Veterans Employment & Training Services Program

Program and Scholarship Interest Form

The V.E.T.S. Program elevates participants to explore and embrace the top-priority sectors that hold the key to achieving a thriving, fulfilling livelihood.

Interfaith Community Services, funded by the Employment Development Department, offers financial aid to veterans pursuing educational or vocational programs that equip them with skills for better employment prospects in priority sectors.

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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Military Service Dates

Date Entered Active Duty

Date

Date Separated from Active Duty or Projected Separation Date

Date

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* 5. Branch of Service

Army

Navy

Marine Corps

Air Force

Coast Guard

Space Force

NOAA

USPHS

None of the above - Not a veteran

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* 6. Component

Active

Reserves

National Guard

Other (please specify)

None of the above

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* 7. What was the type of discharge you received from the military?

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* 8. Do you have a copy of your DD214 with discharge status?

Yes

Other (please specify)

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* 9. What city do you currently live in?

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* 10. How many people currently live in your household?

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* 11. What is your approximate average household income?

$0-$24,999

$25,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$124,999

$125,000-$149,999

$150,000-$174,999

$175,000-$199,999

$200,000 and up