Tribal Enrollment Verification form

Tribal Enrollment Verification Request Form

First name *

Last name *

Phone *

Last four Numbers of Social Security *

Date of Birth *

Name of Tribe where student is enrolled *

Mother’s Full name *

Mother’s tribe where enrolled *

Father’s Full Name *

Father’s tribe where enrolled *

Digital Signature *

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The student listed above has applied for admission to Leech Lake Tribal College. This is a request to verify tribal enrollment.

If the student is an enrolled member of your tribe please send supporting documentation.
If the student is a descendant of your tribe please send supporting documentation.
If the student is not enrolled or does not have supporting documents to claim Descendancy, please call and let us know so that we can work with the student.

Please send Tribal Certificate of Indian Blood or supporting documentation to:

Leech Lake Tribal College
Attn: Admissions
6945 Little Wolf Rd NW
Cass Lake, MN 56633
Fax: 218-335-4217
Email: admissions@lltc.edu
Phone: 218-335-4286