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Glenbard Township High School District 87
Policy 6:300-E2

Instruction

Exhibit – Application for a Diploma for Veterans of WW II, the Korean Conflict, or the Vietnam Conflict

In accordance with School Board policy, 6:300, Graduation Requirements, “Veterans of World War II or the
Korean Conflict,” the applicant is requesting a diploma.

Please print:

_____________________________________________________          _____________________
Last                            First                   Middle          Initial                 Social Security Number

_____________________________________________________          _____________________
Address                                          Apt. #                                         Telephone Number

_____________________________________________________          _____________________
City                                            State                     Zip Code                      Birth Date


The Applicant attests that he or she meets the following criteria of District policy:

1. The Applicant served in the U.S. Armed Forces during World War II or the Korean Conflict.

2. The Applicant left high school in order to serve in the U.S. Armed Forces.

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

4. The Applicant has not received a high school diploma or a GED (high school equivalency).

Evidence of Military Service:

    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: Late 1961-1975

Please provide a copy of at least one of the following documents, indicating evidence of service time within the
dates listed above.

        Form DD214 (Military Separation Form)

        Honorable Military Discharge

        Other evidence of military service

_______________________________________ __________________
Applicant’s Signature                                                 Application Date


DATED:        May 28, 2002

REVIEWED: January 17, 2006

REVIEWED: May 10, 2010

REVISED:    June 28, 2010