Complete and submit to the Superintendent.

Please print:

For Veterans of WWII, the Korean Conflict, or the Vietnam Conflict

The applicant is requesting a high school diploma and attests that he or she meets the following criteria as established by School Board policy:

1. Served in the U.S. Armed Forces during World War II, the Korean Conflict, or the Vietnam Conflict.

Please check one or more of the following:

☐    World War II: December 7, 1941 – December 31, 1946, including the induction period of September 16, 1940 – December 6, 1941

☐    Korean Conflict: June 27, 1950 – January 31, 1955, including the induction period of January 1, 1947 – June 26, 1950

☐    Vietnam Conflict: January 1, 1961 – May 7, 1975

1. Left high school in order to serve in the U.S. Armed Forces.

2. Resided within an area currently within the School District at the time he or she withdrew from high school.

3. Has not received a high school diploma or a GED (high school equivalency).

Applicant’s Name (printed)                Signature                    Date 

For Service Members Killed in Action

The applicant is requesting a high school diploma on behalf of a service member who was killed in action and attests that the deceased service member meets the following criteria as established by School Board policy:

1. Was killed in action while performing active military duty with the U.S. Armed Forces.

2. Left high school in order to serve in the U.S. Armed Forces.

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

4. Has not received a high school diploma or a GED (high school equivalency).

Applicant’s Name (printed)                Signature                    Date