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Select the one that best describes your status:

Are you currently on active duty?

Are you enrolled in ROTC on campus?

Are you enrolled in any online credit hours?

What level of degree will you be working towards this semester?

Academic Program

Is this a change from last semester?

Type of Benefits that you receive:


Single Term/Session Certification


Summer Term/Session Certification

Verification and Submission
This is to verify that I want to be certified for the above periods.