Student Interest Form

202-822-0011
info@vetsgroup.org
1200 18th St. NW, Suite LL-100 Washington

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Programs
- Overview
- Public Education Program
Academy
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Events
Resources
- General
- InfoSessions
Contact

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Applicant Name *

First

Middle

Last

Referred by *

First

Last

SSAN

(Last 4 Digits only)

Address *

Email *

Primary Phone

Current Status *

Employed
UnEmployed
Dislocated Worker
Under-employed

Employer Name, City, State, Job Title: *

US Citizen *

Race

Gender

Age

Date of Birth

Military Veteran *

Branch of Service

Discharge Year

Discharge Type

First Course Preferred *

2nd Course Preferred

Classes Times *

Days
Evenings
Either

Describe any IT Computer related trainingor employment you have ever had

Name of High School/GED and Year completed *

Name of Colleges or Trade Schools attended. Years completed.

List any degrees/certifications obtained

Provide a brief statement about why you are interested in IT/Computer Training *

Indicate expected funding source(s) for tuition payments *

VA Benefits
WIOA/DOES
Non-Profit Organization
Special Program
Out-of-Pocket
Other

Privacy Opt In *

By checking this box, the student attests that all of the information they entered is true and correct to the best of their knowledge.

The VETS Group Academy reserves the right to have students submit documents to verify the information entered herein. All GI Bill Veterans (Post 9/11 Chapter 33 Students) must attend all classes in-person.

Comment or Message

GI Bill® is a registered trademark of the U.S. Department of Veterans Affairs (VA). For more info about VA education benefits go to: https://www.benefits.va.gov/gibill. Also see Enrollment Policy in current School Catalog for VAVR & E and GI-Bill individuals

The VETS Group is committed to offering programs that will lead to employment in high demand occupations in the IT industry and small business ownership.

Listed programs are approved for GI Bill Veterans (GI Bill®)

Contact Information

Main Campus
1200 18th St. NW, Suite LL-100 Washington, DC 20036
202-822-0011
info@vetsgroup.org

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