Information Request Form | Northern Oklahoma College

Date*

Semester Attended*

Fall
Spring
Summer

Student's Name:*

First Last

NOC Student ID Number

Major at NOC

Will you be receiving a National Guard Tuition Waiver?

Yes
No

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email*

VA Chapter (Select One):

30 - Montgomery GI Bill ®
31 - Veteran Readiness & Employment
33 - Post 9/11
35 - Dependents and Spouses
1606 - Nat. Guard / Reserve
1607 - Nat. Guard / Reserve with Active Service

Course Names

List ALL your Course Names, Course Numbers, and Credeit Hours. Note: A course in which a student has previously earned a passing grade cannot be repeated unless a higher grade is required according to the college catalog.

Student's Electronic Signature*

I acknowledge that the major listed above is correct and I am currently enrolled in the courses listed.

Veteran Advisory Form