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| Name | ||
| Phone | Telephone: areacode + 7-digit number
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| E-Mail address | City, ST and then your e-mail address (if any)
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| 4 Year College degree | Do you already have a four-year college degree? (if YES, not eligible
for VUB services)
Yes No |
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| Parents' College Degree | Have either of your natural parents earned a 4-year college degree
(Bachelor's or above)?
Yes No |
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| Branch of Service | Your Branch of Service (most recent if multiple)
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| 181+ days of active duty? | Do you have 181 days or more of Active Duty?
Yes No |
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| DD214 | Do you have a DD Form 214?
Yes No |
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| Discharge | ||
| No. of exemptions | On your most recent Federal Tax Return, including yourself, how many
exemptions were claimed?
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| Tax Filing Status | ||
| Adjusted Gross Income | ||
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