VETERANS EDUCATION PROGRAM
APPLICATION
NAME
PHONE
EMAIL
HOME
ADDRESS
Street City State Zip
BRANCH OF
MILITARY
p Army p Air Force p Navy p Marines p Coast Guard
STATUS
p Active p Reserve/Guard p Separated
Please indicate if you have attended any of the following:
High School:
_____________________________________________________________________________________
College: _________________________________________________________________________________________
Trade School: ____________________________________________________________________________________
p DD214
p High School Transcripts
p College Transcripts
p Other Transcripts
Comments: ________________________________________________________________________________________________
Approval Status:
p Full
p Conditional: _____________________________________________________________________________________________
p None
p Withdraw
Actions: ___________________________________________________________________________________________________
For Ocial Use
Division of Continuing and Global Education
California State University, Fresno • Kremen Education Building, Room 130
5005 N Maple Avenue M/S ED76 • Fresno, California 93740-8025
P 559.278.0333 F 559.278.0395 ww w.fresnostate.edu/cge
Name City/State Date
Name City/State Date
Name City/State Date
8/18-TB