Veteran Supportive Campus Yearly Report (rev201911)

Arizona Veteran Supportive Campus Semi-Annual Reporting Form

In accordance with A.R.S. 41-609, each Arizona Veteran Supportive Campus is required to:
- Forward a report to the Department of Veterans’ Services on the number of Veterans enrolled in and graduating from its Campus.
- Offer sensitivity and awareness training on military and veterans' culture, including related issues such as traumatic brain injury, posttraumatic stress disorder, physical and mental disabilities, suicide and hypervigilance for faculty and staff.
On or before December 31 and June 30 of each year, AVSCs will submit their Semi-Annual Campus Report on enrollment/graduation data and staff/faculty training using this form.

If you have any questions or concerns regarding this report, please contact the Arizona Department of Veterans’ Services team at: vetsupportivecampus@azdvs.gov

(rev.2022-03-08 it/lq)
Name of Institution*
Your Name*

First NameLast Name
Your E-mail Address at Institution*
Your Phone Number at Institution*

Area CodePhone Number
Your Mailing Address at Institution

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What 6-month time period is this report for?*

January 1 to June 30, 2020July 1 to December 31, 2020January 1 to June 30, 2021July 1 to December 31, 2021January 1 to June 30, 2022July 1 to December 31, 2022January 1 to June 30, 2023July 1 to December 31, 2023January 1 to June 30, 2024July 1 to December 31, 2024January 1 to June 30, 2025July 1 to December 31, 2025
Enrollment & Graduation Data
How many Veterans (Active Duty, Reserves, National Guard, Veterans using VA benefits, and self-identified) are enrolled currently at your institution? *
How many Veterans (Active Duty, Reserves, National Guard, Veterans using VA benefits, and self-identified) graduated last semester at your institution? *
How many dependents (Chapters 33 and 35) graduated last semester at your institution?*
Total student enrollment during the last academic year (Fall to Spring):*
Total number of students who graduated during the last academic year (Fall to Spring):*
Total number of students who dropped out for academic reasons and/or who stopped attending after 180 days, if applicable:*
Total number of Veterans (Active Duty, Reserves, National Guard, Veterans using VA benefits, and self-identified) who dropped out for academic reasons and/or who stopped attending after 180 days, if applicable:*
Staff & Faculty Training

Please report training of staff/faculty for the time period selected. Cumulative training numbers will be submitted during AVSC Recertification.
How many total employees (staff & faculty) completed Military & Veteran Culture Training?*
How many Veteran Resource Staff were trained?*
How many Academic Faculty were trained?*
How many Other Staff Members were trained?*
Should be Empty:

Please report training of staff/faculty for the time period selected. Cumulative training numbers will be submitted during AVSC Recertification.