6:300-E1- Application for a Diploma for Veterans of WW II, the Korean Conflict, or the Vietnam Conflict

Complete and submit to the Superintendent. Please print:

Name:  ______________________________    Birth Date:  __________________

Phone:  _________________________

Address:  ________________________________________________________

City:  ___________________________________   State:  _________ Zip:  ____________

The applicant is requesting a high school diploma and attests that he or she meets the following criteria as established by School Board policy: 1. Served in the U.S. Armed Forces during World War II or the Korean Conflict.

Please check one or more of the following:

_____ WW II: December 7, 1941 – September 2, 1945

_____ Korean Conflict: June 25, 1950 – July 27, 1953

_____ Vietnam Conflict: historians generally date U.S. Armed Forces involvement from late 1961-1975

2. Left high school in order to serve in the U.S. Armed Forces.

3. Resided within an area currently within the School District at the time he or she withdrew from high school.

4. Has not received a high school diploma or a GED (high school equivalency).

Applicant’s Signature:  _______________________________ Date:  ___________

Date Approved: November 11, 2009