INX Academy · San Diego Campus

VA Education Benefits Application

Apply to an approved INX Academy certificate program and securely submit the documents needed for admissions and School Certifying Official review.

2555 Camino Del Rio South, Suite 150, San Diego, CA 92108 · (619) 291-3304

1 Complete the application 2 Upload required documents 3 Admissions reviews your file

1. Program Selection

Certificate program * Preferred start date * Application type *

2. Applicant Information

Legal first name * Middle name Legal last name * Date of birth * Email * Phone * Street address * City * State * ZIP code * Citizenship/immigration status *

Do not enter a Social Security number on this website form.

3. Military and VA Benefit Information

Applicant category * Branch of service * VA education benefit * Have you used VA education benefits before? * Certificate of Eligibility status * VA counselor name (if applicable) VA counselor email (if applicable) VA counselor phone (if applicable)

4. Education and Training History

Highest level completed * Most recent school * Prior colleges, training, certifications, or military education

5. Upload Supporting Documents

Accepted formats: PDF, JPG, or PNG. Maximum 10 MB per file. Please redact Social Security numbers before uploading.

Government-issued photo ID *Driver license, state ID, or passport. Education credential *Diploma, GED, recognized equivalent, or transcript showing graduation. VA Certificate of EligibilityUpload if available. A pending COE does not prevent application submission. DD Form 214Upload if applicable; redact the Social Security number. College or military transcriptsFor required prior-credit evaluation. Chapter 31 authorization or counselor document Resume (optional) Sponsorship letter (if applicable)

6. Certification and Electronic Signature

I certify that the information provided is true and complete. I understand that admission and VA benefit certification are separate determinations; submitting this form does not guarantee admission, VA eligibility, payment, or certification. * I authorize INX Academy to use this information and the uploaded records to evaluate admission, prior credit, and VA education-benefit certification, and to contact me about my application. *

Electronic signature (type legal name) * Signature date *

Fields marked * are required.