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Veterans Upward Bound (VUB)
Thank you for your interest in the Veterans Upward Bound program. Please complete the following questions and we will follow up with you soon to discuss how this program can serve you.
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* Indicates required question
First and Last Name
*
Your answer
Phone number:
*
Your answer
Email:
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Home Address:
*
Your answer
Have you completed a college degree?
*
Choose
No
Some College
Yes, Associates Degree
Yes, Bachelors Degree
Are you currently enrolled in a college course?
*
Choose
No
Yes
Are you a Veteran? (served over 180 days active in the military, OR was called to active duty for more than 30 days OR were discharged due to a service connected disability OR are you a Reservist OR serve in the National Guard)
*
Yes
No
Discharge status:
*
Choose
Honorable
General
Bad Conduct
Dishonorable
Thank you. A Veterans Upward Bound Staff member will contact you soon.
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