Application For The Benefit Of Paying In-State Tuition As A Veteran Or Spouse / Dependent Of A Veteran Or Former Service Member Or Other Covered Individuals Using Transfered Chapter 33

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APPLICATION FOR THE BENEFIT OF PAYING IN‐STATE TUITION AS 
A VETERAN OR SPOUSE/DEPENDENT OF A VETERAN OR FORMER SERVICE MEMBER OR OTHER 
COVERED INDIVDUALS USING TRANSFERRED CHAPTER 33 (POST‐9/11 EDUCATIONAL ASSISTANCE) 
BENEFITS OR THE MARINE GUNNERY SERGEANT JOHN DAVID FRY SCHOLARSHIP 
  
1. ANSWER ALL QUESTIONS. INCOMPLETE FORMS WILL BE RETURNED. If a question is not 
applicable to your situation, type “Not Applicable” or “N/A.”   
  
2. TYPE OR PRINT ALL RESPONSES. If you need more space to answer, indicate “see attached” in 
the space provided, and use separate additional sheets, numbering your responses the same as 
the corresponding question and send these sheets with this application form.   
  
3. BE COMPLETELY ACCURATE to the best of your knowledge and understanding. Knowing 
falsification of your responses may subject you to disciplinary action including dismissal from the 
institution. When “date” is requested, provide month, day, and year.   
  
4. SIGN AND DATE the application where indicated to make those acknowledgements and 
certifications necessary to render this a viable application.   
  
5. ATTACH THE REQUIRED ADDITONAL DOCUMENTS:   
  
Veteran:    
•
Copy of veteran’s DD214 (official or working copy)   
Certificate of Eligibility from Department of Veterans Affairs  
•
Proof of abode in North Carolina (proof of abode includes, but is not limited to:  copy of 
•
lease, a letter from landlord, copy of utility bill, or verification of on campus housing).    
  
Spouse/Dependent of Veteran or Other Covered Individual:  
Copy of veteran’s DD214 (official or working copy) of service member’s death certificate 
•
for Fry Scholarship recipients  
•
Transfer of Entitlement from Department of Veterans Affairs  
Proof of abode in North Carolina (proof of abode includes, but is not limited to:  copy of 
•
lease, a letter from landlord, copy of utility bill, or verification of on campus housing).    
 
 ENTITLEMENTS:  
  
Under North Carolina General Statue Section (G.S.) 116‐143.3A certain veterans and other individuals 
entitled to federal education benefits under 38 U.S.C. Chapter 30 or 38 U.S.C. Chapter 33 may be eligible 
to be charged the in‐state tuition rate and applicable mandatory fees for enrollment without satisfying 
the 12‐month residency requirement under G.S. 116‐143.1.  
  
You can view a copy of the North Carolina State Residence Classification Manual for the statutory and 
related regulatory conditions at: 
  
  
  
Page 1  
  
July 31, 2015  
  

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