Ancestral Homelands Circle Interest Form

Thank you for your inserts in joining the Ancestral Homelands Circle, a Native-led initiative of the Northwest American Indian Coalition (NAIC) dedicated to protecting and uplifting the ancestral lands, waters, and sacred places of the Indigenous peoples of Curry County and beyond. The Circle brings together tribal members and cultural knowledge holders to guide NAIC’s land-based work through a cultural, intertribal, and community-led lens.

Please complete this form to help us learn more about you and how you’d like to participate in this growing collective effort.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Your Organizations Website

http://

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Briefly describe your cultural ties to ancestral lands of Curry County

Preferred Level of Participation:

Circle Decision-Maker (Board Member)

Circle Member (General Member at Large)

Supporter (Stay Connected)

Acknowledgment

I acknowledge that TCA – Naa-yvlh-te is an independent Native-led initiative focused on land stewardship, policy advocacy, and cultural resource protection and is not affiliated with a federally recognized Tribe.

I agree

I disagree

Acknowledgment

I understand that participation is voluntary and that my contributions will help shape and strengthen Native-led decision-making.

I agree

I disagree

Ancestral Homelands Circle Interest Form

Northwest American Indian Coalition, Inc.