Rosebud Sioux Tribe ARPA Registration

This form is used to register someone to eventually acquire ARPA funds and other social services in the future. This form is used to setup a user ID and password to login to another system that will let you apply for ARPA funds based upon your household member counts. This is only Step 1 of many steps so do not stop after this step.
Please pay attention to the userid and password that is provided in the next screen and/or sent to your email address. Without the userid and password, you will not be able to proceed for application of funds.
We are not able to create multiple accounts using the same Tribal Enrollment Number.

If you have problems with this screen then please contact RST CARES/ARP Office at 605-747-3185 between 8AM and 5PM CST to confirm your Enrollment Status.

If you are filling out this form for another person, then use their Tribal Enrollment Number, not your own.

A photo ID is no longer required to apply.
However, custody documents will still need to be uploaded if required.

  Primary Family Contact
 
Tribal Enrollment Number: (The expected format is 'U' or 'A' followed by six digits. Example: U012345)
First Name: *
Last Name: *
Maiden Name:
Birth Date: *
Street Address: *
City: *
State: *
Zip: *
Cell Phone (for txt msgs): *
Email Address: *
Confirm Email Address: *
 
WHO IS FILLING OUT INFORMATION:
If you are a tribe member and you have children SELECT 'Self - Head of Household' below.
If you are NOT a tribe member and you have children, SELECT 'Legal Guardian' below.
Does anyone currently have a power of attorney (POA) over your financial affairs?

Are you an enrolled member of the Rosebud Sioux Tribe?

Do you have child(ren) who are enrolled members of the Rosebud Sioux Tribe?

Do you have custody of the child(ren) that you are applying for?

 
In order to be considered for an application award, I agree to:
* Check my email and phone texts on a regular basis for notifications & updates regarding my application.
* Complete all required segments of the application.
* Secure proof of need documentation as instructed.
* Submit accurate and truthful information on my application.
Applicant represents that all above statements are true and complete. Applicant hereby authorizes verification of above information, documentation, and applicant releases from all liability or responsibility all persons and corporations requesting or supplying such information. Applicant acknowledges that false information may constitute grounds for rejection of this application.
 * I have read and agree to the provisions as stated.