The Wisconsin National Guard Tuition Grant Application, known as the DMA 189 E form, serves as a crucial document for members of the National Guard in Wisconsin seeking financial assistance for their education. Rooted in compliance with the Privacy Act of 1974 and various state regulations and statutes, the form emphasizes the safeguarding of personal information, assuring applicants that their details are used strictly for grant processing purposes. Applicants are encouraged to submit this form within a specific timeframe after the completion of each course or term to ensure their eligibility for tuition reimbursement. The reimbursement calculation is thoughtfully designed to cover up to the full tuition charged by the student’s school or the maximum resident undergraduate tuition at the University of Wisconsin Madison, whichever is lower, thereby nurturing the educational advancement of Guard members without imposing undue financial burdens. However, eligibility criteria such as enrollment status, academic performance, and fulfillment of military obligations are strictly enforced, ensuring that the grants serve those who are committed both to their education and their service. Furthermore, the form necessitates certification from both the educational institution and the military, reflecting a comprehensive approach to verifying the applicant's eligibility and safeguarding the integrity of the grant program.
| Question | Answer |
|---|---|
| Form Name | Dma Form 189 E |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | wiar, wiaf, 189 form, E09397 |
WISCONSIN NATIONAL GUARD TUITION GRANT APPLICATION
Application in compliance with: Privacy Act of 1974, E09397; WIARNG Regulation
STUDENT PORTION: THIS APPLICATION MUST BE RECEIVED AT THE DEPARTMENT OF MILITARY AFFAIRS (DMA) NO LATER THAN 60 DAYS AFTER EACH COMPLETION OF A COURSE OR TERM, WHICHEVER OCCURS FIRST. After completing all lines in the student portion, the applicant must submit this application to the appropriate College Registrar’s Office or Veterans’ Office for certification of the school portion. Submit an application even if a course(s) is incomplete. Reimbursement is based on 100% of the tuition charged at the student’s qualifying school or the maximum resident undergraduate tuition charged by the University of WI Madison, whichever is less. This grant will be suspended if the soldier/airman is AWOL or flagged & denied if the student is delinquent in child support or maintenance payments s. 49.854(2)(b), WI Stats. Direct questions to the DMA Tuition Grant Specialist at
Social Security Number: ____ ____ ____ - ____ ____ - ____ ____ ____ ____ Check Guard Membership: Army ____ Air _____
Print Name: __________________________ _______________ ______________________________ Check: Male ____ Female _____
FirstMiddleLast
Address where check should be sent: ___________________________________________ City: _________________________________
State: _____ Zip: ______________ Birthdate: __________ Academic Term Dates From: ______/_____/_____ To: ______/_____/_____
Month Day Year Month Day Year
School Name: ___________________________________________ # of credits anticipated this academic term ______________________
I certify that: (1) the above information is correct, (2) I do not have a Bachelor’s Degree, (3) I must achieve a minimum grade point average of 2.0 for each term, (4) I know that the application must be received by DMA within 60 days of the term end date & I will call
Signature: ___________________________________ Date: ___________________ Telephone: ________________________________
SCHOOL PORTION: After classes are completed, the School’s Registrar or Veteran’s Representative certifies this form for the above
named student & term. The school keeps a copy & submits this application within 60 days of the term completion to: WI Department of Military Affairs,
School Name:___________________________________________________________USDOE Federal School Code:__________________
Beginning date of most recently completed term: ______/______/_____ Ending date of most recently completed term: ______/_____/_____
Month Day YearMonth Day Year
# of credits satisfactorily completed this term: ___________________________ # of incomplete credits this term: ___________________
# of credits earned exclusively
Yes ____ No _____ |
WI State owned schools ONLY: Was the WI GI Bill awarded? If so, indicate the amount it paid. $_______________ |
Yes ____ No _____ |
Did another military benefit pay this tuition? Indicate benefit ___________________________ & $_______________ |
Tuition paid by student for satisfactorily completed courses ONLY: $____________________ (NO Segregated fees, books, CEU credits)
Yes ____ No _____ |
Did the student attain a minimum grade point average of 2.0 for this term/semester (NOT cumulative GPA)? |
Yes ____ No _____ |
Did the applicant have a Bachelor’s Degree or Equivalent prior to the completion of this most recent term? |
Certifier’s Signature: ______________________________________ Date: ________________ Telephone: ________________________
MILITARY PORTION: To be certified by the appropriate
Pay Grade: _____ Unit Code: ___________ Enlisted: ______/______/_______ Education Code: _______ ETS: ______/______/_______
Month Day YearMonth Day Year
Certifier’s Signature ______________________________________ Date Certified: ________________ Comment: ___________________
DMA STATE BUDGET & FINANCE PORTION:
DMA FORM |
Voucher: _____________________Date Processed: _________________ By: ___________ |