If you are descended from one of the Delaware who remained in Kansas
in 1866, you are considered a member of Kansas Delaware tribe.
If you would like to be included on our current tribal rolls,
complete the application below. Send via email to:

LaNora Lowe-Ung
Tribal Roles and Membership
Kansas Delaware Tribe
lowelanora@yahoo.com
Kansas Delaware Membership Application
(PLEASE PRINT IN INK)
A copy of the applicant's birth certificate is required

ALL INFORMATION WILL REMAIN CONFIDENTIAL



DATE OF APPLICATION    _________________________________


________________________________________________________________________________________________________
LAST NAME                                   FIRST                                          MIDDLE                                       MAIDEN


DATE OF BIRTH     ______________________                    ____  MALE                     ____  FEMALE


________________________________________________________________________________________________________
MAILING ADDRESS (NUMBER, STREET, ROUTE, BOX)                  CITY                            STATE                     ZIP


PHONE NUMBER  (  ______  )  _____________________                  


E-MAIL ____________________________________________


MILITARY SERVICE  _____________________________________________________________


Is applicant a member of any other tribe?    _____   Yes          ____  No       If yes, enter name of tribe____________________

Is applicant adopted?   _____  Yes          _____  No                    


Ancestor on 1866 Roll ___________________________________________________________


(List your ancestors below beginning with Delaware great–great–grandparent, great–grandparent, etc.)




















































      Membership application form is also available on the Kansas Delaware facebook page.





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