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PROGRAM APPLICATION: If you are a Veteran and want to receive assistance with college admission forms, GI Bill assistance, Financial Aid assistance, math/english tutoring, and more, please fill out the VUB Participation Application below.

This application MUST be submitted in order to be considered for program participation.

Full name
Date of Birth
Current Address
Home/Cell Number
Email address
Gender*
Gender, Please select one
Ethnicity (Mark all that apply)
Citizenship*
Citizenship Status
Permanent Resident Alien Number and Expiry Date
Employment Status*
Current Employment Status
Who is your current employer?
How many dependents do you claim? (if any)
Academic Information
Please tell us your academic history.
Out of School for 5 or more years?*
Have you been out of school for five or more years?
High School diploma?*
Do you have a high school diploma?
GED*
Do you have a GED?
Please list the previous school(s) you've attended (starting with high school), and year graduated
College Entrance Exam*
Have you completed a college entrance exam?
Could you name the college entrance exam(s) taken? (i.e-COMPASS, AccuPlacer, ACT, SAT)
Collee Degree*
Do you have a college degree?
Please indicate how many college credits you've earned. If none, list 0.
Please name any previous colleges attended (if any)
Currently enrolled in college?
Are you currently enrolled in college?
Taking college courses*
Are you actively taking college courses?
Parent earned bachelors*
Has EITHER parent earned a bachelor's degree?
Military Information.
Please give us some brief information on your service background.
Please select the branch(es) you served in. (Mark all that apply)
Length of service*
Did you serve AT LEAST 181 days of active duty?
Date of Discharge
Nature of discharge
Please indicate the nature of your discharge
Disability Status*
Are you disabled?
If you are disabled, what is your percentage?
Is your disability military-related?
Is your disability military-related?
You're almost there! We need just a few more bits of information!
Secondary/Emergency Contact Information. Please list an emergency contact.
How did you hear about us?
math proficiency*
How would you describe your proficiency in math?
What are your academic goals? (Please mark all that apply)
What college would you like to attend?
What is your desired major?
What courses would you like to take while in the program?
Photo Release*
Is it okay for us to use your photo in program publications?
I certify that all the information on this form is true and accurate to the best of my knowledge.
 

 

Need an on-campus job?

STUDENT ASSISTANT APPLICATION: If you are interested in a part-time grad student assistant position, please print off and fill out the VUB Student Assistant Job Application.* Once completed, either drop the form off at Brennan Hall I Room 419, or scan and email to veterans.upwardbound@wichita.edu.

For more details about the grad student assistant job, click HERE.

*NOTE: Must have Adobe Acrobat Reader version 5.0 or later to view document. To download the latetest Adobe Acrobat Reader, click this link*