Fillable Colby Community College - Veteran’s Benefit Recipient Academic Plan

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Colby Community College - Veteran’s Benefit Recipient Academic Plan

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  • 51 check-boxes
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File type: PDF

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Veteran’s Benefit Recipient
Academic Plan
If you plan on attending school and want to use your VA benefits, YOU MUST fill out and return this form to the VA
Benefit’s Coordinator as soon as possible. You will need to be pre-enrolled before submitting this form. (Enrollment
certification will not be done unless you and your advisor complete this form) If you don’t know who your advisor is
then please contact the Registrar’s office,
registrar@colbycc.edu
Last Name:______________________________________________ First Name:_______________________________
Program of Study:____________________________ Projected Program Completion Date: ________________________
(If you are not certificate or degree seeking then you are not eligible for benefits)
Is this a change of Program: (Check one) NO ☐ YES ☐
(If yes, you MUST also complete VA Form 22-1995 and attach to this form) https://www.ebenefits.va.gov/ebenefits/vonapp
Term: (Check one) FALL ☐ SPRING ☐ SUMMER ☐ YEAR:___________________
Course #
Course Title
Credit Hrs
Repeat
Course
Course
Required for
Program
Remedial
Course
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
Y ☐
N ☐
I, the student, understand that if any changes are made to the academic schedule listed above I am required to notify
Colby Community College School Certifying Official immediately.
Student signature__________________________________________________ Date_________________________
I, the advisor, have reviewed the student’s academic plan and transcripts and have determined that the above listed
classes are necessary for the program of study and/or to graduate from Colby Community College.
Advisor’s Signature_________________________________________________ Date_________________________
Return to: Vicki Chance, School Certifying Official, vicki.chance@colbycc.edu
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Colby Community College - Veterans Benefit Recipient Academic Plan

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Completed 28 April 2020

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