Application for Oglala Sioux Tribal Enrollment
Oglala Sioux Tribe Department of Enrollment
POB 2070 Pine Ridge, SD 57770
Phone(605) 867-1321 |
Fax(605) 867-2901 |
The Constitution of the Oglala Sioux Tribe requires that at least one of the two parents of a child be an enrolled member of the
Oglala Sioux Tribe
Document’s Required for Enrollment with Oglala Sioux Tribe:
(Must be completed and notarized by applicant over 18 or Parent/legal Guardian)
Faxed applications will not be accepted
Burden of Proof: The burden of proving eligibility for Enrollment with the Oglala Sioux Tribe shall be upon the applicant.
Please send only required documents as listed below:
Applicant’s state certified birth certificate with state seal and parent’s full names.
Marriage Certificate (if married before date of birth of applicant)
Paternity Affidavit (if not married or married after date of birth of applicant) DNA Results and Court Order (where applicable)
(Marriage, Paternity and/or DNA are used as a supporting document to show paternity for children, as well as to update the Parent’s records.)
Attached Family Tree filled out (attached form must be filled out, separate family tree is required for each applicant )
Guardianship or Custody order if enrolling a child who is not your own
If one parent is enrolled with a Tribe other than Oglala Sioux Tribe:
Parent’s certificate of Indian Blood from their Tribe
Relinquishment of Rights form stating you want your child enrolled with Oglala Sioux Tribe, not with the other parent’s Tribe. (This form is provided by the Enrollment office
and must be signed and notarized by each parent.)
If applicant was adopted:
Original state certified birth certificate with biological parent(s) information (at least one biological parent must be an enrolled member of the Tribe, cannot use adopted parent’s information for enrollment. Birth certificate must have state seal).
Adoption Order
Amended state certified birth certificate with adopted parent(s) information and state seal
Acknowledgement
I certify that all required documents and information is complete and enclosed.
___________________________________________________Date: ___________________
Applicant/Parent or Legal Guardian
_______________________________________________
Print Name
Phone#___________________________email______________________________________
Important: All applications must be complete with required documents attached. If incomplete or missing documentation your
application will be returned until completed.
Oglala Sioux Tribe
Membership Application
POB 2070 Pine Ridge, SD 57770
Phone (605) 867-1321 Fax (605) 867-2901
Pursuant to Ordinance 10-26 of the Oglala Sioux Tribe, adopted by the Oglala Sioux Tribal Council on August 17, 2010 An application is Hereby submitted for Enrollment with the Oglala Sioux Tribe of the Pine Ridge Indian Reservation, for the following Person:
Applicant Information
Name: ___________________________________________ DOB: _____________________
Address of Applicant: _______________________________ Phone # : ___________________
Is applicant now or has applicant ever been enrolled with another Tribe? Yes____ or No _____
If yes, with which Tribe? ________________________________________________________
Voting District: ___________________________ Degree of Indian Blood: _________________
Parental History
Natural Father: |
Natural Mother: |
Name: ______________________________ |
Name: ______________________________ |
Date of Birth: _________________________ |
Date of Birth: ________________________ |
Place of Birth: ________________________ |
Place of Birth: ________________________ |
Tribe: _______________________________ |
Tribe: ______________________________ |
Enrollment Number: ___________________ |
Enrollment Number: __________________ |
Current Address and Phone Number: |
Current Address and Phone Number: |
____________________________________ |
____________________________________ |
____________________________________ |
____________________________________ |
The undersigned each hereby certify on behalf of the applicant and themselves that the foregoing information is true and correct and that if any material statement is false, any enrollment granted pursuant to the application shall be void and will be of no force or effect.
Subscribed and sworn before me this ____________ |
___________________________________________ |
Day of ____________________, _________________ |
Applicant or Parent/ Guardian of Minor |
My commission expires: _______________________ |
|
|
___________________________________________ |
|
Notary Public |
S-E-A-L |
|
(For Enrollment Office Use Only)
Date of Approval: _____________________________ Enrollment Number: ____________________________________
Comments: ________________________________________________________________________________________
