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Request for VA Benefits Form
Request for VA Benefits Form
Request for Veterans Benefits
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Name
*
First
Last
Email
*
To ensure that your request is submitted properly, please use your UMW email address.
Banner ID:
Last 4 SSN
*
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
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Iowa
Kansas
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Louisiana
Maine
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Michigan
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Armed Forces Americas
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State
ZIP Code
Status:
Active Duty
Veteran
Dependent
Benefits
Chapter 30 - MGIB
Chapter 31 - Veteran Readiness and Employment
Chapter 33 - Post 9/11
Chapter 35 - DEA Program
1606 - Selected Reserve
Other Federal Funding or Tuition Scholarship
Yes
No
If Yes, What Type?
ROTC
MyCAA
TA
Other
If Other, List:
UMW Status:
Continuing Student
First Time/New Student¹
Guest Student¹
¹If a New or Guest Student, provide UMW with the Certificate of Eligibility. You can upload the Certificate or send it to the School Certifying Official (SCO) via email, fax, or hand deliver to Lee Hall, 2nd Floor, Fredericksburg Campus. Patricia Sarkuti is the contact for undergraduate students who use veteran benefits except the Chapter 31 Veterans Readiness and Employment program. Her contact information is psarkuti@umw.edu/phone: 540-654-2140/fax: 540-654-2145. Ryan Hastings is the contact for graduate students who use benefits as well as any student participating in the Chapter 31 Veteran Readiness and Employment program. His contact information is rhasting@umw.edu/phone: 540-654-5853/fax:540-654-2145.
Upload VA Certificate of Eligibility
Max. file size: 5 MB.
Program of Studies:
*
BA
BS
BSN
BLS
MS-Elementary Education
MED
MBA
MSGA
Certificate
Non-Degree
Required Field
Enrollment Plans (Select All That Apply)
Fall Semester (16 Weeks) 8/26/2024 - 12/13/2024
Fall Semester First Eight Weeks 8/26/2024 - 10/18/2024
Fall Semester Second Eight Weeks 10/21/2024 - 12/13/2024
Spring Semester (16 Weeks) 1/13/2025 - 5/2/2025
Spring Semester First Eight Weeks 1/13/2025 - 5/2/2025
Spring Semester Second Eight Weeks 3/10/2025 - 5/2/2025
Summer Enrollment Plans (Select All That Apply)
May/June Term (First 5 Weeks) 5/20/2024 - 6/20/2024
Eight Week Term (May-July) 5/20/2024 - 7/12/2024
10 Week Term (May-July) 5/20/2024 - 7/25/2024
June/July Term (Second 5 Weeks) 6/24/2024 - 7/25/2024
Comments:
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Course Schedule Information
Class Format Information
Guide to Registration
Important Dates
Transfer Information
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