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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).
Email address *
Name of Student *
Your answer
Student's ID (A) Number *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Name of Veteran *
Your answer
Student's Address (Street, City, State and Zip) *
Your answer
Student's Telephone Number *
Your answer
Semester/Term *
Your answer
Have you attended ASU before? *
Have you attended another institution since your last term at ASU, or are you a transfer student from another institution? *
Did you receive VA benefits at your previous institution? *
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