Yellow Ribbon Application Form by wuyunyi


									                                   THE UNIVERSITY OF CHICAGO
                      Application for the Yellow Ribbon Program
                                      Academic Year 2009-2010

Effective July 1, 2009, the University of Chicago will accept applications from veterans to participate in the Yellow
Ribbon Program GI Education Enhancement Program for the 2009-10 academic year.

1. Complete this Application Form.
2. Attach a copy of Veteran’s Administration Certificate of Eligibility for Yellow Ribbon Program.
3. Deliver this form and Certificate of Eligibility to the Office of the University Registrar. Fax number is: 773-702-
    3562. Phone number is 773-702-7891. Office hours are Monday-Friday 8:30 am to 4:30 pm. Mailing address
    is: Veteran’s Services, Office of the University Registrar, University of Chicago, 5801 S. Ellis, Admin 103, Chicago,
    IL 606137

Please Note:
 Applications will be deemed incomplete and not considered until all documents have been received.
 Completed applications postmarked or received on or before July 1, 2009 will be date stamped as July 1.
 Applications processed on any given day will be prioritized by Certificate of Eligibility date.
 Program participants will be determined from the pool of completed applications on a first-come, first-served basis for
    the limited number of spaces.
   Veterans will be contacted by their academic division or school as to their status in the Yellow Ribbon

Please complete the following:
Student Name: _____________________________________________________________________________
               Last                      First        Middle (or Middle Initial)

Veteran’s Name: ___________________________________________________________________________
(if different) Last                      First        Middle (or Middle Initial)

Student Address: ___________________________________________________________________________


               City                      State        Zip

Email address: _________________________________ Daytime telephone: (_____) - ________ - _________

Are you a current University of Chicago student: yes (___) no (___)

        If yes, term last registered at University of Chicago: ______________________

        If no, have you been admitted to University of Chicago? yes (___) no (___)

Academic Program at University of Chicago: __________________________________

For general information about the VA Yellow Ribbon Program, please refer to the VA website at:

Signature: _____________________________________________________________ Date: ______________

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