Center for Military-Connected Students

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Veteran Benefits Request

Spring 2020 through Winter 2021

VA Benefits Only

(Click on the tab above for instructions on using the Cal Vet College Fee Waiver. Do not submit waiver documents through this form.)

For the second section:

"Uploads" - only applies to students who are looking to start benefits at Cal Poly. If that does not apply to you, go ahead and submit the application.

1 Start 2 Next Page 3 Uploads 4 Complete

Student/EMPL ID Number *

Major *

Choose one or more: *

Undergraduate

Graduate

Credential

Other

Student's First Name *

Student's Last Name *

Address *

Cal Poly Email *

Phone Number *

FOR THE ENTIRE ACADEMIC YEAR, indicate all terms you plan to use your benefit *

ENSURE YOU CHECK ALL TERMS YOU PLAN TO USE BENEFITS, AS THIS WILL AFFECT VETERAN PRIORITY REGISTRATION, STUDENT ACCOUNTS OFFICE FEE PROCESSES, AND COMMUNICATIONS BETWEEN OUR OFFICE AND YOURSELF. THANK YOU. (For the current term, indicate the amount of units you want certified [if requesting benefits for prior terms, indicate the amount of units for the prior terms as well]).

Summer 2021 10 week , # of Units to be Certified

Summer 2021 1st 5 week , # of Units to be Certified

Summer 2021 2nd 5 week , # of Units to be Certified

Summer 2021 8 week , # of Units to be Certified

Quarter Plus, # of Units to be Certified

Fall 2020, # of Units to be Certified

Winter 2021, # of Units to be Certified

Spring 2021, # of Units to be Certified

Chapter/Benefit *

Do not use this form for Cal Vet College Fee Waiver submission.

Leave this field blank

30/MGIB	31/VOC REHAB	1607 REAP
33/POST 9-11	35/DEA	Edith Nourse Rogers STEM Scholarship
1606/MGIB-SR

Center for Military-Connected Students

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Schedule Appointments

Veteran Benefits Request

VA Benefits Only

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