Questions? Click here for 506 Form Instructions for instructions on how to fill out the ED 506 Form
Parent/Guardian: This form serves as the official record of the eligibility determination for each individual child included in the student count for the Title VI Indian Education Formula Grant Program. If you choose to submit a form, your child could be counted for funding under the program. The grantee receives the grant funds based on the number of eligible forms counted during the established count period. You are not required to complete or submit this form unless you wish for your child(ren) to be included in the Indian student count. This form should be kept on file with the grant applicant and will not need to be completed every year. Where applicable, the information contained in this form may be released with your prior written consent or the prior written consent of an eligible student (aged 18 or over), or if otherwise authorized by law, if doing so would be permissible under the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g, and any applicable state or local confidentiality requirements.
This form is a digital version of US Department of Education ED 506 Form with OMB Number: 1810-0021 Expiration Date: 06/30/2026
If you would prefer to complete a paper copy of this form, please click here to download. Paper forms may be scanned and emailed to KendallRosario@ctuir.org, or mailed to:
ATTN: Title VI Youth Services Manager
Kendall Rosario
46411 Ti'mine Way
Pendleton, Oregon 97801
Office: 541-429-7887
Cell: 541-9696047
KendallRosario@ctuir.org