Military Tuition Waiver Request Form

Military Tuition Waiver Request Form
Apply for a tuition waiver based on your military service. Please complete all required fields and provide supporting documentation.
Full Name
First NameLast Name
Student ID Number
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Branch of Military Service
Military Status
Dates of Military Service (Start Date)
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Dates of Military Service (End Date)
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Educational Program/Department
Upload Proof of Military Service (e.g., DD-214, Military ID, or official letter)
Cancelof
Additional Comments or Special Circumstances (optional)
Signature (Please sign to confirm your request)
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