ACADEMIC YEAR STATEMENT - med navy 2026

1. Click ‘Get Form’ to open the ACADEMIC YEAR STATEMENT in the editor.
2. Begin by entering your Full Name and Last Four of Social Security Number in the designated fields. Ensure that all information is printed clearly.
3. Fill in your E-mail Address and select your Program from the options provided: Medical, Dental, Optometry, PA, Podiatry, NADDS, or FAP.
4. Complete the School Information section by entering your School Name and School Address (Street, City, State, Zip).
5. In the Registrar Information section, accurately input the Exact beginning date of your current academic year and Exact graduation date using the MM/DD/YY format.
6. Answer whether you are considered a state resident for tuition purposes by circling YES or NO.
7. Indicate the amount of Tuition/mandatory fees paid and specify if it is per year, semester, trimester, or quarter.
8. If applicable, enter the cost of the mandatory dental kit for dental students.
9. Ensure that both you and your registrar sign where indicated. Include their printed name and contact information.
10. Finally, review all entries for accuracy before scanning and emailing the completed form to USN.OHSTUDENT@MAIL.MIL.

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