Yellow Ribbon Program Application

pilipiliÎÛÂþ is a participant in the Yellow Ribbon Program and currently offers a total of 15 spots in the program at any one time; spots are not tied to an individual major, but the student must be enrolled as a full time day student.  The institution is required to approve spots to qualified applicants on a first-come, first-served basis, and when all spots are being utilized, a spot will not be available until one of the students using a spot has graduated or left the institution.

In order to be approved for the program, applicants must:

  1. Already be officially accepted to pilipiliÎÛÂþ
  2. Submit the below Yellow Ribbon Program application
  3. Attach a copy of a valid Certificate Eligibility showing 100% eligibility for the Post-9/11 G.I. Bill Â®

Applicants cannot be approved until ALL of these conditions have been met; at this time, we are unable to approve an applicant unless an accompanying Certificate of Eligibility in the student’s name has been submitted.

Personal Information
Address
Certificate Eligibility
Please attach a valid and readable copy of your current Certificate of Eligibility, showing that you are 100% eligible for the Post-9/11 G.I. Bill. Please note that the Certificate of Eligibility must be in the student’s name. We are not able to accept a Certificate of Eligibility that is in a parent or spouse’s name. If benefits have not yet been transferred to the student who will be enrolled at pilipiliÎÛÂþ, please contact the VA for instructions on how to transfer benefits to a dependent or spouse.
One file only.
2 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
Statement of Understanding

The Yellow Ribbon GI Education Enhancement Program (“Yellow Ribbon Program”) is a provision of the Post-9/11 Veterans Educational Assistance Act of 2008. The Yellow Ribbon Program allows the University to voluntarily enter into an agreement with the VA to fund tuition expenses and fees that exceed the highest public in-state undergraduate tuition rate. The University can contribute up to 50% of those expenses and the VA will match the same amount as the University.

I understand that the VA formally establishes eligibility for the Yellow Ribbon Program, and that this request for participation is contingent upon the VA’s approval for such benefits. I believe that I am eligible for Yellow Ribbon Program benefits based on one of the following qualifications set forth by the VA:

  • I served an aggregate period of active duty after September 10, 2001 of at least 36 months; or
  • I was honorably discharged from active duty for a service-related disability and I served 30 continuous days after September 10, 2001; or
  • I am a dependent eligible for the Transfer of Entitlement under the Post-9/11 G.I. Bill based on a veteran’s service under the eligibility criteria listed above.

I affirm that I have been accepted and choose to enroll as a full-time undergraduate day student at the University, and I understand that I must apply to the VA for a Certificate of Eligibility to qualify for Yellow Ribbon Program benefits. I understand that failure to submit a timely Certificate of Eligibility may result in my removal from the Yellow Ribbon Program participation list.

I acknowledge that Yellow Ribbon Program funds are distributed to qualified students on a first-come, first-served basis, measured from the date this application is received by the office listed above. I understand that submitting this form does not guarantee funding for University courses through the Yellow Ribbon Program. I also understand that the University is not required to make Yellow  Ribbon Program contributions if I do not maintain satisfactory progress, conduct, and attendance or comply with other University policies and requirements, or if the University does not renew the Yellow Ribbon Program agreement with the VA for the following academic year.

Certification
By checking this box, I confirm that I have already been accepted to pilipiliÎÛÂþ
The information I have submitted on this form is true and correct to the best of my knowledge.