APPLICATION TO REGISTER WITH THE GENERAL COUNCIL IN BORIKEN T H E G E N E R A L C O U N C I L O F T A I N O S O F B O R I K E N -------------------------------------------------------------------------- THE T A I N O I N D I G E N O U S N A T I O N OF THE C A R I B B E A N 500 YEARS OF TAINO OPPRESSION 1 4 9 2 - 1 9 9 2 500 YEARS OF RESISTANCE ============================================================================== What is your Full Taino, Spanish or English Name? "Name on Birth records" ___________________________________________________________________________ What is your Street Address? ___________________________________________________________________________ What is your City, State and Zip? ___________________________________________________________________________ What are your Phone Numbers? HOME> {____}-____-____ WORK> {____}-____-____ Are you of Taino Arawak Indian Blood? [Y] [N] What is your Date and place of birth? ___________________________________________________________________________ What is your Taino Tribal Name? "If you have one" ___________________________________________________________________________ What is your Mother or Father's Taino Grandparent's Name? "If you know it" ___________________________________________________________________________ What City, State and Country was your Indian Grandparent from? ___________________________________________________________________________ What is his or her Date and place of birth? ___________________________________________________________________________ Are You Associated with any United States Indian Reservation? "Res.Name?" ___________________________________________________________________________ What is your known Reservation Tribe Name? "the Name people know you by" ___________________________________________________________________________ What part of the Taino Nation are you from? Example, P.R, Cuba, U.S.A, etc. ___________________________________________________________________________ Can you still speak any part of the Taino Native Language? [Y] [N] Are you willing to Learn, to speak the Taino Language? [Y] [N] Do you know and study the Old Ways? Example "The Native Religion" [Y] [N] What Religion do you follow? "We respect Native or Christian ways" ___________________________________________________________________________ Are you a student at a College or School? "hold a College Degree?"[Y] [N] What School or College? ___________________________________________________ Are you Married? [Y] [N] Husband or Wife's Name ___________________________ What is your Social Security Number? "for ID purpose only" [ ] - [ ] - [ ] How or from whom did you hear about the Taino Indian Nation? [Full Name] ___________________________________________________________________________ Why do you want to join the Taino Nation? { add a second page to explain] What is your occupation or profession? ____________________________________ Do you consider yourself a Taino: Boricua[ ] Marien o Ciguayo [ ]Siboney[ ] Will you abide by the rules set by the Elders of the Nation Council? [Y][N] Signature ____________________________ Date________ E L C O N S E J O G E N E R A L D E T A I N S B R I N C A N O S HC 645 Buson #5075 Trujillo Alto, Puerto rico