,
Post 9/11 GI Bill®
,
,
For questions, please contact:
Veteran Services
Phone: (253) 833-9111, Extension
2466
Email:
veterans@greenriver.edu
Quarterly Enrollment Request
Due as soon as possible after registering for
classes.
Attach your class schedule & expanded degree audit.
Please fill out in ink.
Once complete, please submit this packet to Career & Advising or
your faculty advisor for review. Veteran Services will receive the
packet once it is signed by an advisor.
Name: Student ID:
Green River Email: Phone Number:
Program of Study:
,
VA
Education Benefit
Chapter (Please
select
one):
Post 9/11
, ,
GI
Bill® Transfer
, ,
Post 9/11 GI Bill® Fry Scholarship
CH 1606 MGIB Select Reserve
CH 31 Voc Rehab
35
, , , , ,
Quarter: (Please select one): Summer
Fall Winter Spring Academic year: 20 _____
Official Use: Hold
Placed □
Instructions: Please list all classes you would like the VA to certify to include waitlisted classes. We cannot certify waitlisted classes until you are
registered for the classes. Please notify Veteran Services once you have been registered for each waitlisted class.
*Please read the back page for information regarding the campus location column.
Course ID
(i.e. ENGL&101)
Item
Number
*Campus
Location:
MAIN, AC, KC,
ENM, MTC
Section
Number
Credit
Number
Type of Class (Please Select One):
Per VA rules, remedial (below 100 level)
classes that are online or hybrid
cannot be certified for benefits.
Official Use:
ADVISOR,
Please select:
class required for
graduation?
Lecture Online
Hybrid
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
STUDENT - Please read and initial each line:
_____ ; This packet is only used for certification purposes. It is still my responsibility to consult with an academic advisor if I have questions regarding
class selection, my Degree Audit, and/or graduation requirements.
_____ ; I understand that the VA will only pay for courses that are REQUIRED for graduation from my program of study at Green River College.
Initialing this block acknowledges that I have reviewed my Degree Audit prior to submitting this packet to an academic advisor.
_____ ; If you are certified for classes that are found to be unnecessary due to previously earned credits from another institution, the VA requires that
your certification be reduced. You will be in overpayment status with the VA and will owe back any funding you are no longer entitled to have.
_____ ; I understand that if I want the VA to pay for my education, then I must provide Veteran Services with my Quarterly Enrollment Request
EVERY QUARTER by submitting this form to an academic advisor in addition to my Quarterly Schedule and Degree Audit.
_____ ; I understand that if I make any changes to my schedule, I must notify Veteran Services as soon as possible and the adjustment to my
certification will not be processed until after the 10th day of the quarter (at the earliest).
_____ ; By signing this form, I understand that I am officially requesting to use my VA education benefits for this quarter.
_____ ; For Chapter 33, 33 Transfer, and 33 Fry only: A hold will not be placed on my tuition and fees if I do not have a Certificate of
Eligibility or Statement of Benefits on file and have not submitted this form, my quarterly schedule, and degree audit.
_____; For Chapter 33, 33 Transfer, and 33 Fry only: Online and hybrid classes are considered “Distance Learning” for VA purposes. If I want
the full amount of housing allowance that I am entitled to have, I must be certified as full-time and have at least one “Lecture” (in-residence) class
that is required for my degree. Please read the back page regarding hybrid course policy.
Student Signature: Date:
ADVISOR—Please read and sign: I have reviewed the courses listed and have indicated whether they are or are not required for graduation from the
program of study listed on this form.
Advisor Signature:
Date:
Advisor Printed Name:
Green River College does not discriminate on the basis of race, creed, color, national origin, sex, sexual orientation, age, marital status, religion, disability,
genetic information or on any other unlawful basis. The college is committed to preventing and stopping discrimination, including harassment of any kind and
any associated retaliatory behavior. The following person has been designated to handle inquiries regarding the non-discrimination policies: Vice President of
Human Resources, 12401 SE 320th Street, Auburn, WA 98092-3622, (253) 288-3320. To receive this information in an alternate format, please contact
Disability Support Services at (253) 833-9111, ext. 2631; TTY (253) 288-3359.
Lecture Online
Hybrid
Lecture
Online
Hybrid
Lecture Online
Hybrid
Lecture
Online
Hybrid
Lecture
Online
Hybrid
CH 35 Dependents Education Assistance
click to sign
signature
click to edit
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click to sign
signature
click to edit
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