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Veteran's Education Assistance
Please complete this form in its entirety. You cannot be certified for benefits until all required documents are received and evaluated. You may also apply for federal financial aid at
www.fafsa.gov
.
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First and Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Telephone Number
*
Your answer
Social Security Number
*
Your answer
VA File Number
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Program of Study
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Your answer
Email Address
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Your answer
Chapter Number
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30
33
35
32
1606
1607
Unsure
Have you received VA educational benefits at another college?
*
If yes, please provide WCC VA Director with VA Form 22-1955 or 22-5490.
Yes
No
Have you applied for VA educational benefits?
*
If no, please complete the application at
http://vabenefits.vba.va.gov/vonapp/main.asp
Yes
No
Additional Information
Please provide the WCC VA Director with the following documents before certification can be complete:
Certificate of Eligibility (received after applying for educational benefits
Copy of your DD214 or NOBE
Copy of your 22-1955 or 22-5490
Copy of your current course schedule
Admissions Process
The admissions requirements must be met before VA certification can take place. Please complete the following requirements:
Complete an application for admissions
Take placement test, if applicable
Turn in official HS transcript or GED
Submit all official college transcripts for evaluation
College Transcripts
*
Please list all colleges attended and request transcripts to be sent to the Registrar. Indicate N/A if no other colleges have been attended.
Your answer
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