaed.net

or physically mail the required documents:

Partners for Success, P.O. Box 207 Laguna, NM 87026-0207

Questions? (505) 552-9322
Personal Information
Certificate of Indian Blood (CIB) #:*
Village Affiliation:*
Social Security Number:*
Last Name*
First Name*
Middle Name
Contact Information
Permanent Mailing Address:*
Street, Route, or P.O. Box
City*
State*
Two Letter Abbreviation
Zip Code*
Home Phone*
Cell Phone*
Email Address:*
username@website.com
School Information
Higher Education Institution Attending:*
School Address:*
Major:*
Student ID:*
Do you have a degree(s), licenses/certification?*

YESNO
Degree(s), Licenses/Certification - Check all that apply:*

BachelorsMastersDoctorateLicense/Certification:
Which degree, license/certification are you currently pursuing?*
Student Hours*

Part TimeFull Time
Certification of Applicant - I certify that the information provided is true to the best of my knowledge. Please Sign Below:*

Clear
Date*

MonthDayYear

W-9

Request for Taxpayer Identification Number and Certification
Full Name (as shown on your income tax return)*
Check Box below for federal tax classification:*

Individual
Address*

Address number, street, and apt. or suite no

Street Address Line 2

City, State, and ZIP codeState / Province

Postal / Zip Code

Social Security Number:*

	.	.	.	.	.	.	.	.	.
SS#

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 amno longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person.
Signature of U.S. person*

Clear
Today's Date*

MonthDayYear

UPLOAD REQUIRED DOCUMENTS

You may upload your Required Documents here, with the exception of your Official Transcript which should come from your school. File formats: PDF, DOC, JPEG, GIF preferred.
POL Tribal ID Card or POL Certificate of Indian Blood

Cancelof
Enrollment Verification Letter or Admissions Letter

Note: You must submit a new document every semester that you apply for DES
Cancelof
Class Schedule

Must show total credit hours for the upcoming term
Cancelof
Personal Statement

You must submit a new or updated Personal Statement for every semester that you apply for DES
Cancelof
Degree Plan, Audit Plan, or Degree Checklist

Cancelof
Males 18+ Only: Village Presentation Letter

Cancelof
Should be Empty:

DIRECT EDUCATION SCHOLARSHIP APPLICATION

W-9

UPLOAD REQUIRED DOCUMENTS