Beginner 1 Language Course Enrollment Form – Language Course: Peoria Tribe of Indians of Oklahoma

Personal Information

Name (As it appears on your Tribal ID Card)(Required)

First Middle Last

Date of Birth(Required)

Email(Required)

Phone(Required)

Mailing Address(Required)

Do you have access to reliable high speed internet?(Required)

Yes

*Computer or tablet recommended

Course Advancement Information

There are two options for Peoria Language Beginner 1:

Advancement Learning Option - Requires strict attendance and completion of assignments, quizzes and reviews, as well as classroom participation in order to advance to the next course.
Flexible Learning Option - Attendance, assignments, quizzes, reviews and participation are encouraged, but not required. Students who choose this option will not be eligible to advance to the next sequential courses.

Both types of students are welcome and appreciated in this class. Any amount of time devoted to learning Peewaaliaataweenki (Peoria Language) will be valuable to you.

Please select which learning option you prefer:(Required)

Advancement Learning Option

Flexible Learning Option

Not sure yet

Citizenship Information

Are you a Peoria citizen?(Required)

Yes

Are you a household member of a Peoria Citizen?

Yes

This course is currently only open to Peoria Citizens and their household members. By submitting this form, you are authorizing the Peoria Tribe to contact you in the future with an invitation to enroll, should the course be opened up to non-citizens.

Name of the Peoria Citizen in your household (As it appears on their Tribal ID Card)(Required)

Your relationship to Peoria Citizen(Required)

Citizen's Tribal Enrollment Number(Required)

Your tribal roll number and personal information will be kept private, and used only for the purposes of enrollment in this course.