Get Enrollment Form - Nana Regional Corporation

Filling out the Enrollment Form for the NANA Regional Corporation is a straightforward process designed to assist applicants in providing essential information. This guide will help you navigate each section of the form, ensuring a complete and accurate submission.

Follow the steps to successfully complete your enrollment form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering your personal information in the 'Applicant' section. Provide your last name, first name, middle initial, and suffix (if applicable). Ensure that you indicate your gender by selecting either 'M' or 'F', and confirm your U.S. citizenship by selecting 'Yes' or 'No'.
3. Fill in your date of birth in the specified format (month/day/year). Next, input your Social Security Number in the format provided.
4. In the 'Alaska Native Blood' section, check all applicable boxes for the relevant indigenous backgrounds.
5. Complete the 'Contact' section by providing your mailing address, phone number, email address, and city, state, and zip code.
6. If applicable, provide information about your birth parents. This includes their names, regional corporation affiliation, and degree of Native blood. If no father is indicated on your birth certificate, remember to provide alternative proof of paternity.
7. If a guardian is appointed, enter their information in the 'Guardian' section, including their relationship to you.
8. If you are adopted, fill out the adoptive parents' information, noting both the adoptive father's and the adoptive mother's details similarly to the birth parents.
9. Proceed to the 'Certification' section. You must certify that the information is correct by providing your last name, first name, middle initial, suffix, date of birth, signature, and date.
10. Lastly, ensure the form is notarized. A notary public must sign and provide their commission expiration date.
11. Review your form for completeness. Once finalized, you may save changes, download, print, or share the form as required before submission to the specified address or via fax or email.

Complete your Enrollment Form online today to ensure your participation in the NANA Regional Corporation.