ADVS Veteran Supportive Campus Certification Application
Please use the form below to demonstrate how your campus or institution has successfully completed the steps to be certified or recertified as an Arizona Veteran Supportive Campus and be included in the Veteran Supportive Campus directory.
Institution Name:
Your Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
-
Area Code
Phone Number
Fax
-
Area Code
Phone Number
E-mail
Please attach a logo or image you would like to have used on the directory for as a link to your website.
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Institution Mission and/or Charter:
Brief background of institution (year established, etc.):
Please list the programs, resources, services, etc. you provide:
Are there eligibility guidelines for your programs, resources and/or services? If so, please describe:
How would you describe your target audience?
Is there a regulatory body that has oversight over your institution? If so, please identify the body and indicate your institution’s current status as of the date of this application:
What are the educational costs for your programs or services to service members, veterans and/or family members? If there is no cost, please indicate the types of funding source(s) that support your institution (e.g. grants, donations, etc).
How many employees (cumulative total of full time, part time, adjunct, etc.) does your institution have?
Arizona Veteran Supportive Campus Criteria / Guidelines for C.A.R.E.
(refer to Certification Guidelines, Guidelines for CARE Higher Education Addendum and FAQs/Recommendations)
How does your institution:
CONNECT to the Culture? (A.R.S. 41-609.D.1, D.2) Minimum Required Areas of Focus: - Institution conducts an annual or bi-annual campus survey of student veterans (including needs, issues and suggestions of veterans) (A.R.S. 41-609. D.1). Please include a copy of the survey, survey results, and how and when survey is (was) administered. • Institution has a steering committee consisting of student veterans, faculty and staff to share information and to develop programs to establish or strengthen a Veteran Supportive Campus based on best practices but that also integrates the campus culture and identifies the real needs of the student veteran. Include how often the committee convenes (A.R.S. 41-609. D.2).
ASK the right questions at the right time? (A.R.S. 41-609.D.3) Minimum Required Areas of Focus-please provide information/examples regarding: • Key staff (who regularly interact with and provide support to student veterans) receive training on issues affecting the military, veteran and family population, including, but not limited to (A.R.S. 41-609. D.3): ➢ Combat & operational stressors ➢ Key issues affecting the population (e.g. post-traumatic stress, TBI, substance use, suicide, etc.), as well as the potential impact of visible and invisible injuries and disabilities ➢ • All staff (admin staff, faculty, etc.) have knowledge/awareness of resources specific to military/veteran/family member-specific resources and systems of care (able to provide information to students/families as needed) (A.R.S. 41-609. D.3): Resources include but are not limited to ➢ National Veterans Crisis Line; http://veteranscrisisline.net/ ➢ Military/Veteran Resource Network; http://militaryveteranresourcenetwork.org/
RESPOND Effectively? (A.R.S. 41-609.D.4, D.5, D.7) Minimum Required Areas of Focus-please provide information/examples regarding: • Establish student veteran orientation programs, including student veteran guides for the first day on campus, an optional student veteran orientation session and at least one optional only course taught by a veteran or by a trained volunteer on veteran issues. • Institution identifies a specific location on campus and/or on website (if primary a web-based institution) that has information and resources for student veterans, as well as family members (A.R.S. 41-609. D.7). • Institution provides peer mentoring and support for student veterans (A.R.S. 41-609. D.5): ➢ This must include the provision of counseling services on-campus or referrals to other counseling and crisis resources (e.g. National Veterans Crisis Line, military support programs, VA & Vet Center counseling, community-based counseling). ➢ This may include formal and informal mentoring programs (students, faculty/staff, community members, etc.).
ENGAGE in the Military/Veteran Community? (A.R.S. 41-609.D.6, D.8) Minimum Required Areas of Focus-please information/examples regarding: • Institution actively outreaches to military/veteran community, including military installations to provide information on programs, as well as to identify resources that may be of benefit to student veterans (A.R.S. 41-609. D.6). • Institution partners as appropriate and needed with public and private sector organizations to strengthen support for and success of student veterans (A.R.S. 41-609. D.8.). • Outreach (print, web, etc.) accurately reflects graduation rates for student veterans. • Outreach (print, web, etc.) clearly indicates costs, options and responsibilities for financing education. • Institution engages in promoting community-based collaborations to allow the private sector to support veteran’s resources centers through financial and in-kind gift.
Application & Reporting Process Point-Of-Contact (POC)
Full Name
First Name
Last Name
Title
E-mail
Phone Number
-
Area Code
Phone Number
Leadership Contact Person
If the POC is not in an executive or director‐level position, please provide the name and contact information of someone in institution leadership who has reviewed the information in this packet prior to submittal.
Full Name
First Name
Last Name
Title
E-mail
Phone Number
-
Area Code
Phone Number
This document and accompanying materials are an accurate reflection of our institution and our activities.
Yes
It is recognized that the goal of the Arizona Veteran Supportive Campus Certification, the Military/Veteran Resource Network and the application and vetting process is to recognize institutions that operate within A.R.S. 41-609 and the Guidelines for CARE, as outlined by the military/veteran community within Arizona. Institutions that are identified as no longer operating within A.R.S. 41-609 may be contacted and subsequently removed from the Arizona Veteran Supportive Campus Certification. Institutions that are identified as no longer operating with the Guidelines for CARE may be contacted and subsequently removed from the Military/Veteran Resource Network.
Yes
It is recognized that the application and vetting process to become part of the Military/Veteran Resource Network is a voluntary process and we can request to be removed from the Military/Veteran Resource Network at any time. We also recognize that that not every institution that applies will necessarily be granted approval.
Yes
The applicant institution releases the Arizona Coalition for Military Families, its directors, employees, contractors and agents, and any supportive/partner/member institutions and their representatives from any and all liability and waives all legal claims against any of the above who acts in good faith in accordance with the application and vetting process for the Military/Veteran Resource Network.
Yes
On or before December 31 and June 30 of each year, each Arizona veteran supportive campus shall forward a report to the department on the number of veterans enrolled in and graduating from its campus.
Yes
If approved, an institution Point‐of‐Contact will be designated and responsible for our institution’s semi-annual reporting requirements and responsible for our institution’s profile in the Military/Veteran Resource Network.
Yes
© 2013 Arizona Coalition for Military Families
The Guidelines for CARE are copyright of the Arizona Coalition for Military Families, on behalf of our public and private sector partners. Contents may not be reproduced or repurposed without permission.
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