Veterans Information Sheet
1 Kellogg Circle, Campus Box 4038, Emporia, KS 66801-5415
Phone: (620) 341-5457 or 1-800-896-0567 Fax: (620) 341-6088
finaid@emporia.edu
Summer ________ Fall ________ Spring _________
Name VA File Number
Student ID Number Social Security Number
Mailing Address: Date of Birth
Degree
Curriculum/Major
E-Mail Address:
Complete this section for all class sessions
Advisor Use Only
Approved for Degree – Yes or No
Yes – Repeating – Needs C or better
Your advisor’s signature is required as verification that the courses listed on this form are required to complete your degree. Any courses
not being applied to your degree must be indicated.
Advisor’s Signature:
Date:
Veterans Educational Benefits Chapter 30
Disabled Veterans Program Chapter 31
Veterans Educational Assistance Program (VEAP) Chapter 32
Post 9/11 GI Bill Chapter 33
Dependents Educational Assistance Program Chapter 35
Selected Reserve Educational Assistance Program Chapter 1606
REAP Chapter 1607
Home Phone Number: Cell Phone Number:
All information on this form is true and complete to the best of my knowledge. I will notify Veterans Services personnel
promptly of all changes in my enrollment or class attendance. I understand that failure to do so may result in an
overpayment with the Department of Veterans Affairs.
(Date) (Signature of Student)
