Race 

  • American Indian or Alaska Native
  • Asian
  • Black or African American
  • Native Hawaiian or Other Pacific Islander
  • White

I am a U.S. veteran, on active duty, and/or a dependent of a U.S. veteran?

  • Yes
  • No

I am

  • a U.S. Veteran
  • Not a U.S. Veteran

I am

  • on Active Duty
  • not on Active Duty

I am

  • a dependent of a U.S. Veteran who is on Active Duty
  • not a dependent of a U.S. Veteran who is on Active Duty

I am

  • a dependent of a U.S. Veteran who has a service connected injury/illness
  • not a dependent of a U.S. Veteran who has a service connected injury/illness

I am

  • a dependent of a U.S. Veteran who is deceased
  • not a dependent of a U.S. Veteran who is deceased

Do you reside outside of the United States?

  • No
  • Yes

Is your Mailing Address different than your Home Address? - Provide if different than your home address.  Otherwise, skip this section.

  • Yes

Do you have a GED?

  • Yes, I have a GED
  • No, I do not have a GED. Please provide your high school information.

My high school status is
Choose one

  • I am currently in high school
  • I have a high school diploma
  • None of the above

Have you attended college

  • Yes
  • No

When did you attend college
Choose one

  • I earned college credit while in high school
  • I attended college after I graduated from high school
  • I earned college credit while in high school, and I attended college after high school
State of college College Name - If not listed, choose "School Not Listed." Name of College City Degree - if applicable Otherwise, leave blank