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REQUEST FOR PARTICIPATION
YELLOW RIBBON PROGRAM 2013-2014

Please complete all sections of this form, including electronic signature.

You must include a copy of your Certificate of Eligibility.
[Click below to add as attachment.]

 
 

ESTMATED NUMBER OF CREDITS PER SEMESTER

STATEMENT OF UNDERSTANDING


1. I understand the Department of Veteran Affairs formally establishes eligibility for the Post-9/11 GI Bill’s Yellow Ribbon Program
    and that this Request for Participation is contingent on Department of Veteran Affairs’ approval for such benefits.
2. I am 100% eligible for the Post 9/11 GI Bill based on the following qualifications set and determined by the Department of
    Veterans Affairs
    • I served an aggregate period of active duty after September 10, 2001, of at least 36 months; or
    • I was honorably discharged from active duty for a service-related disability, and I served 30 continuous days after
      September 10, 2001, or
    • I am a dependent eligible for Transfer of Entitlement under the Post-9/11 GI Bill based on a veteran’s service under
       the eligibility criteria listed above.
3. I have applied to and been admitted by Alliant International University.
4. I certify that I have applied to the Department of Veterans Affairs for my Certificate of Eligibility and will submit the
    Certificate to Alliant with this Reqest for Participation form.
5. I acknowledge that Yellow Ribbon Program funds are distributed on a first-come, first-served basis, measured from the
   date of this Request for Participation form and Certificate of Eligibility are received by Alliant.
6. I understand that submitting this form does not guarantee funding from the Yellow Ribbon Program.
7. I understand that if I am required to reapply for admission to Alliant for any reason, Alliant will not continue to hold my
    spot in the Yellow Ribbon Program.
8. I understand that Alliant is not required to continue making Yellow Ribbon Program contributions if I am not in good academic standing.
9. The information I submit on this form is true and correct to the best of my knowledge.

*SIGNATURE REQUIRED

*BY TYPING YOUR NAME YOU ACKNOWLEDGE THAT THE INFORMATION PROVIDED ABOVE IS CORRECT AND COMPLETE.
* Indicates Response Required