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Student Data Form - Military Benefits Information Form
Complete this form and click SUBMIT. It will be sent to the Office of the University Registrar.
It is your responsibility to notify the School Certifying Official/Office of the University Registrar of
changes in your enrollment, credit load, major and/or address.
Duke ID Number or Duke Unique ID Number (7 digits)
Personal Information (Please complete ALL fields.)
Address Line 1
Address Line 2
Program of Study.
Anticipated graduation date (MM/YY).
Which of the following best describe your situation?
I am a continuing/current Duke student who has utilized military benefits.
I am a continuing/current Duke student and I have never used military benefits. I will submit a copy of my Certificate of Eligibility (COE) to firstname.lastname@example.org.
I am a new Duke student and have not previously used any military benefits to pay for my education.
I am a new Duke student but I have used benefits for previous education pursuits.
I am a former Duke student who has decided to return and use military benefits.
I am currently on active duty.
I am approved to receive the following benefit.
Chapter 33: Post 9-11 GI Bill
Chapter 35: Dependents of 100% Disabled Veterans
Chapter 31: Vocational Rehabilitation
Chapter 30: Montgomery GI Bill
Chapter 1606: Montgomery GI Bill (National Guard or Reservist)
Chapter 1607: Reserve Educational Assistant Program
I am a Yellow Ribbon participant.
Students must qualify for a Yellow Ribbon award. New students, your financial aid office will determine your receipt of an award.
Select the term you are requesting certification for.
All the below questions are in reference to the term selected.
My classes begin on (MM/DD/YYY).
Credits/units registered for.
My courses this semester.
Are all in a classroom setting.
Are all online.
Are a combination of classroom courses and online courses.
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