Veteran’s Enrollment Certificate

This form must be completed & submitted every semester. You will not be certified to the VA until this form is received by the Veteran Services Office.

  • Accepted file types: pdf, jpg, gif, doc, Max. file size: 512 MB.
  • Terms and Conditions

    Please initial in front of all statements indicating you have read and understand each statement.

  • 1. I must be matriculated in a curriculum/program of study leading to a VA approved degree or certificate program, and have all prior training evaluated (including military training) by the end of my second semester of enrollment. Failure to have all prior credit evaluated and applied to my curriculum may result in termination of my VA education benefits. I understand I will not be certified nor be paid by the VA for classes previously completed with a grade of "D" or higher and prior credit applicable to my program of study.
  • 2. I understand the need to ensure the courses that I enroll in are required in my program of study, and understand I must continue to make satisfactory academic progress toward graduation.
  • 3. I understand the VA will not pay benefits for any online developmental/remedial classes. Enrollment in developmental (remedial) courses will not be certified for VA payment unless a need is established by a placement test or the approval for enrollment in a developmental course has been documented.
  • 4. I understand grades of W, I, NA or XA may result in a reduced payment from the VA which could result in an overpayment. Courses for which an incomplete (I) grade is awarded must be completed by the end of the subsequent semester (excluding summer semester). I am responsible for ALL debts resulting from corrections, reductions or terminations of my enrollment even if the payment was submitted directly to the school on my behalf.
  • 5. Courses which are scheduled to meet in sessions other than the standard 15-week semester may be paid at a different rate based upon the number of credits and actual length of the course.
  • 6. I understand the VA will hold me solely responsible for any overpayment of my VA Education Benefits.
  • Student Certification: