Military Student Inquiry Form

Thank you for your interest in Augusta University. Please complete the below form to join our mailing list and receive updates regarding admissions and benefit information.

Student Information

First Name

Preferred First Name

Middle Name

Last Name

Email Address

Birthdate (optional)

Military Information

If you are affiliated with the military, how so?

Directly

Dependent

How are you affiliated with the military?

In which branch of the military are you serving or did you serve?

How is the person claiming you as a dependent affiliated with the military?

In which branch of the military did they serve or are they serving?

Have you applied for VA educational benefits?

Have you obtained Certificate of Eligibility for VA educational benefits?

Are you planning on using Department of Defense Tuition Assistance (TA)?

Education Information (optional)

What type of student are you?

What is your intended entry term?

High School Attending/ed
find your high school by city, state or name

High School Graduation Year

HS CEEB (hidden)

HS Level (hidden)

Most Recent/Current College (if applicable)
find your high school by city, state or name

College CEEB (hidden)

College Level (hidden)

Contact Information (optional)

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

Home Phone

Would you like to receive updates from AU via text?

Source (hidden)

Questions or Comments?