2020 UHN Tribal Census 2020 UHN Tribal Census This electronic form is to assist Tribal Citizens with updating their tribal enrollment records for update in a new electronic enrollment software. Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Suffix First Middle Last Maiden Known by other names: AKA, Nicknames Marital Status* Single Married Divorced Widowed Gender* Male Female Transgender Nonbinary Prefer Not to Answer Tribal Enrollment No. If you do not know your roll number, we can track based on required information provided.Birth Date* MM slash DD slash YYYY Social # (Optional) Place of Birth* City/community and state (where parents were living at time of your birth.) Home Address* (City,State,Zipcode)Mailing Address Primary Phone Number*Cell NumberConsent to Use Cell Number I agree to allow the UHN to send me text messages with updates and urgent tribal messages.The UHN Is working to establish a bulk texting software to communicate more timely with tribal citizens. Please give your permission to be added to this group if you have a cell number with texting capabilities.Email Consent to Use Email Address I agree to allow the UHN to send me email messages with updates and timely tribal news.The UHN is using a digital messaging program to send monthly updates, newsletters, and timely tribal news for tribal citizens and tribal supporters. Please give your permission to be added to this group if you have and use email.Are you the Head of Household?* Yes No Veteran Status* Non-Veteran Active Duty Retired Father's Full Name* First Middle Last Mother's Full Name* First Middle Maiden Name First Marriage First Middle Last (Name of Husband or Wife) If applicableWhen Married MM slash DD slash YYYY Second Marriage First Middle Last (Name of Husband or Wife) If applicableWhen Married MM slash DD slash YYYY Names of brothers and sisters (indicate if living or deceased)Please enter information as follows: Brother - John Allen Billiot, livingThe UHN is requesting ALL UHN Tribal Citizens to provide individual documents to support our Federal Recognition efforts and create seamless enrollment records. Please attach the following.Birth Certificate Drop files here or Select files Max. file size: 5 GB. Is your birth certificate attached?* Yes No Marriage/Divorce Records Drop files here or Select files Max. file size: 5 GB. Are your marriage/divorce records attached?* Yes No Death Certificates of Parents Drop files here or Select files Max. file size: 5 GB. Are death certificates attached?* Yes No Not applicable Are you adopted or legally changed your name?* Yes No If yes, please attach documents File Upload Drop files here or Select files Max. file size: 5 GB. Are you a registered Voter with the United Houma Nation?* Yes No If no, would you like to register to vote?* Yes No Optional QuestionsLeave Blank Any Questions You May Feel Uncomfortable Answering Highest Level of Education completed: Are you a small Business owner? Yes No Income Level:Household Size:12345678910Annual Income:Below 16,39616,396 to 21,10821,109 to 27,82127,822 to 33,53433,535 to 39,24839,249 to 44,96144,962 to 50,00050,001 to 100,000100,001 to 250,000250,001 to 500,000500,001 and upWhat Traditional Skills are you proficient in and would consider sharing with others?Traditional Skills: Select All Basket Weaving Carving Painting Regalia Making Beading Dance Songs Clay Oven Building Leather Work Drumming Building Palmetto Huts Moss Doll Making Gourd Work Herbal Medicines (Can click more than one)Other skills you are proficient in and would consider sharing with others? Thank You! Any final comments for us?Thank you for completing the 2020 UHN Tribal Census. As your information is updated, we may contact you to clarify conflicting information previously reported.
