University of Nebraska at Omaha - VA Education Agreement
Select the following that best represent your current status:
Which chapter of VA educational benefits are you applying to use?
1606 - Montgomery GI Bill-Select Reserve
30 - Montgomery GI Bill-Active Duty
35 - Dependent Educational Assistance Program (dependent of Veteran 100% totally and permanently disabled according to VA)
33 - Post 9/11 GI Bill
33 - Post 9/11 GI Bill Transfer of Eligibility (Veteran sponsor gave eligibility to child or spouse dependent)
31 - Vocational Rehabilitation
Unknown - if unknown please contact the GI Bill Hotline at 1.888.442.4551
Other - see next question
NOTE: If you are using the Chapter 35 Dependent Educational Assistance Program, OMVS needs your sponsor's social security number (SSN). We CANNOT certify your benefits through the VA without this information.
To provide your sponsor's SSN, please visit the OMVS office in suite 117 of the Milo Bail Student Center or call the OMVS front desk at 402-554-2349.
Please indicate additional education benefits you are eligible for:
Nebraska Tuition Waiver (must be NE resident and Veteran sponsor must be 100% totally and permanently disabled according to the VA.)
Federal Tuition Assistance (current military members - Active Duty, Reserves, Army National Guard)
State Tuition Assistance (active National Guard and Air Guard only)
Reserve Tuition Credit (active Reserves only)
Yellow Ribbon Program (non-resident Chapter 33 only)
Fry Scholarship (dependent of veteran who died in line of duty)
Other scholarships or grants
For what term do you wish to begin your benefit?
Student's branch of military service (if applicable):
Not applicable to me.
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of University of Nebraska at Omaha.
Terms of Service