Veteran Student Intake Information - Fayetteville Technical Community College

For a New Benefit
- Note: Make sure you save the confirmation page! You will need to submit it when completing the New Veteran Student Intake form.
As a Service Member
As a Dependent or Spouse

New Veteran Student Intake Form

Certificate of Eligibility (Summary of Benefits) or New Application confirmation page
DD214 (member 4 preferable; make sure to redact SSN)
- Note: Not required for Dependents or Spouses

Your Contact Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region
Zip Code*
Phone*
Email*
Enter the last four (4) digits of your Social Security Number or your seven (7) digit FTCC ID.
Last 4 of SSN*

Enter the last four (4) digits of your Social Security Number
FTCC Student ID Number

Enter your seven (7) digit FTCC ID
Benefit Information
Select the benefit you are claiming:*
Check your selection:*
- Active Duty
- Dependent
- Spouse
- Veteran
Last 4 Digits of Sponsor's SSN*

Enter the last four (4) digits of your Sponsor's Social Security Number
File Upload
Upload: 1.) Certificate of Eligibility or New Application Confirmation Page 2.) DD214 (member 4 preferable) Note: Not required for Dependents or Spouses 3.) Visiting Student Letter (for Veteran and Dependent students attending as a guest student from another institution)
Click "Select files" to upload files
Drop files here or

Max. file size: 100 MB, Max. files: 2.
CAPTCHA
Reminder:
Upon submission of this form, you will immediately see FTCC's Veterans Enrollment Certification Request form. *Completing the Veterans Enrollment Certification Request Form is essential after registering for classes. *Failure to submit the form may cause a delay in processing & receiving your benefit payment.