Chickasaw Honor Club
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Form 380A - 
Chickasaw Honor Club Application -  144 KB
Chickasaw Honor Club (Budget Proposal) -  163 KB
Chickasaw Honor Club (Individual Application) -  266 KB
Perfect Attendance Application  -  155 KB
Budget Proposal for Participating Schools -  159 KB
Outstanding Achievement Application  -  238 KB
(6) Forms

122 E. Main St
Ada, OK 74820
(580) 421-7712


The Chickasaw Honor Club consists of three components:

  • Grade Incentive
  • Perfect Attendance
  • Outstanding Achievement

Grade Incentive:  Open to Johnson O'Malley students in grades 2nd-12th with a valid CDIB card who attends a participating JOM school within the Chickasaw Nation service area. Each school has a coordinator who submits student information to the Chickasaw Honor Club office for processing. Students earning A's receive a $25 Wal-Mart gift card while students earning A's and B's receive a $10 Wal-Mart gift card. Please see the link for participating schools to see if your child's school is listed. 

Students in non-participating schools or who reside outside the boundaries are eligible through the in-state/out-of-state program. This portion is open to Chickasaw citizens only and parents are responsible for submitting grade cards. Out of bounds students participating in this portion need to submit the Individual Application available on this website.

Perfect Attendance: Open to Chickasaw citizens in grades 2nd-12th. Students are eligible for perfect attendance each grade period. School coordinators submit information for citizens in participating schools. Citizenship must be on file with the school coordinator. 

Students in non-participating schools or who reside outside tribal boundaries are eligible through the in-state/out-of-state program. Parents are responsible for submitting proof of perfect attendance each grade period. Out of bounds students participating in this portion need to submit the Individual Application available on this website.

*Out of bounds students please note that the Individual Application is for the grade incentive and perfect attendance portion of the honor club. Please check the boxes in the right hand corner in which you are applying. Applications only need to be submitted once per school year and will be kept in your child's file.    

Outstanding Achievement: This program recognizes outstanding achievement by Chickasaw students.

  • Students residing inside tribal boundaries:
  • Must have a Chickasaw citizenship card on file with the school
  • Must be in 2nd -12th grade
  • School coordinator/JOM representative handles paperwork and submission forms

Students residing outside tribal boundaries or who attend home/private school:

  • Must have Chickasaw citizenship card
  • Must be in 2nd-12th grade
  • Must provide school photo
  • Must submit application and biography for consideration

Applications are submitted monthly and awards are presented monthly in various aspects of outstanding achievement. Areas of outstanding achievement are listed on the application. Students who complete their Individual Education Plan (IEP) for the current school year are also eligible for outstanding achievement. A $25 Wal-Mart gift card is awarded to students qualifying for outstanding achievement and students are eligible for one award per school year. For more information, contact Beth Campbell or Callie Roebuck at (580) 421-7712 or by fax at (580) 310-9531.    

Submitting a verified report card:

When the department of education services receives an application, it is entered in the database and the department advises the parent of their child's eligibility for the program. At the end of each six or nine week grade period, a duly verified copy of the child's report card must be sent to the department of education services for processing.

The copy must establish that the child is eligible for an incentive and must be verified as a true and correct copy by the child's teacher, counselor or principal. If the report card has not been verified, the child will be ineligible for an incentive. Please type or write the following on the copy of the report card and obtain the proper verifying signature.

 

This is a true and correct copy of (student's name) report card for the period ending on the _______ day of ________, 20__.


______________________________________
(Teacher, counselor or principal's signature)

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