VETERAN REPORTING FORM

VETERAN REPORTING FORM

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STUDENT INFORMATION

Last Name

First Name

MI

Date of Birth

SID

VA File# (Veteran SSN)

Student SSN

Address

City

State

Zip

Phone

Email

Branch of Service

Year Separated

Guest Student

NoYes

BENEFITS INFORMATION

Current Degree Plan

Benefit Type

20% Waiver	Ch. 30 MGIB	Ch. 35 Waiver
Ch.1606	Ch.31 VR&E	Ch.33 Post 9/11
Ch.35 No Waiver	MyCAA	TA

PREVIOUSLY ATTENDED COLLEGES

Name

Dates Attended

Program

Community Colleges of Spokane does not discriminate based on race, color, national origin, sex, disability, sexual orientation or age in its programs, activities or employment.

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Contact Information