Create an Account
Before you can apply to The CIRI Foundation, you need to create an account by completing the form below.

Once your account information has been submitted, it may take up to two (2) business days to approve your account. Once your account is approved, you will recieve an e-mail confirmation of your user name and password.

All fields marked with an * are required.


Have you previously applied for a scholarship or grant from The CIRI Foundation?  

Personal Information
Prefix:
*First Name:
Middle Initial:
*Last Name:
Prior Last Names:
Suffix:
*DOB:
Permanent Address
*Address:
*City:
*State:  
*Zip:
*Country:

Eligibility (Select all that apply)
Which best describes you?
*Enrollment Type:


*Originating Village:






Note: Eligible Eklutna, Inc. (EI) applicants may also apply for additional funding via a separate scholarship and grant application.
I am a Direct Lineal Descendant of this Original Enrollee of CIRI:
*Enrollee First Name:  
Enrollee Middle Initial:
*Enrollee Last Name:  
Other Last Names Used:
*Relationship to You:  

Account Information
*User name:
*Password:
*Password Again:
Contact Information
*E-mail Address:
E-mail (Alternate):
*Phone:
Password Reset Information
*Password Reset Question:
*Password Reset Answer:



Enter the code shown:



*NOTE: Accounts may take up to two (2) business days to activate.