New Military Student Intake Form

First Name:

Last Name:

Email Address:

Student ID #:

Program

Date of Birth:

MM/DD/YYYY

Address Line 1:

Address Line 2:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

Military Status:

Military Branch:

Do you plan on utilizing military education benefits at Berklee Online?:

Type of Military Benefits:

Did you attend another school in the past 12 months and utilize military benefits?:

Please email us at military@online.berklee.edu so we can discuss how your prior enrollment may or may not affect your benefits for the coming semester at Berklee Online. Student can then move on as usual to uploading one of the relevant military documents.

In order to receive the Berklee Online 30% Military Discount, Please upload one of the following documents:
- A copy of your Military Leave and Earning Statement (LES)
- A copy of current or past military orders

Please upload one of the following documents:
- A copy of your VA Certificate of Eligibility
- A copy of your Post 9/11 Statement of Benefits, accessed at VA.gov

In order to receive the Berklee Online 30% Military Discount as a student, please upload one of the following documents:
- A copy of your DD214
- A copy of your Deployment paperwork
- A copy of your current or past military orders

To receive the Berklee Online 30% Military Discount as an Active Duty/Reservist student, please upload one of the following documents:
- A copy of your DD214
- A copy of your Deployment Paperwork
- A copy of your Military Leave and Earnings Statement (LES)
- A copy of your current or past military orders

Dependent

If you are a dependent of a veteran*, please upload the following documents listed below. *Dependents must be 26 years of age or younger.

Copy of your (the student's) birth certificate
Copy of your parent’s DD214 if they are a veteran or Copy of your parent's Leaving and Earnings Statement (LES) if they are active/reserve in the military

Copy of Birth Certificate

Copy of parent's DD214 or Copy of parent's Leaving and Earning Statement (LES)

Spouse

If you are a spouse of a veteran, please upload the following:

Copy of your (the student's) marriage license
Copy of your spouse's DD214 if they are a veteran or Copy of your spouse’s Leaving and Earnings Statement (LES) if they are active/reserve in the military

Copy of your (the student's) marriage license

Copy of spouse's DD214 or Copy of spouse's Leaving and Earning Statement (LES)

Do you authorize us to post your benefits when registered each semester?:

Have you provided your SSN already using our secure link?

Please submit your Social Security Number using our secure link:
https://online.berklee.edu/user/ssn-edit

Note: the above link will open a separate webpage. Once you have provided the necessary information, you will need to return to this page to submit your form.

Contact Information