VBA STEM Application

Due to the nature of the activities that take place during VBA STEM, the following questions should be answered in their entirety.

1. I certify that the information submitted on this application is complete and correct to the best of my knowledge. Failure to completely and honestly provide any information requested by the VBA may be grounds for withdrawal of any offer of appointment or may subsequently result in dismissal from the VBA and its programs. 2. If there is a change in information I have provided or has been submitted on my behalf to VBA, I will immediately inform the Admissions Office. PRIVACY ACT STATEMENT Authority: Title 5 USC Ch 301; Title 10 USC Ch 403 Sec 4346, Ch 503, Ch 505 Sec 5031, Ch 603 Sec 6958; Title 44 USC 3101; EO 9397. AUTHORIZE USE of data requested for PURPOSES of evaluation by the VBA. DISCLOSURE IS VOLUNTARY; however, failure to provide information could preclude acceptance into the program. RELEASE AUTHORIZATION: Submission of this application constitutes requisite written authorization by the party above whom the record is maintained for release to the following individuals/entities: Parent or guardian of record. Release to any other individual/entity is only as permissible by law.