Education Navigation Services Request Form

First name*

Last name*

Email*

Phone number*

Street address*

City*

State/Region*

Postal code*

Military status*

Military Branch*

Where will you live in Idaho while pursuing your education?*

When are you looking to start your education?*

If current or prior military, please specify the branch, separation date. For dependents, list information for the military member:*

Are you looking for virtual education, in-person, or both?*

Do you, or will you have a VA Disability rating?*

What is your highest level of education completed?*

Which of the following describe you the most? (Check all that apply)*

What benefits, if any, are you using or need information on? (Check all that apply)*

Federal Student Aid (FAFSA, Grants, Work-Studies, Loans)

Chapter 35 Survivors and Dependents Educational Assistance

Chapter 31 Veteran Readiness and Employment (VR&E) (Formerly known as Vocational Rehabilitation and Employment)

Military Tuition Assistance

GI Bill (Chapter 30 Montgomery, Chapter 33 Post 9/11, Chapter 1606 Select Reserve GI Bill)

Nonprofit or Private Financial Aid (Scholarships, Grants)

I'm not sure/ Need help

Other

None of these

What kind of education are you interested in pursuing?*

Do you have any other previous education/experience?*

Can you give additional details about your current situation that would be helpful for us to know?*

Please Upload Your Resume*