Office of Financial Aid
204 West Washington St.
Lexington, VA 24450
Request for Participation in the Yellow Ribbon Program
Please complete the information below and return this form to the Office of Financial Aid. The deadline for
submitting this form is May 1, 2020. Requests received after the deadline will not be eligible for the
W&L Yellow Ribbon Match.
You must separately apply with the VA to receive the Yellow Ribbon benefit. If deemed eligible, you will
receive a Certificate of Eligibility (COE) from the VA. Please submit a copy of the Certificate of
Eligibility to the Office of Financial Aid once it is available.
Printed Name___________________________________________________________________________
E-mail address __________________________________ Phone Number___________________________
W&L Graduation Year___________________________ Undergraduate Law
For which academic year are you requesting benefits?____________________________
Statement of Understanding
I understand that the Department of Veterans Affairs formally establishes eligibility for the Post-9/11 GI Bill’s
Yellow Ribbon Program and that this Request for Participation is contingent on the Department of Veteran
Affairs’ approval for such benefits.
I believe I am 100% eligible for the Post-9/11 GI Bill based on the following qualifications set by the VA:
I served an aggregate period of active duty after September 10, 2001, of at least 36 months;
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.
I understand that I must separately apply with the VA to receive a Certificate of Eligibility showing I qualify for
the Yellow Ribbon Benefit. Failure to submit the Certificate of Eligibility to the W&L Financial Aid
Office in a timely manner may result in my removal from the Yellow Ribbon participant list at W&L.
I understand that submitting this form does not guarantee my admittance to the Yellow Ribbon Program. I
also understand that W&L is not required to continue making Yellow Ribbon contributions if I am not in good
academic standing.
The information I submit on this form is true and correct to the best of my knowledge.
Signature:_______________________________________________ Date:_____________________
Internal Use Only: Date/Time Received: ______________________ Staff Member: ______________