Veteran or Service Member Application

    Student information

    First Name:

    Last Name:

    Middle Initial:

    Email:

    Home Phone:

    Mobile Phone:

    Academic information

    Name of college, university or vocational school you will be attending:

    Address of college, university or vocational school you will be attending:

    Year of enrollment and anticipated graduation year:

    Anticipated graduation year:


    Referrals

    Submit copies of two letters of recommendation.
    One each from a colleague, advisor or community leader.

    Provide a copy of your DD Form 214 or 215. A DD Form 256 for Reservists and a NGB Form 22 for National Guard or Air National Guard will also be accepted.

    Provide a copy of your current military ID

    Briefly explain your leadership or mentoring qualities through participation in extra-curricular or civic
    activities your community

    Submit two letters of recommendation. One each from an academic counselor, advisor, faculty member, coach, or community leader:


    (2MB Limit PDF, TXT or Word Document)