The Native American issue is more difficult than most people understand. My mother's birth certificate lists her mother's ethnicity as "indian". The Cherokee tribe will only allow tribal membership if you can document your descent from at least one of 2 or 3 rolls that not everyone signed. Because of the confusion, I asked AAMC that question and this was their answer:
Hi Moosepilot,
Thank you for contacting AMCAS.
There is no policy procedure set in place for designating a racial status.
We leave this totally up to the applicant to choose.
Once you choose a race/ethnicity you will not have to send in supporting documentation for proof.
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AMCAS
Association of American Medical Colleges
Section for Medical School Application Services
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www.aamc.org/AMCAS
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