This form should be submitted each semester after registering for classes.
First Name (*)
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Last Name (*)
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CWID # (*)
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E-mail (*)
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Address If address has not changed within the last year, leave blank.
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Phone # (*)
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I expect to receive VA Education benefits from the following chapter: (*)
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Enter the hours that you will be enrolled in for the Spring semester (*)
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Choose your status
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Enter your major
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Are you currently on active duty? (*)
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Do you expect to receive Federal Tuition Assistance (FTA)? (*)
Please submit your authorization form to the Treasurer's Office.
Are you enrolled in any of the following? If you answer to any of the following, please check with the Veterans Coordinator for approval.
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Do you have or expect to receive an ROTC scholarship? (*)
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Are you enrolled in any online courses? (*)
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Are you repeating any courses? (*)
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Are you graduating at the end of this semester? (*)
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If at any time during the enrollment period indicated above, I drop a course, withdraw from school, stop attending class, change my program, or change my status in any way, I will notify the Veterans Affairs Coordinator. I understand failure to notify the VA Coordinator of such changes could result in financial penalties. If the VA Coordinator determines a course is inappropriate for the degree program, I understand only those hours determined to be required for the degree will be certified. If the VA Coordinator determines a course is inappropriate, after drop/add, or after the free drop period, I understand a reduction in hours will automatically be forwarded to the Department of Veterans Affairs.
Note: By submitting this form, I certify that I fully understand this information and agree to the conditions.
Academics
