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Form 816 - VA Educational Benefits Request

Student Information

Name
Mailing Info
XXX-XX-

Curriculum / Academics

Military Service

(For dependents only.)
VA Eligibility
Please check education benefit you are eligible for.
 
Will you receive Tuition Assistance from the military?
Currently on Active Duty?
Indicate the date of your discharge.

Payment Preferences

Advance Payment Request
Note: Advance payment is NOT an option for Post-911 GI Bill.

** Advance Payment requests must be submitted to the Veteran Services Office at least 6-weeks prior to the start of the term.  VA reserves the right to reject any advance payment requests. 

Attest & Sign

I acknowledge the information provided is accurate. Should any information change, I will notify the VA Office in writing. I agree to adhere to policies and procedures set forth by both Department of Veterans Affairs and Wake Technical Community College.

Attestation & Signature