In-State Rates Discount Form
At UCM we provide in-state rates for military service members, veterans, and dependents (spouse/ child) no matter if they are using VA educational benefits or not. To receive this discount, this form will need to be filled out once and then the discount will follow during your time as a student at UCM. 
Sign in to Google to save your progress. Learn more
Email *
Last name *
First name *
700# *
Semester you are starting at UCM: *
Military Status:
* Please answer this based on your status.
*
Military Branch:
*Please answer this based on the associated branch. Ex: You are a military spouse, what branch is your spouse serving in?
*
Will you be using any of the following benefits:
*If you are using benefits, you will need to fille out the Certification Request Form in order for benefits to be certified and processed. 
*
I understand that I must submit supporting documentation to the Military and Veterans Success Center in order for discount to be provided. Please submit one of the following:

Address: 
Elliott Student Union 
511 S Holden St. Room 117
Warrensburg, MO 64093

Email: vets@ucmo.edu
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Central Missouri. Report Abuse