Tribal Application

Membership in the Occaneechi Band of the Saponi Nation shall be limited to those persons who

1. Are not enrolled members of any other state or federally recognized Tribe;

2. Are descendants of the Siouan communities historically found in the Virginia areas of what are now Brunswick and Greenville Counties and the adjacent sections of North Carolina who removed to what is now known as the Texas Community located primarily in the North Carolina Counties of Alamance and adjoining sections of Caswell and Orange;

3. Have at least one grandparent born in the Tribal area unless the applicant resides there; and

4. Maintain direct contact with the Tribal community.

=> A non-refundable $50.00 processing fee is required.
=> A copy of Birth certificate is required.
=> A applicant photo is required.

FIRST NAME *

LAST NAME *

MIDDLE NAME

MAIDEN NAME

DATE OF BIRTH (MM/DD/YEAR) *

Upload birth certificate *

Click or drag a file to this area to upload.

Only pdf, jpeg, jpg, png formats are allowed and file size should not exceed 10 megabytes

PLACE OF BIRTH (CITY, STATE) *

Upload applicant picture *

Click or drag a file to this area to upload.

Only pdf, jpeg, jpg, png formats are allowed and file size should not exceed 10 megabytes

MAILING ADDRESS (STREET/PO BOX) *

Gender *

HOME PHONE *

EMAIL *

APPLICANT’S FAMILY INFORMATION

APPLICANT’S MOTHER’S FULL NAME *

SIBLING’S NAME 1

SIBLING’S NAME 3

APPLICANT’S CHILD’S NAME 1

APPLICANT’S CHILD’S NAME 2

APPLICANT’S FATHER’S FULL NAME *

SIBLING’S NAME 2

SIBLING’S NAME 4

DATE OF BIRTH (MM/DD/YEAR)

APPLICANT’S CERTIFICATION

I am an Occaneechi Descendant that was born in Orange, Alamance, or Caswell County, NC. *

At least one of my parents is an Occaneechi Descendant that was born in Orange, Alamance, or Caswell County, NC. *

At least one of my Grandparents is an Occaneechi Descendant that was born in Orange, Alamance, or Caswell County, NC. *

FAMILY GENEALOGICAL CHART (4TH & 5TH GENERATION)

FATHER (NAME & LOCATION)

PATERNAL GRANDFATHER (NAME & LOCATION)

MATERNAL GRANDFATHER (NAME & LOCATION)

MOTHER (NAME & LOCATION)

PATERNAL GRANDMOTHER (NAME & LOCATION)

MATERNAL GRANDMOTHER (NAME & LOCATION)

FAMILY GENEALOGICAL CHART (4TH & 5TH GENERATION)

PATERNAL GRANDFATHER

GREAT-GRANDFATHER (NAME & LOCATION)

GREAT-GREAT-GRANDFATHER (NAME & LOCATION)

GREAT-GRANDMOTHER (NAME & LOCATION)

GREAT-GREAT-GRANDMOTHER (NAME & LOCATION)

PATERNAL GRANDMOTHER

GREAT-GRANDFATHER (NAME & LOCATION)

GREAT-GREAT-GRANDFATHER (NAME & LOCATION)

GREAT-GRANDMOTHER (NAME & LOCATION)

GREAT-GREAT-GRANDMOTHER (NAME & LOCATION)

MATERNAL GRANDFATHER

GREAT-GRANDFATHER (NAME & LOCATION)

GREAT-GREAT-GRANDFATHER (NAME & LOCATION)

GREAT-GRANDMOTHER (NAME & LOCATION)

GREAT-GREAT-GRANDMOTHER (NAME & LOCATION)

MATERNAL GRANDMOTHER

GREAT-GRANDFATHER (NAME & LOCATION)

GREAT-GREAT-GRANDFATHER (NAME & LOCATION)

SIGNATURE *

GREAT-GRANDMOTHER (NAME & LOCATION)

GREAT-GREAT-GRANDMOTHER (NAME & LOCATION)

DATE

OFFICE USE ONLY

DATE RECEIVED

TRIBAL CARD #

APPROVED

Membership in the Occaneechi Band of the Saponi Nation shall be limited to those persons who

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Tribal Application

Membership in the Occaneechi Band of the Saponi Nation shall be limited to those persons who

SUBSCRIBE TO OUR NEWSLETTER

ADDRESS & CONTACT

TRIBAL GROUNDS & OFFICE

QUICK LINKS

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Menu

Search for products