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.