Fillable Update to the Survey Required by Public Act (College of DuPage)

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Update to the Survey Required by Public Act (College of DuPage)

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Update to the Survey Required by Public Act 96-0133
Under the Illinois Higher Education Veterans Services Act
Effective: _______________________
Institutional Information
University or Community College: _________________________________________________________
Address: _____________________________________________________________________________
City: _________________________________________________________________________________
State: ________________________________________________________________________________
Zip Code: _____________________________________________________________________________
Telephone: ___________________________________________________________________________
Website: _____________________________________________________________________________
Website URL for Veterans and Military Services: _____________________________________________
Student Population: _____________________________________________________________
Veteran Population (student no longer serving in the military): ___________________________
Military Personnel Population (active duty and reservists): ______________________________
Dependent Population: __________________________________________________________
No: VA Work Study Positions: Yes: ____ _____
No: ROTC Programs: Yes: ____ _____
Branches: _____________________________________________________________________
No: Military/Veterans Club or Organization: Yes: ____ _____
Name of Military/Veterans Club or Organization: ______________________________________
Name of POC for Military/Veterans/Club or Organization: _______________________________
Email of POC for Military/Veterans/Club or Organization: ________________________________
Offer Priority Registration to:
No: Veterans: Yes: ____ _____
No: Military Personnel: Yes: ____ _____
No: Dependents: Yes: ____ _____
Monthly Rates of Pay or Housing Allowance for Full-Time In-Resident Students:
Chapter 1606: __Chapter 35: _Chapter 33: _Chapter 30: _____ ____ ____ ___
No: Military/Veteran/Dependent Specific Scholarships: Yes: ____ _____
If Yes, Please Describe:
Points of Contact
Administration
P
resident: ____________________________________________________________________________
Director of Financial Aid: ________________________________________________________________
Telephone: ___________________________________________________________________________
Email: _______________________________________________________________________________
Registrar: ____________________________________________________________________________
Telephone: ___________________________________________________________________________
Email: _______________________________________________________________________________
Veteran Coordinator
N
ame: _______________________________________________________________________________
Title: ________________________________________________________________________________
Department: __________________________________________________________________________
Address: _____________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Supervisor: ___________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Primary Veteran School Certifying Official
N
ame: _______________________________________________________________________________
Title: ________________________________________________________________________________
Department: __________________________________________________________________________
Address: _____________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Supervisor: ___________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
DOD Tuition Assistance POC
N
ame: _______________________________________________________________________________
Title: ________________________________________________________________________________
Department: __________________________________________________________________________
Address: _____________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Supervisor: ___________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Illinois Veterans Grant/Illinois National Guard Grant POC
Name: _______________________________________________________________________________
Title: ________________________________________________________________________________
Department: __________________________________________________________________________
Address: _____________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Supervisor: ___________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
MIA/POW Scholarship POC
Name: _______________________________________________________________________________
Title: ________________________________________________________________________________
Department: __________________________________________________________________________
Address: _____________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Supervisor: ___________________________________________________________________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Student Services
Please indicate which of the following provide programs or services designed for veterans or military
personnel and their families:
_____ Academic Advising Office
_____ Academic Support/Tutoring
_____ Admissions Office
_____ Campus Social Events
_____ Career Services
_____ Counseling Center
_____ Bursar Office
_____ Disability Service Office
_____ Employment Assistance
_____ Financial Aid Office
_____ Health Services
_____ Mentoring
_____ Orientation
_____ Student Center
_____ Transition Assistance
_____ Tuition Assistance Counseling
_____ Veterans Center
_____ Other (please specify)
As needed, please provide below detail concerning programs and services available to veterans,
military personnel and families.
Other (please describe)
Online
Print Advertisements
Mailing
Email
College Catalog
Advisor
Please indicate which of the following communication methods are used to inform currently enrolled
veterans, military personnel and their families about programs and services available to them:
_____
_____
_____
_____
_____
_____
_____
Please describe how your institution tracks retention and goal completion of veterans and military
personnel:
Please indicate which accommodations are made for students called to active duty during a term,
semester or quarter.
Tuition and fee refund policy _____
Leave of absence policy _____
Distance education options to complete coursework _____
Other (please describe) _____
Please indicate which accommodations are made for families of military personnel called to active
duty during a term, semester or quarter.
_____ Tuition and fee refund policy
Leave of absence policy _____
Online options for continuing in the same semester _____
Other (please describe) _____
No
Comments:
When called to active duty during the semester, would the semester count as a withdrawal?
Yes _____
_____
Does your institution accept military credit?
Yes _____
No _____
Does your institution use the ACE Guide to the Evaluation of Educational Experiences in the Armed
Services in making determination for accepting credit?
Yes _____
No _____
Does your institution accept Defense Activity for Non-Traditional Education Support (DANTES):
Yes _____
No _____
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Update to the Survey Required by Public Act (College of DuPage)

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Completed 25 July 2020

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