Data Form - Va Benefits Application Form Page 4
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4Check off list for student:____________________________________
Ο Admissions: Jeff Buskey Assistant Director (860-465-5021)
Ο Advisement Center (Library): Damali Abbensetts (860-465-0443)
Ο Continuing Education: (860) 465-0206 to schedule an appointment. If you are interested in the Groton sites, call
(860) 446-9457 or the Subase (860) 445-0333.
Ο DATA Sheet complete and copy
Ο COE or NOBE (copy if applicable)
Ο DD214, CT driver’s license or proof of residency (copy)
Ο Copy of the class schedule
Ο VONAPP 22-1990/1995 all submittals are done online except chapter 31 submit a 28-1905
and apply on-line
Ο VETS Center information or tour
Ο CT Waiver complete and copy if requested
Ο FAFSA
Ο Waive Health Insurance (if not needed) deadline 9/15 and 2/15. E-web, student services, student account,
student insurance waiver.
Ο Please notify Veteran’s Affairs office if you do not receive confirmation email prior to the start of the semester
Ο Please notify Eastern Veteran’s Affairs office if you wish to use GI benefits for winter/summer courses
Ο Financial Counselor _______________________________________ - __________________________
*Veterans Affairs
Date:_______________________
(Staff will take care of items highlighted in green and please check below who met with student)
Katherine Wrana
860 465-4691
WranaK@easternct.edu
David Mariasi
860-465-1238
MariasiD@easternct.edu
Joesph Knight
860-465-5096
veteransaff@easternct.edu
Christopher Bright
860-465-4434
veteransaff@easternct.edu
Shaneece Earle
860-465-5096
veteransaff@easternct.edu
FAX
860-465-2811 Attn: Veterans Affairs
Revised 11-Jan-16
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