You must have JavaScript enabled to use this form. Term requesting veteran benefits Spring Summer Fall Name First name Last name Student ID/StarID Date of birth Email Address Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code New address? Yes No Did you receive transfer credits? Yes No Have you received benefits from another college? Yes No Degree - None -Information TechnologyRadiologic TechnologyElectrical Line Worker TechnologyPhlebotomy TechnicianHuman ResourcesCosmetologyAccounting ClerkAdvanced HVAC/R - Heating, Ventilation, Air Conditioning and RefrigerationMassage TherapyLiberal Arts and SciencesNail TechnicianDental HygieneElectrical Line Worker TechnologyCorrectional OfficerLPN to Associate Degree Nursing BridgePlumbing TechnologyHVAC/R - Heating, Ventilation, Air Conditioning and RefrigerationMedical Coding and InsuranceCybersecurityElectrical Technology - ElectricianCriminal JusticeMedical Administrative AssistantDental AssistingGraphic DesignArchitectural DraftingConstruction ManagementHealth Information Technology/CodingEngineeringPayroll SpecialistPowerSports TechnologyLiberal Arts and Sciences: Social Science EmphasisAutomotive Service TechnologyEnvironmental ScienceCybersecurityAutomotive Service TechnologyAssociate Degree NursingMusicAmerican Sign Language StudiesDental AssistingEstheticianChild and Adolescent Therapeutic Behavioral HealthDiesel Equipment TechnologyComputer ProgrammingPolitical Science PathwaySurvey TechnicianPsychology Transfer PathwayAccounting Transfer PathwayBiology Transfer PathwayBusiness Transfer PathwayGraphic DesignHistory Transfer PathwaySurgical TechnologySport ManagementPowerSports TechnologyDesign and Engineering TechnologyDiesel Equipment TechnologyDigital MarketingLimited Scope RadiographyArt Transfer PathwayArchitectural Drafting & DesignInformation TechnologyPractical NursingMedical Laboratory TechnologyPowerSports TechnologyEarly Childhood Education Transfer PathwayBusinessEarly ChildhoodGlobal and Intercultural StudiesHuman ResourcesVisual ArtsGas Utility Construction and ServiceGas Utility Construction and ServiceEyelash Extension TechnicianBusiness AdministrationAmerican Sign Language and Deaf StudiesAgribusinessAdvanced Practice EsthiologyHealth Sciences Broad FieldEntrepreneurial CertificateSonography - Echocardiography TechnologyHair TechnicianAmerican Sign Language Pre-Interpreting ProgramAdvanced Practice EsthiologyDesign and Engineering TechnologyHuman ResourcesIntegrated & Professional StudiesFire Service PreparationMedical CodingElementary Education Transfer Pathway Benefit (select one) Montgomery GI Bill (Chapter 30) Veteran’s Readiness and Employment (Chapter 31) Post-9/11 GI Bill (Chapter 33) Survivor/Dependents (Chapter 35) Montgomery GI Bill (Chapter 1606) What campus do you plan on attending? - None -Moorhead CampusFergus Falls CampusWadena CampusDetroit Lakes Campus Will you also be receiving Army Federal Tuition Assistance (FTA). Yes No Will you also be receiving Federal Tuition Assistance (FTA). I have secured a copy of my Certificate of Eligibility and will forward to the College as soon as possible. Yes No This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
