Chp30 Office Ap by 5Y5U7F0

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									                      West Hills College Veterans’ Office Application
                          First Time Student Receiving VA Educational Benefits
                                          (Chp 30, 31, & VRAP)


Name:
                (First)                 (Middle)                         (Last)

Mailing Address:
 (Street No. OR P.O. Box)               (City)                 (State)                (Zip)

Social Security #.:                                            Birth date:

Telephone: (Home)                        (Cell)


Branch of Service:                  Date of Entry:                 Discharge Date:

Please Select the Chapter that applies to you:
        Chp 30                                   Chp 31                         VRAP

DEGREE AND MAJOR: Indicate Degree and Major you are working toward at the present time.

         AA/AS MAJOR:                                           OTHER Explain:
         Transfer-BA/BS MAJOR:

IF YOU CHANGE YOUR MAJOR YOU MUST IMMEDIATELY COMPLETE THE "REQUEST FOR
CHANGE OF PROGRAM" (DD 22-1995) and return it to the Veterans Clerk.

Univ/College you plan to transfer to:

Are you currently enrolled with another college:  YES  NO If yes, where?

Have you previously been enrolled at a college under the VA Educational benefits?
        YES  NO If yes, where?

Last school attended under the VA program:
When?


WE MUST HAVE OFFICIAL TRANSCRIPTS FROM ALL PREVIOUS TRAINING.
PLEASE REQUEST ONE SET OF TRANSCRIPTS
Send to West Hills College, Attn. Monique Suter, 555 College Avenue Lemoore, CA 93245.

								
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