If applicable: Tribe _______________________________________
Location ___________________ Blood Quantum ___________________

Family Data:
If applicable: Tribe _______________________________________
Location ___________________ Blood Quantum ___________________

Children: Name and Age

1. ________________________________________ ____
2. ________________________________________ ____
3. ________________________________________ ____
4. ________________________________________ ____

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Purpose of the Corporation:

The Native American Indian Association of Tennessee is a service organization that believes in seIf-determination and was formed on October 7, 1983 with a Commitment to helping people (Indian, Native American).

1. To raise the level of consciousness of the non-Indian population in the State of Tennessee to a fuller awareness of the past history and current status of Native American Indians by sponsoring, promoting and conducting seminars, institutes, education programs and public information activities.

2. To sponsor, promote and conduct programs to research on subjects related to American Indians.

3. To sponsor, promote and provide social services and other forms of assistance to American Indians who are in need thereof.

4. To locate public and private agencies which can provide health, education, welfare, employment and other services to American Indian people in the State of Tennessee. And to advise and assist Indian people in obtaining and utilizing such services.

5. To assist American Indians and persons of Indian descent in learning of and obtaining the benefits of those programs services, rights and privileges to which they and their Indian tribes are or may be entitled under the laws and treaties of the United States of America.

I understand the purpose and goals of the Native American Indian Association of Tennessee.

Signature __________________ Date _______________________
Membership Committee __________________
President __________________

+ $10 Membership fee

Office Use:
amt paid ______ yr.
_____ yr _____ yr.
NAIA 1/94 /RE

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Family Genealogy

_________________ Applicant _________________ Indian Blood Line Tribe & Degree

_________________ Father _________________ Indian Blood Line Tribe & Degree _________________ Mother _________________ Indian Blood Line Tribe & Degree

_________________ Grandfather _________________ Indian Blood Line Tribe & Degree _________________ Grandmother _________________ Indian Blood Line Tribe & Degree _________________ Grandfather _________________ Indian Blood Line Tribe & Degree _________________ Grandmother _________________ Indian Blood Line Tribe & Degree

_________________ GreatGrandfather _________________ Indian Blood Line Tribe & Degree _________________ GreatGrandmother _________________ Indian Blood Line Tribe & Degree _________________ GreatGrandfather _________________ Indian Blood Line Tribe & Degree _________________ GreatGrandmother _________________ Indian Blood Line Tribe & Degree _________________ GreatGrandfather _________________ Indian Blood Line Tribe & Degree _________________ GreatGrandmother _________________ Indian Blood Line Tribe & Degree _________________ GreatGrandfather _________________ Indian Blood Line Tribe & Degree _________________ GreatGrandmother _________________ Indian Blood Line Tribe & Degree