Digital Version

22-10203-RogersSTEMScholarship-OMB-20200604 (002).pdf

Edith Nourse Rogers STEM Scholarship Application (VA Form 22-10203)

Digital Version

OMB: 2900-0878

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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Application Introduction | Unauthenticated
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Home › Education › How to apply › Apply for education benefits

Apply f or t he Roger s STEM
Scholar ship
Equal to VA Form 22-10203 (Application for Edith Nourse Rogers STEM Scholarship).

Save ti m e—and save your w or k in pr ogr ess—by
signing in bef or e star ti ng your application
When you’re signed in to your VA.gov account:
▪

We can prefill part of your application based on your account details.

▪

You can save your application in progress, and come back later to finish
filling it out. You’ll have 60 days from the date you start or update your
application to submit it. Af er 60 days, we’ll delete the form and you’ll
need to start over.

Note: If you sign in af er you’ve started your application, you won’t be able to
save the information you’ve already filled in.

Sign in to start your application
Start your application without signing in

Follow the steps below to apply f or education benefi ts.

1

Det er m i ne eligibility
To be eligible for the Edith Nourse Rogers STEM Scholarship, you must meet all the
requirements below. You:
▪

Are using or recently used Post-9/11 GI Bill or Fry Scholarship benefits

▪

Have used all your education benefits or are within 6 months of doing so.
Check your remaining benefits

▪

Are enrolled in an undergraduate degree program for science, technology,
engineering or math (STEM), or have already earned a STEM degree and are
pursuing a teaching certification. See approved STEM programs

2

Pr epar e
To fill out this application, you’ll need your:
▪

Social Security number

▪

Education history

▪

Information about your school and STEM degree

▪

Military details

▪

Bank account direct deposit information

What if I need help filling out my application? A School Certifying Official (SCO) at your
school or an accredited representative, like a Veterans Service Officer (VSO), can help you
fill out your claim. Get help filing your claim
Learn about educational programs
See what benefits you’ll get at the school you want to attend. Use the GI Bill Comparison
Tool

3

Apply
Complete this education benefits form.
Af er submitting the form, you’ll get a confirmation message. You can print this for your
records.

4

VA Revi ew
We usually process claims within 30 days. We’ll let you know by mail if we need more
information.
We offer tools and counseling programs to help you make the most of your educational
options. Learn about career counseling options

5

Deci sion
You’ll get a Certificate of Eligibility (COE), or award letter, in the mail if we’ve approved
your application. Bring this to the VA certifying official at your school.
If your application wasn’t approved, you’ll get a denial letter in the mail.

Sign in to start your application

Respondent burden: ## minutes
OMB Control #: 2900-####
Expiration date: ##/##/####
Privacy Act Statement

Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
Submit a question to Education Service
If this form isn't working right for you, please call us at 855-574-7286.
If you have hearing loss, call TTY: 711.

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Accessibility | Office of Inspector General | Plain Language | Privacy, Policies, and Legal Information | VA.gov Scorecard

VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Application Introduction | Authenticated
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Home › Education › How to apply › Apply for education benefits

Apply f or t he Roger s STEM
Scholar shi p
Equal to VA Form 22-10203 (Application for Edith Nourse Rogers STEM Scholarship).
Note: Since you’re signed in to your account, we can prefill part of your
application based on your account details. You can also save your form in
progress and come back later to finish filling it out.

Start the education application ∠

Follow the steps below to apply f or educat ion benefi t s.
1

Det er m ine eli gibi lity
To be eligible for the Edith Nourse Rogers STEM Scholarship, you must meet all the
requirements below. You:
▪

Are using or recently used Post-9/11 GI Bill or Fry Scholarship benefits

▪

Have used all your education benefits or are within 6 months of doing so.
Check your remaining benefits

▪

Are enrolled in an undergraduate degree program for science, technology,
engineering or math (STEM), or have already earned a STEM degree and are
pursuing a teaching certification. See approved STEM programs

2

Pr epar e
To fill out this application, you’ll need your:
▪
▪

Social Security number
Education history

▪

Information about your school and STEM degree

▪

Military details

▪

Bank account direct deposit information

What if I need help filling out my applic ation? A School Certifying Official (SCO) at your
school or an accredited representative, like a Veterans Service Officer (VSO), can help you
fill out your claim. Get help filing your claim
Learn about educational programs
See what benefits you’ll get at the school you want to attend. Use the GI Bill Comparison
Tool

3

Apply
Complete this education benefits form.
Af er submitting the form, you’ll get a confirmation message. You can print this for your
records.

4

VA Revi ew
We usually process claims within 30 days. We’ll let you know by mail if we need more
information.
We offer tools and counseling programs to help you make the most of your educational
options. Learn about career counseling options

5

Deci si on
You’ll get a Certificate of Eligibility (COE), or award letter, in the mail if we’ve approved
your application. Bring this to the VA certifying official at your school.
If your application wasn’t approved, you’ll get a denial letter in the mail.

Start the education application ∠

Respondent burden: ## minutes
OMB Control #: 2900-####
Expiration date: ##/##/####
Privacy Act Statement

Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
Submit a question to Education Service
If this form isn't working right for you, please call us at 855-574-7286.
If you have hearing loss, call TTY: 711.

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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 1 of 6: Applicant Information | Unauthenticated
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Apply f or the Roger s STEM
Scholar ship
Form 22-10203

1 of 6 Applicant I nf or mation
You aren’t required to fill in all fields, but we can review your application
faster if you provide more information.
Your first name (*Required)

Your middle name

Your last name (*Required)

Suffix

Social Security number (*Required)

∠ Back

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Finish this application later

Need help?
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888-442-4551 (888-GI-BILL-1)
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If this form isn't working right for you, please call us at 855-574-7286.
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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 2 of 6: Education Benefit
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Apply f or t he Roger s STEM
Scholar ship
Form 22-10203

2 of 6 Educat ion Benefi t
Which benefits have you used or are you currently using? (*Required)
Post-9/11 GI Bill (Chapter 33)
Learn more
Fry Scholarship (Chapter 33)
Learn more
Montgomery GI Bill (MGIB-AD, Chapter 30)
Learn more
Montgomery GI Bill Selected Reserve (MGIB-SR, Chapter 1606)
Learn more
Transfer of Entitlement program (TOE)
Learn more
Post-Vietnam Era Veterans' Educational Assistance Program (VEAP,
Chapter 32)
Learn more

∠ Back

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Finish this application later

Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
Submit a question to Education Service
If this form isn't working right for you, please call us at 855-574-7286.
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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 3 of 6: Program Details | Rogers STEM Scholarship eligibility:
Conditional Teacher Certification question displayed based on responding “No” to
undergraduate STEM degree question
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Home › Education › How to apply › Apply for education benefits

Apply f or the Roger s STEM
Scholar ship
Form 22-10203

3 of 6 Pr ogr am Details
Roger s STEM Scholarship eligibilit y
Are you enrolled in a science, technology, engineering, or math (STEM)
undergraduate degree? (*Required)
Yes
No

Do you have a STEM undergraduate degree and are now pursuing a teaching
certification? (*Required)
Yes
No

About how much of your education benefit do you have lef ? (*Required)
Check your remaining benefits
More than 6 months
6 months or less
None, I've used it all

∠ Back

Continue ∠

Finish this application later

Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
Submit a question to Education Service
If this form isn't working right for you, please call us at 855-574-7286.
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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 3 of 6: Program Details | STEM Eligibility Summary:
Page displays conditionally if applicant appears ineligible for Rogers STEM scholarship
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Apply f or the Rogers STEM
Scholar ship
Form 22-10203

3 of 6 Pr ogr am Det ails

I t appear s you’re not eligible f or t he Roger s STEM Scholar shi p.
Your responses:
Are using or recently used Post-9/11 GI Bill or Fry Scholarship benefits
Have used all your education benefits or are within 6 months of doing so
Are enrolled in an undergraduate degree program for STEM, or have already
earned a STEM degree and are pursuing a teaching certification
If your situation changes in the future and you meet all of the criteria, you may return
to apply for the Rogers STEM Scholarship.

Explore other education benefits
Would you still like to apply? (*Required)
No
Yes

∠ Back

Continue ∠

Finish this application later

Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
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If this form isn't working right for you, please call us at 855-574-7286.
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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 3 of 6: Program Details | STEM degree and school details
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Home › Education › How to apply › Apply for education benefits

Apply f or t he Rogers STEM
Scholar ship
Form 22-10203

3 of 6 Pr ogram Det ails
STEM degr ee and school details
What's the name of your STEM degree? (*Required)

What’s the name of the school where you plan on using the Rogers
STEM Scholarship? (*Required)

City (*Required)

State (*Required)

Your school I D and contact det ails

These details will help us review your application faster, but aren't required.
Your school student ID number

Your school email address (This email address usually ends with .edu)

Note: If you need help completing this form, your school’s School Certifying
Official (SCO) can help you.

∠ Back

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Finish this application later

Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
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If this form isn't working right for you, please call us at 855-574-7286.
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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 4 of 6: Military Details
Displays conditional alert if user answers “Yes”
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Apply f or t he Roger s STEM
Scholarship
Form 22-10203

4 of 6 Milit ary Det ails
Are you currently on active duty or will you be going on active duty while receiving
the Rogers STEM Scholarship? (*Required)
Yes
No

You can receive the Rogers STEM Scholarship while you’re on active duty, but
you won’t be eligible for a housing allowance from us with the scholarship
while on active duty.

∠ Back

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Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
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If this form isn't working right for you, please call us at 855-574-7286.
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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 5 of 6: Personal Information
Contact Details
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Apply f or t he Roger s STEM
Scholar ship
Form 22-10203

5 of 6 Personal In f or mat ion
Your address
Country (*Required)

United States
Street address (*Required)

Line 2

City (*Required)

State (*Required)

Postal code (*Required)

Other cont act inf or mat ion

Please enter as much contact information as possible so we can get
in touch with you, if necessary.
Email address (*Required)

Re-enter email address (*R equired)

Home phone number

Mobile phone number (*Required)

How should we contact you if we have questions about your application?
Mail
Email
Home phone
Mobile phone

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Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
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If this form isn't working right for you, please call us at 855-574-7286.
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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 5 of 6: Personal Information | Direct deposit
Provides expandable, additional information re: “What if I don’t have a bank account”
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Apply f or the Roger s STEM
Scholar ship
Form 22-10203

5 of 6 Per sonal I nf orm at ion
Di r ect deposi t
VA makes payments only through direct deposit, also called electronic funds
transfer (EFT). If you’re approved for the Rogers STEM Scholarship, we’ll need
to know where to deposit the funds.

Account type (*Required)
Checking
Savings

Bank routing number (*Required)

Bank account number (*R equired)

I don't want to use direct deposit

What if I don’t have a bank account?
The Department of Treasury requires all federal benefit payments be
made by electronic funds transfer (EFT), also called direct deposit.
If you don’t have a bank account, or don’t wish to provide your bank
account information, you must receive your payment through Direct
Express Debit MasterCard. To request a Direct Express Debit
MasterCard, apply at www.usdirectexpress.com or call
1-800-333-1795.
If you choose not to enroll, you’ll need to call the Department of
Treasury at 1-888-224-2950 and speak to a representative handling
waiver requests. They’ll encourage you to participate in EFT and
address any questions or concerns you have.

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For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
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If this form isn't working right for you, please call us at 855-574-7286.
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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Chapter 6 of 6: Review Application
Contains editable fields within accordions for user to update as they review form inputs
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Apply f or the Roger s STEM
Scholar ship
Form 22-10203

6 of 6 Review Applicat ion
Please review the information below to ensure that it’s correct before you submit
your application. This is especially important if you worked on your application
over several days.

Applicant Information

Education Benefit

Program Details

Military Details

Personal Information

Note: According to federal law, there are criminal penalties, including a fine and/or
imprisonment for up to 5 years, for withholding information or for providing incorrect
information. (See 18 U.S.C. 1001)
I have read and accept the privacy policy. (*Required)

∠ Back

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VA Form 22-10203 - Prototype
Edith Nourse Rogers STEM Scholarship Application
Application Confirmation
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Home › Education › How to apply › Apply for education benefits

Apply f or the Roger s STEM
Scholar ship
Form 22-10203
We’ve r eceived your applicat ion.
We usually process applications within 30 days.
We may contact you if we need more information or documents.

Print this page

Educat i on Benefi t Clai m
(For m 22-1020 3)
for Fname Lname
Confirmation number
A-ABC-000
Date received
June 12, 2020
Your claim was sent to
Eastern Region
VA Regional Office
P.O. Box 4616
Buffalo, NY 14240-4616

What happens af ter I apply?
Find out what happens af er you apply.

Need help?
For help filling out this form, ask the Education Call Center:
888-442-4551 (888-GI-BILL-1)
Monday – Friday, 8:00 a.m. – 7:00 p.m. ET
Submit a question to Education Service
If this form isn't working right for you, please call us at 855-574-7286.
If you have hearing loss, call TTY: 711.

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File TitleMicrosoft Word - 22-10203-RogersSTEMScholarship-OMBreview.docx
Author589200
File Modified2020-06-09
File Created2020-06-04

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