Spring 2016 Request for Benefits
Last Name
Your answer
First Name
Your answer
SID#
Your answer
Phone
Your answer
Email Address
Your answer
Street Address
Your answer
City
Your answer
Zip code
Your answer
Degree Objective
Required
Major
Your answer
2nd Major
Keep in mind 2nd major must be reported on Ed Plan
Your answer
Transfer School
Which school do you intend on transferring to?
Which GI Bill are you utilizing?
Are you requesting advanced pay?
Only Ch. 30/35/1606 are eligible for Advanced Pay.
Will you pay the student health fee?
Have you read and agree to adhere to the Standard of Student Conduct?
I certify that all information is complete and correct. I agree to inform The Veterans Service Office of any changes in my enrollment status (adding/dropping certified class). I understand that failure to do so may result in me owing a debt to the Veterans Administration.
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