Flng Form 704 PDF Details

For members of the Florida National Guard seeking aid for educational purposes, the FLNG Form 704 offers a meticulously structured path to financial assistance through the Educational Dollars for Duty (EDD) program. Required to be filled out rigorously with personal and educational information, this document holds applicants accountable for the accuracy of the data they provide, ensuring a truthful representation of their needs and circumstances. The form delineates several parts, including applicant data, school data, course data, and sections for approval by the Department of Military Affairs. It emphasizes the necessity of submitting applications within strict deadlines, set both before the start of the term and for the receipt of the documents by the department. Furthermore, it introduces a layer of responsibility on the applicant to adhere to the conditions set forth by Florida statutes and military obligations, underscoring the commitment required to benefit from this financial support. Crucially, the process demands a separate application for each semester or enrollment period, indicating a continuous evaluation of the applicant's eligibility and academic progression. The inclusion of detailed instructions for the post-application process, including the necessity of submitting grades and completion certificates, highlights the program’s emphasis on academic accountability and progress. Overall, the FLNG Form 704 serves as a comprehensive guide for Florida National Guardsmen navigating the complexities of financing their education, reinforcing the value of integrity, punctuality, and academic responsibility in accessing state-facilitated support.

QuestionAnswer
Form NameFlng Form 704
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesflng form 704 fillable, FNG, 26d, EDD

Form Preview Example

Application for Educational Dollars for Duty (EDD) in the Florida National Guard

Instructions: Applicant is responsible for the validity of the information entered in Part 1 and for reviewing FNG Pam 621-5-2. Submit prior to established

deadlines to: Department of Military Affairs, Attn: DCSPER-EDD, P.O. Box 1008, St. Augustine, FL 32085-1008. A separate application is required for each semester or enrollment period. APPLICATIONS MAY BE SUBMITTED TO DCSPER 90 DAYS PRIOR TO TERM

Must be submitted within 15 prior to start date.

Part 1: Applicant Data

 

1. Applicant's Name: (Last, First, MI):

 

 

 

 

2. Social Security Number

 

3. Rank:

 

 

4. Unit PRN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Select Component:

 

 

 

 

 

 

 

 

 

 

 

6. Home Address: (street address/P.O. box):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Army

 

Air

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. City:

 

 

 

 

 

 

8. State:

 

 

 

 

9. Zip Code:

 

 

 

10. Organization of Assignment (Unit):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Telephone Numbers:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Official (AKO)/(GLOBAL)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work:

 

 

 

 

 

 

 

Ext:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Receiving post 9/11 Chapter 33 GI Bill for the classes requested

 

 

 

14. Must provide program of Study or Program Requirements for

 

If approved, EDD will be applied to the remaining percentage of tuition

 

 

 

Degree/Certificate at time of initial enrollment in EDD Program

 

not covered by Chapter 33, not to exceed 100% of total tuition.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I AGREE TO SUBMIT DEGREE PLAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

If Yes, indicate what %.

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part 2: School Data

15. Name of School Attending and address:

16. School Counselor Data:

Name:

Phone:Ext:

Part 3: Course Data

17. Dept & Number 18. Course Title

19. # of Credit Hrs

20. Cost Per Hour

21. Fees

22. Total Per Course

A.

$0.00

B.

C.

D.

E.

F.

$0.00

$0.00

$0.00

$0.00

$0.00

23. Course Start (Date)

24. Course End (Date)

25a.

25b.

0

25c.

$0.00

25d.

$0.00

25e. Total Tuition Assistance Requested Not Approved Amount (see Part 4. for Approved Amount).

FLNG FORM 704, Rule 70-2.001, Florida Administrative Code

REVISED 1 June 2011 PREVIOUS EDITIONS OBSOLETE

Part 4: Completed by the Department of Military Affairs (EDD) Manager

26. Total EDD Manager Approved:

26a. # of Credit Hrs:

26b. Cost Per Hour:

26c. Fees:

26d. Total amount Approved:

27. EDD Manager Approved Signature:

28. Date Application Approved:

Part 5: To be Completed by Applicant and Unit Commander

29.Applicants Certification: I, the applicant, hereby certify that the information I have entered in the above sections to be true and correct

to the best of my knowledge. As a condition of acceptance of benefits, I hereby agree to abide by the provisions of Florida Statute 250.10 and FNG Pam 621-5-2 and block 29 specifically, to reimburse the State of Florida and monies paid by the State on my behalf for which I do not maintain entitlement. I understand that if I fail to meet my required military service obligation that I will be required to reimburse monies paid on my behalf to the State of Florida. As an officer in the Florida National Guard the EDD service obligation of commissioned officers and warrant officers ends on the last day of their Mandatory Service Obligation (MSO) or any applicable Active Duty Service Obligation (ADSO), unless earlier terminated by their Mandatory Removal Date (MRD).

I agree to furnish the EDD program administrator a degree plan for the degree I am seeking. I agree to furnish the EDD Program Administrator a copy of grades or a completion certificate for this period of schooling. I further understand that all EDD approvals are conditional pending submission of grades from previous term(S). I understand EDD is not an entitlement, but rather a benefit contingent on funding. By accepting tuition payment by the Florida Department of Military Affairs, I authorize the requested Educational Institution indicated in BLOCK 15 to release grades to the Florida Department of Military Affairs for the class dates indicated in BLOCKS 23 and 24. I agree to complete all required documentation required by my educational institution in order for grades to be released to the Florida Department of Military Affairs.

30. Signature of Applicant:

31. Date Application Signed:

32.I hereby certify that the applicant meets the program eligibility requirements of FNG Pam 621-5-2 and is satisfactorily performing all military duties as a member of the FNG.

33. Signature of Commander:

34. Date Commander Signed:

35.Submit invoice, Original , to the Department of Military Affairs, Attn: DCSPER-EDD P.O. Box 1008, St. Augustine, FL, 32085-1008. Invoice must include individual’s name, SSN, Courses, Course Codes and credit hours taken and cost being billed for each individual, Federal ID number, 29 Digit Samas account code and Object code (Universities only). School name, Point of contact, and mailing address.

36.The request for your social security number or other Taxpayer Identification Number, is authorized by 26 U.S.C. 6041 and related IRS regulations. Your social security number will be used to fulfill an agency duty to maintain your social security number in confidence based on 26 U.S.C. 6103, Chapter 119.071(5) (a)2 and Sec. 213.053, Florida Statutes. It will be used to assure that only the employee whose payroll or personnel records are being accessed may access the information for that employee. Your SSN may also be used for any other purpose specifically required or authorized by state or federal law.

FLNG FORM 704, Rule 70-2.001, Florida Administrative Code

REVISED 1 June 2011 PREVIOUS EDITIONS OBSOLETE