Glenbard Township High School District 87
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.
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
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