White Earth Enrollment Application – PDF Form Details

The White Earth Application for Enrollment is administered by the Tribal Enrollments/Vital Statistics department of the White Earth Reservation Tribal Council, a constituent tribe within the Minnesota Chippewa Tribe. This application enrollment earth form is the official gateway for individuals seeking to establish or formalize their membership within the tribal community.

To qualify for white earth enrollment, applicants must demonstrate a valid blood degree connection to the Minnesota Chippewa Tribe. The application captures comprehensive personal details including the applicant's name, date of birth, address, place of birth, and Social Security Number. Applicants must disclose whether either parent holds enrollment with the Minnesota Chippewa Tribe and provide their blood degree, along with any affiliations with other Native American tribes.

Required supporting documents include state-certified birth certificates for both the applicant and each parent. For applicants born outside the United States, proof of citizenship is also required. Legal guardians completing this white earth reservation enrollment application on behalf of minors must include documentation confirming their guardianship status.

The Minnesota Chippewa Tribe enforces strict privacy requirements to protect applicant data throughout the tribal enrollment process. Providing false or misleading information on this application may result in denial or revocation of membership. For related enrollment and membership forms, see the APD Provider Enrollment Application, the NJ Enrollment Application, and the Minnesota Application Permit.

QuestionAnswer
Form NameApplication Enrollment Earth Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameswhite earth application for enrollment, white earth enrollment, trostacheault and ledoux white earth reservation, application enrollment earth

Form Preview Example

 

 

 

White Earth Reservation Tribal Council

 

 

 

 

Application for Enrollment

 

 

 

 

Tribal Enrollments/Vital Statistics

 

 

 

 

 

P.O. Box 506

 

 

 

 

 

White Earth, Minnesota 56591

 

 

 

 

 

 

 

APPLICANT:

 

 

 

 

 

 

Name: ___________________________________________________________________________

DOB: _____________________________

(First)

(Middle)

(Maiden)

(Last)

(Month) (Day)

(Year)

Address: ______________________________________________________________________________________________________________

(P.O. Box or Physical Address)

 

(City)

(State)

(Zip)

*Place of Birth: __________________________________________________

SS No.: ______________--________--________________

(City)

(State)

 

 

 

Is the Applicant a member of another tribe? ________________

If yes, what Tribe? _______________________________________________

*If the applicant was born outside the United States, you must provide proof of citizenship <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>

MOTHER OF APPLICANT:

Name: ___________________________________________________________________________

DOB: _____________________________

(First)

(Middle)

(Maiden)

(Last)

(Month)

(Day)

(Year)

Address: ______________________________________________________________________________________________________________

(Current Mailing Address)

(City)

(State)

(Zip)

Place of Birth: _________________________________________________

SS No.: ______________--__________--______________

(City)

(State)

 

 

Is Mother an enrolled member of the Minnesota Chippewa Tribe? __________ If yes, What Reservation? ________________________________

Enrollment No.: ___________________________________________Blood Degree: ____________________________________

If no, is she a descendant of the Minnesota Chippewa Tribe? ________ * If yes, please attach a copy(s) of B.C. linking her to the enrolled member

Name of person descendant blood is derived from: _____________________________________________________________________________

Does mother possess any other Native American Indian Blood? _______________ From what tribe? ___________________________________

<><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>

FATHER OF APPLICANT:

Name: ___________________________________________________________________________

DOB: _____________________________

(First)

(Middle)

(Last)

(Month)

(Day)

(Year)

Address: ______________________________________________________________________________________________________________

(Current Mailing Address)

(City)

(State)

(Zip)

Place of Birth: ____________________________________________

SS No.: ________________--___________--_______________

(City)

(State)

 

 

Is Father an enrolled member of the Minnesota Chippewa Tribe? __________ If yes, What Reservation? ________________________________

Enrollment No.: ____________________________________________Blood Degree: _____________________________________

If no, is he a descendant of the Minnesota Chippewa Tribe? _______ * if yes, please attach a copy(s) of B.C.(s) linking him to the enrolled member

Name of person descendant blood is derived from: ____________________________________________________________________________

Does Father possess any other Native American Indian Blood? _______________ From what tribe? __________________________________

<><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>

Signature of Applicant or Legal Guardian (if a minor): __________________________________________________ Date: __________________________

(If legal guardian, please attach proof)

Relationship to Applicant:

______________________________________

Phone Number:

______________________________________

 

 

 

* SEE REVERSE SIDE FOR IMPORTANT INSTRUCTIONS

 

 

 

PRIVACY NOTICE:

The Minnesota Chippewa Tribe (MCT) and its Constituent Bands will use the information you provide to determine eligibility for enrollment with the MCT. Providing social security numbers is optional. If you do not provide other information, it may delay processing. In the event the application is approved, information about the applicant will be used to contact the applicant about the benefits of tribal membership. Information about members is used to update MCT and Band records.

INSTRUCTIONS: 1. Complete the entire first page of this application form.

2.

Attach a COPY of the applicant’s STATE CERTIFIED Birth

 

 

 

 

 

Certificate. Also include if necessary, a copy of a name change document,

 

 

Such as driver license, state ID card, marriage, divorce, or court order.

* HOSPITAL

 

RECORDS AND BAPTISMAL RECORDS ARE UNACCEPTABLE

3.

Attach a copy of Proof of Citizenship, if born outside of the

 

United States.

4.

If the applicant is a member of another tribe, a

 

Relinquishment Form must be attached to the application.

5.

If one of the parents possesses MCT descendant blood, attach a copy of

 

 

 

their birth certificate so that all MCT blood will be counted along with the

 

 

enrolled parent.

 

6. FAXED APPLICATIONS WILL NOT BE ACCEPTED,

 

ORIGINALS MUST BE MAILED TO THIS OFFICE.

NOTICE:

If the applicant’s parents are both MCT members but affiliated

 

with different bands, the applicant will be enrolled under the

 

mother’s reservation and band unless otherwise specified.

PLEASE CONTACT: WITH ANY QUESTIONS YOU HAVE REGARDING THE APPLICATION

White Earth Tribal Enrollments,

Phone: (218) 983-3285 or toll free 1-800-950-3248, ext. 5250 or 5251

OR

The Minnesota Chippewa Tribe – Tribal Operations,

Phone: (218) 335-8581 or toll free 1-888-322-7688

WARNING: A FALSE STATEMENT ON ANY PART OF THE APPLICATION MAY RESULT IN A DENIAL OR LOSS OF MEMBERSHIP.

**********************************************************************************************************

FOR OFFICE USE ONLY:

Father: _________________________________________________________________

ID No.: ____________________________ AR No.: ____________________________

Family No.: ________________________ Enrollment Date: ______/______/________

MCT BQ: _________________________ Band: ______________________________

Mother: ________________________________________________________________

ID No.: ____________________________ AR No.: ____________________________

Family No.: ________________________ Enrollment Date: ______/______/________

MCT BQ: _________________________ Band: ______________________________

****************************************************************************************

Applicant’s MCT BQ: ____________________ Band: ___________________

How to Edit Application Enrollment Earth Form Online for Free

What you need before starting

Complete the white earth enrollment application by gathering required information, documenting your family's tribal affiliations, and submitting with supporting documents to the White Earth Reservation Tribal Council.

Step 1: Gather personal information

Collect your full legal name, date and place of birth, current mailing address, and Social Security Number. Also note whether you hold membership in any other Native American tribe.

Step 2: Document parental tribal affiliations

The Minnesota Chippewa Tribe requires information about both parents. For each parent, provide their enrollment status with the Minnesota Chippewa Tribe, their blood degree, and any affiliations with other tribes. Obtain certified birth certificates for yourself and your parents from the relevant state vital records office.

Step 3: Submit the white earth application for enrollment

Complete all fields accurately and legibly. Legal guardians signing on behalf of minors must attach documentation confirming their guardianship. Submit the completed white earth nation enrollment application along with all supporting documents to the Tribal Enrollments/Vital Statistics department.

Frequently asked questions

What blood degree is required for white earth enrollment? The Minnesota Chippewa Tribe sets a qualifying blood degree threshold for tribal membership. Contact the White Earth Reservation Tribal Council directly for the current minimum requirement.

Can a legal guardian complete this form for a minor? Yes. Legal guardians may complete and sign the mn application white earth form on behalf of a minor applicant, provided they attach proof of guardianship to the submission.

What documents must I submit with this application? State-certified birth certificates for the applicant and parents are required. If born outside the United States, proof of citizenship is also required. Additional documentation may be requested by the enrollment office.

For related forms and applications, see the Birth Certificate Application and the Minnesota Uniform Credentialing Application.

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