Corning Community College Veteran & Military Educational Inquiry Survey

1. Select your highest level of education. (Select one)

Select your highest level of education. (Select one) General Equivalency Diploma (GED)

High School Diploma

Associate's Degree/Certificate

Bachelor's Degree

Master's Degree or higher

2. What is your current military status? (Select one)

What is your current military status? (Select one) Active Duty

Veteran

Reservist/National Guard

Other (please specify)

3. Are you currently receiving VA educational benefits?

Are you currently receiving VA educational benefits? Yes

4. What educational benefits do you qualify for? (Select all/any that apply)

What educational benefits do you qualify for? (Select all/any that apply) Chapter 30 GI Bill Active Duty

Chapter 31 Vocational Rehabilitation and Employment

Chapter 33 Post-9/11 GI Bill Active Duty

Chapter 35 Survivors' and Dependents' Educational Assistance Program

Chapter 1607 Reserve Educational Assistance Program (REAP)

Veterans Retraining Assistance Program (VRAP)

Chapter 1606 Montgomery GI Bill Selected Reserve

Not sure

5. What are your educational interests at CCC? (Please check any and all that apply)

What are your educational interests at CCC? (Please check any and all that apply) Associate Degree

Information Technology

Automotive Technology

Auto Body and Collision Technology

Computer-Aided Drafting (CAD)

Electrical Technology-Electronics

Energy Process Technology

Machine Tool Technology

Manufacturing Technology

Mechanical Technology: CAD Design

Criminal Justice

Liberal Arts & Sciences

Health & Human Services

Business

Online degree/programs

Certification in an occupation

Nurse Aide/Home Health Aide

Real Estate Salesperson

Natural Gas Technician

Pharmacy Technician

Program to prepare for transfer to a four-year institution

Other (please specify)

6. OPTIONAL: May we contact you?

OPTIONAL: May we contact you? Name
Address
Phone
E-mail