Military Tuition Rate Request

San Juan College Military Tuition Rate Request
San Juan College Military Tuition Rates are granted in compliance of Senate Bill No. 35 and the Veterans Choice Act of
2014. This application must be completed and signed, then submitted to the San Juan College Enrollment Services,
4601 College Blvd, Farmington, NM 87402, or emailed to [email protected] for processing. This
application and all required documentation must be submitted to the Enrollment Services no later than the Friday
before the term begins.
Student Full Legal Name: __________________________________________ Student ID#: _____________________
Phone: ___________________ SJC Email: ____________________________________ Branch: _________________
Military Status: (Please Check One)
I am an Active Duty Member of the United States Armed Forces
I am a Veteran of the United States Armed Forces (Must be Honorably Discharged)
I am a Spouse of Active Duty Member or Veteran of the United States Armed Forces
I am a Dependent Child of Active Duty member or Retired Veteran (Current Military ID Required)
I am a Dependent Child Receiving VA Education Benefits (GI Bill Chapter 33 or 35)
Required Documentation for Verifying Military Status
Students must submit the following documentation with the application in order to receive the military tuition rate.
The application will be denied if supporting documents are not included.
Military Status
Required Documents
Active Duty Military
Copy of Current Military ID and Orders
Veteran of the United States Armed Forces
DD214 or equivalent (Must be Honorably Discharged)
Spouse of Active Duty Military or Veteran
Copy of Marriage Certificate, and Current Military ID Card
(Active Duty), or Copy of Veterans DD214 (Veterans).
Dependent of Active Duty or Retired Veteran
Copy of Current Military Dependent Card
Dependent using VA Educational Benefits
Copy of VA Letter of Eligibility for Chapter 33 and 35
Certification of Eligibility
I (Student’s Name)__________________________________ certify that the information I have submitted regarding my
military status is accurate and true. I understand if I fail to provide all required documents with my request for military
tuition rates will be denied regardless of my military status.
Signature of Veteran or Active Duty Member: _____________________________________Date: __________________
Signature of Spouse/Dependent: _______________________________________________ Date: __________________