Dd214 Request - Arkansas Baptist College

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Student Financial Aid & Scholarships
1621 Dr. Martin Luther King, Jr. Drive
Notice of DD214
Little Rock, AR. 72202
Request
Phone: (501) 420-1226 Fax: (501) 400-8662
Email: financialaid@arkansasbaptist.edu
2016-2017
Homepage:
School Code 00108700
Student’s Name: __________________________________
CAMS ID: ________________
(Please Print)
Last
First
Arkansas Baptist College needs information from you to process your Financial Aid Award.
The Department of Veteran Affairs did not confirm that you are, or will be, a qualifying veteran
for purposes of receiving federal student aid.
If you believe that you are, or will be, a qualifying veteran, please attach your DD214 form,
“Member 4” version to this form and submit it to the Office of Student Financial Aid and
Scholarships.
Please do not submit the “Member 1” version of your DD214 form as it provides insufficient
information and will not satisfy this requirement.
All the information included is true and complete to the best of my knowledge. If asked by an
authorized official, I agree to give proof of the information I have submitted.
Signature: _______________________________________ Date: _______________
DD214-E - Department Use Only
Submit

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