Clemente Veteran's Initiative

Clemente Veteran's Initiative - Application Form

Beginning February 5
INFORMATION PROVIDED ON THIS APPLICATION FORM WILL BE KEPT STRICTLY CONFIDENTIAL.

Atlantic Cape Community College encourages and accepts applications from all veterans, regardless of race, gender identity, service years, deployment history, disability status, or discharge status. The course is free and seeks to serve veterans who are looking for an engaged community of peers to explore the themes of war and reconciliation through history, art, philosophy, and literature.

For those who aspire to attend college in the future, the Clemente Veterans’ Initiative is also an opportunity to experience a college classroom and earn transferable college credits at no cost and without using any VA benefits.

Once we have received your application, we will contact you for an interview.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Zip Code*
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Do you have a computer, tablet or phone capable of running Zoom software?*

YesNo
Do you have internet or a WIFI hotspot?*

YesNo
First Language*

EnglishOther
Other Languages Spoken*
Which branch or branches did you serve in?
What Years did you serve?
What was your military occupational specialty? (Please do not abbreviate).
Students have the option but are not required, to register for transferrable college credit for these courses at Atlantic Cape Community College. Do you wish to register?**

YesNo
Why do you want to be a part of the Clemente Veterans Initiative?Your answer*
Do you have any questions for us?*
Please provide your mailing address so that we can send course materials (books and syllabus) to you. *

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Should be Empty:

Clemente Veteran's Initiative - Application Form