Admissions Application Request

is Required

Welcome to Little Priest 1. Submit completed application 2. Request official high school and appropriate college transcripts to Admissions Office 3. Submit Certification of Indian Blood in Federally Recognized Tribe, if applicable 4. Submit copy of Social Security Card

is Required

Salutation
First Name
Middle Name
Last Name
What is your birth or maiden name?
Suffix
Email Address
Social Security Number
Date of Birth
Gender
Are you Hispanic?
Racial Background

White

Black or African American

Asian

American Indian or Alaska Native

Hawaiian or Other Pacific Islander
Marital Status

is Required

Home Address
Street 1
Street 2
City
County
State
Zip Code
Province
Postal Code
International Emergency Phone Ext:
Home Phone Ext:
International Phone Number Ext:
US Cell Phone Ext:
International Cell Phone Ext:
Mailing Address
Copy Home Address Into Mail Address
Mail Country
Mail Street 1
Mail Street 2
Mail City
Mail State
Mail Zip Code
Mail US Phone Ext:
Mail Province
Mail Postal Code
Mail International Phone Ext:

is Required

High School Attended or GED Center
Last College/University Attended
Last College/University Attended
Last College/University Attended
Program of Interest
When do you plan to enroll?
Check here if you only plan on attending Part-Time:
Have you served in the United States Military?
Please check the box if this is your first time attending college:

is Required

How did you learn about Little Priest Tribal College?
Do you claim to be a legal resident of Nebraska?
Yes, I am a legal resident of Nebraska.

No, I am not a legal resident of Nebraska.
What is your Tribal Affiliation?
If you Selected Other Tribe, Please indicate which Tribe.
Are you interested in participating in athletics?
Yes, I am interested in athletics

No, I am not interested in athletics
E-Signature: (please type in full name and today's date)
How well do you speak your tribal language?
Which of the following best describes your high school?
Did you participate in a Head Start Program?
Do you have a disability?
Did/ will your parents have a four-year degree by the time you turn/ turned 18 years old?
Is your Primary Residence on or near a reservation?
Which best describes you?
Is your Primary Residence in Nebraska?
Will you be entering with a high school diploma or GED?
Please mark the ONE answer that best fits your CURRENT goal for going to LPTC?
How much time per week do you plan to be employed while in college?
Are you responsible for the care of either of the following?
Have you ever been convicted of a felony?
High School Graduation Year or Expected Graduation Year
Signature Verification

I certify that all information on this application is complete and accurate, and I agree to abide by the policies and regulations of Little Priest Tribal College. I understand that any information given falsely or witheld will affect the decision on my application and may make me ineligible for admission or be grounds for dismissal.

Home Address

Mailing Address

Signature Verification