UT AL / NATIONAL GUARD / Federal Government / ARMED FORCES OR PUBLIC HEALTH SERVICE FOR THE COURSE FOR WHICH YOU HAVE APPLIED TO VA FOR EDUCATION BENEFITS / C. CHAPTER / SERVICE ACADEMY / Active D. CHAPTER / VA Regional Processing Office / MN ND / A. B. CHAPTER / CIVILIAN SCHOOL FOR A COURSE OF EDUCATION / OH PA / SENTENCE OF COURT / E. CHAPTER / AL NC / /
Person
COMPONENT SERVING / MO SD ME NJ RI / FL GA PR SC CT / Vocational / / /
Position
teacher / physical therapist / automobile mechanic / practical nurse / Governor / veterans certifying official / physical therapist / medical technologist / VA counselor / stenographer / X-ray technician / radio and TV service technician / electronic technician / X-ray technician / Education Service Officer / radio and TV service technician / automobile mechanic / lawyer physician / teacher / medical technologist / medical records librarian / /
OMB Control No[removed]Respondent Burden: 20 minutes REQUEST FOR CHANGE OF PROGRAM OR PLACE OF TRAINING PART I - IDENTIFICATION AND PERSONAL INFORMATION 1A. NAME OF APPLICANT (First, Middle, Last)