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Veteran Services

Benefit Certification Form

All new students must complete and return the VA Responsibility Form before your enrollment can be certified.

Asterisk indicates required field. ( * )

Personal Information
  • (Format: ###-##-####)
Address
Chapter

Select your Chapter *

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Degree Plan

If this is a change in degree from your previous semester, please fill out a Change of Program/Place of Training Form and return it to your VA Certifying Official in order for your enrollment to be certified.

Classes

For which semester are you requesting your enrollment to be certified with the VA?

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Confirmation

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