"Missouri Returning Heroes Act Application for Reduced Tuition" - Missouri

Missouri Returning Heroes Act Application for Reduced Tuition is a legal document that was released by the Missouri Department of Higher Education - a government authority operating within Missouri.

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Download "Missouri Returning Heroes Act Application for Reduced Tuition" - Missouri

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MISSOURI RETURNING HEROES’ ACT
APPLICATION FOR REDUCED TUITION
Name: ____________________________________________ Student ID:_____________________
Address: _________________________________________________________________________
Street
City
State
Zip Code
Telephone Number:________________________ E-mail Address: ___________________________
Date of Honorable Military Discharge:______________________________________
Attach copy of DD 214 (long form)
Provide the location and date of armed combat. This information is not always clearly identified on the
DD 214 document.
Location: _____________________________________ Date:_________________________
Did you serve in support of Operation Enduring Freedom or Operation Iraqi Freedom? __Yes __No.
Are you receiving any other Veterans Benefit? _____Yes _____No
If you answered yes to the above question please indicate the type of VA benefit, monthly amount, and
what the benefit covers.
VA benefit type: __________________________________________________________________
VA monthly benefit amount:
/per month
Please check what is covered by benefit:
____Tuition/Fees ____Textbooks ____ Room and Board Stipend ____Other
NOTE: You are not required to apply for other financial aid assistance or to complete the Free Application
for Federal Student Aid (FAFSA) to be considered for the discounted tuition fee waiver established by the
Missouri Returning Heroes’ Act. However, your discounted tuition fee waiver may be adjusted, at a later date,
upon receipt of any federal/state grant or scholarship or VA tuition and fee paying benefit within the academic
year.
By signing below I am confirming that the information provided on this application is accurate. Also, I am
giving the University permission to provide MDHE/CBHE with information regarding my eligibility
for the discounted tuition fee waiver, if requested.
Signature: ___________________________________________ Date: ______________________
MISSOURI RETURNING HEROES’ ACT
APPLICATION FOR REDUCED TUITION
Name: ____________________________________________ Student ID:_____________________
Address: _________________________________________________________________________
Street
City
State
Zip Code
Telephone Number:________________________ E-mail Address: ___________________________
Date of Honorable Military Discharge:______________________________________
Attach copy of DD 214 (long form)
Provide the location and date of armed combat. This information is not always clearly identified on the
DD 214 document.
Location: _____________________________________ Date:_________________________
Did you serve in support of Operation Enduring Freedom or Operation Iraqi Freedom? __Yes __No.
Are you receiving any other Veterans Benefit? _____Yes _____No
If you answered yes to the above question please indicate the type of VA benefit, monthly amount, and
what the benefit covers.
VA benefit type: __________________________________________________________________
VA monthly benefit amount:
/per month
Please check what is covered by benefit:
____Tuition/Fees ____Textbooks ____ Room and Board Stipend ____Other
NOTE: You are not required to apply for other financial aid assistance or to complete the Free Application
for Federal Student Aid (FAFSA) to be considered for the discounted tuition fee waiver established by the
Missouri Returning Heroes’ Act. However, your discounted tuition fee waiver may be adjusted, at a later date,
upon receipt of any federal/state grant or scholarship or VA tuition and fee paying benefit within the academic
year.
By signing below I am confirming that the information provided on this application is accurate. Also, I am
giving the University permission to provide MDHE/CBHE with information regarding my eligibility
for the discounted tuition fee waiver, if requested.
Signature: ___________________________________________ Date: ______________________