University of Nebraska at Omaha - VA Education Agreement
Email address *
Last Name: *
First Name: *
Select the following that best represent your current status: *
Which chapter of VA educational benefits are you applying to use? *
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: *
For what term do you wish to begin your benefit? *
Student's branch of military service (if applicable): *
Never submit passwords through Google Forms.
This form was created inside of University of Nebraska at Omaha. Report Abuse