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Enrollment Requirements as follows:


Those applicants wishing to be considered for membership in the Salyersville Indian Community must meet the following eligibility criteria:


(a)Must be a Lineal descendants of at least one of the following families: John Charles Cole and Keziah “Cuzzie” Anderson, Valentine Collins and his wives: Shepherd Collins and Polly Cole, or Bryson/Bryce Gibson and Fannie Green.


(b.) Important: The ancestors must have lived in the Magoffin County and/or surrounding counties Wolfe, Breathitt, Knott, Floyd, and Johnson in 1860-1880


(c.) Any person applying for membership who qualifies, but who is enrolled in another tribe, may enroll, provided he/she relinquishes in writing all membership in the other tribe. This affidavit must be notarized.


If you have any questions regarding the enrollment process, please use the CONTACT FORM to reach out to us.


To apply for membership with the Salyersville Indian Community you must complete an application

packet. The packet includes:

 

·       Membership Application – Each person applying for membership will need to complete this packet. All questions must be completed to the best of your knowledge.


Individual Family Lineage – To be completed by each applicant. Parent or guardian can complete for minor and must enter the name of the person preparing the form.

 

 

The burden of proof is on the applicant. The applicant is required to provide all verification. We suggest a donation of a minimum of $20.00 payable to the Salyersville Indian Community, INC, if the enrollment committee is to provide your documentation for you. CLICK HERE TO MAKE DONATION (Will open in a new window, come back to this window to complete application)

 

 

Application is considered incomplete until all forms and documentation is received. Once your application has been processed, the Enrollment Office/Officer will approve or reject your application

and you will be notified in writing.

 

A photocopy of the applicant’s certified birth certificate, as issued by the state or county vital records office.  This must be submitted with this application to meet requirements.  Without it the application is considered incomplete. You will be able to upload these documents at the end.


Click here for Link to paper application


 

 

PRIVACY ACT STATEMENT

 

This information is collected pursuant to the Privacy Act, 5 U.S.C. 552a. The Salyersville Indian Community Inc. will not disclose any record containing such information without the written consent of the respondent unless the requested uses the information to perform assigned duties. The primary use of this information is to certify that an individual is eligible to become a carded member of the Salyersville Indian Community.

Tribal Roll Enrollment Application

Salyersville Indian Community- Connie Barber

106 Marie Street

Huntington, WV 25704

Phone: 304-633-2670

E-mail: enrollment@salyersvilleindiancommunityinc.org

Primary Applicant's Info

Multi-line address
Birthday
Month
Day
Year
Is the applicant adopted?

If YES, please submit the Final Decree of Adoption or documents showing the lineage to one of the core families.

Click here to Upload Adoption/Lineage Documents! (Will open in a new window, come back to this window to complete application)

©2025 by Salyersville Indian Community

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