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VA Information Form
**NOTICE** You will need to complete the VA Form 22-1990 Application for VA Educational Benefits online at
gibill.va.gov
. Please bring a copy of your signature page, DD214 (Veteran) or your NOBE (Dependent or spouse).
**If you have any questions or concerns please call:
1-888-GIBILL1.
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* Indicates required question
Email
*
Your email
Student' Full Name:
*
Your answer
Student's ID Number:
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Full Name of Veteran
*
Your answer
Student's Address (Street, City, State and Zip)
*
Your answer
Student's Telephone Number
*
Your answer
Term/Semester For Benefits (ex.: Spring 2022)
** You MUST submit this form EACH semester**
*
Your answer
Have you attended ASU before?
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Yes
No
Other:
Have you attended another institution since your last term at ASU, or are you a transfer student from another institution?
*
Yes (If yes, You MUST provide an official copy of your academic transcript from that institution)
No
Please provide the name of the transfer institution:
*
Your answer
Do you have a military transcript:
*
Yes (If yes, You MUST provide an official copy of your transcript )
No
Did you receive VA benefits at your previous institution?
*
Yes
No
Other:
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