APPLICATION FOR WARTIME VETERAN SCHOLARSHIP
Veteran Information
Last:
Address:
First:
Middle:
Street or PO BOX
Date of Birth
Branch
Phone Number
City
State
Zip Code
Social Security Number
Date Entered
Date of New Mexico Residency
Date Separated
Era/Theatre
Combat Medal
Yes  No 
New Mexico College or University applicant will attend
Degree Program
Date applicant plans to enter
Federal Education Benefits Available
Yes 
No 
Certification of Applicant
I CERTIFY THAT ALL STATEMENTS MADE BY ME IN THIS APPLICATION ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
Signature of Applicant
Date Signed
Certification of Authorized Official
I CERTIFY TO THE TRUTH OF THE FOREGOING STATEMENTS PRESENTED BY THE APPLICANT AND I AM SATISFIED THAT THE
STATEMENTS ARE TRUE AND CORRECT.
Signature
Title
Date Signed
PLEASE SUBMIT A COPY OF DD214 AND PROOF OF RESIDENCY WITH COMPLETED APPLICATION
NOTE:
As defined in Subsection D of 5.7.16.7 NMAC, “Educational institution” for undergraduate instruction means any
New Mexico state-supported post-secondary institution; for graduate instruction means the University of New
Mexico, New Mexico State University, Western New Mexico University, Eastern New Mexico University, New
Mexico Institute of Mining and Technology and New Mexico Highlands University.
²§21-21E-3 LAWS 2013 limits the amount of reimbursement to non-state colleges to an amount equal to the highest
tuition, required fees and books allowances at a state institution for a New Mexico resident.
DVS Form 14 (revised May 2014)
INFORMATION FOR APPLICANTS
1.
The Combat Veterans’ Scholarship Award is to reimburse STATE FUNDED SCHOOLS for tuition costs
and books directly associated with undergraduate and master’s degree work at a public New Mexico
Institute of Higher Education only.
2.
If applicant is found to be ineligible, the veteran will be required to pay all tuition due to the institution.
3.
Applications will be approved on a first come, first served basis.
4.
This scholarship is available to veterans who have been residents of New Mexico for a minimum of ten
years and who were awarded the Southwest Asia Service Medal, Global War on Terrorism Expeditionary
Medal, Iraq Campaign Medal, Afghanistan Campaign Medal or any other medal issued for service in the
Armed Forces of the United States in support of any US Military campaign or armed conflict as defined by
congress or presidential executive order for service after August 1, 1990.
5.
Applicant must provide a certified copy of their DD214 showing a Combat Campaign or Service Medal
and an honorable discharge.
6.
Scholarship is for veteran only; scholarship cannot be awarded to spouse or dependent.
7.
Application and accompanying documents must be mailed to:
New Mexico Department of Veterans’ Services
PO Box 2324
Santa Fe, NM 87504
Attn: State Benefits
DVS Form 14 (revised May 2014)