Native American Heritage Month Recognition Award Application

During National Native American Heritage Month and throughout the year, ClearScript recognizes and honors the rich traditions, culture, and heritage that Native Americans share within the community and the country. ClearScript will be awarding $500 to at least 10 (ten) tribal community members who apply for this award.

Submissions are due by December 15, 2026. Please email ClearScript-Communications@fairview.org with any questions.

Application Form

"*" indicates required fields

Full Name*

Tribal Community*

Phone*

Address*

Mailing address for award check.

Street Address Address Line 2 City State ZIP Code

Project Details / Educational Goals*

Tell us about your educational goals or the project you are working on to help your community.

Consent*

If I am an award recipient, I agree to allow ClearScript/Fairview Pharmacy Services, the use of my name, application, and photo in ClearScript’s marketing and social media. Choice does not influence or affect your eligibility or chances of receiving an award.

Yes