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IMPORTANT INFORMATION 1. If you are not completely (Norco College)

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IMPORTANT
INFORMATION
1. If you are not completely sure of your educational
goal and/or program of study, please meet with a
counselor who can assist. ere are many resources,
services, and program available at RCC just for
you. is can save valuable time in receiving your
disbursements in a timely manner.
2. Selecting the appropriate program of study is
critical as it will outline courses that you need to
take in order to receive benets and reach your goal
in the shortest amount of time as possible.
a. AS/AA – You are planning to get an
Associate Degree from RCC.
b. BS/BA – You are planning to transfer to
a four year institution after completing lower
division and major prep at RCC – you must
indicate major and institution you wish to
transfer.
c. Certicate – You are planning to complete a
vocational certicate program at RCC.
3. Stop by TRIO on the second oor of the Charles
A. Kane (CAK) Building and ask about the STAR
program. Please talk to the designated Veteran’s
Counselor.
4. If you are determined to be a non–resident for
tuition purposes and you are using Veterans
educational benets, you may be able to apply
for re-classication of residency status. e
U.S. Department of Veterans Aairs (VA) does
not cover non-resident tuition in educational
benet payments. To change status, students
must complete the Supplemental Residency
Questionnaire Form along with supporting
documentation. is must be done before the end
of the term you wish to be considered for resident
tuition and submitted to the Riverside City College
Admissions & Records oce.
5. You are encouraged to stop by the Veteran’s
Resource Center if you have any questions or need
clarication.
VETERAN’S STATEMENT
OF RESPONSIBILITY
Congratulations on your decision to attend Riverside
City College which has been designated as a Military
Friendly School. We look forward to working with you
as you achieve your academic goals. Many of us are
veterans too and are here to help you.
is form is required of all students seeking
to access VA Benets through Riverside City
College. It is the student’s responsibility to
complete this form and return to the Veteran’s
Resource Center (VRC) as soon as they are
registered for courses to prevent being dropped
for non-payment and to proceed with processing
of veteran benets. In addition, it is the student’s
responsibility to respond to notices sent by the
VRC oce in a timely manner if additional or
updated forms are required.
Cover page to be kept by student as proof of submission.
Date submitted:
Submited to:
VRC Representative Initial
Veteran’s statement
of responsibility
Veteran’s Services
4800 Magnolia Avenue Riverside, CA 92506 � Phone: (951) 222-8607 � Email: veterans@rcc.edu
Last Name:
SSN or Student ID #:
Home/Cell Phone:
*Attending another college currently? Name of school: Home College:
Address:
Street City State Zip
First Name:
Email Address:
Other:
MI:
Check box
if new address
I am requesting
Mont. G.I. Bill (30)
Current student SUM WINNew student FAL SPR Year: 20
Reservist (1606) D.E.A. (35)
Post 9/11 (33)
REAP (1607)
VA File #
Post 9/11 Transferred (33-TR)
Voc. Rehab (31)
(Only required for Chapter 35)
AS/AA
BS/BA In: Transferring to:
Certicate
(approved major/program) (approved transfer school if BA/BS chosen)
What program of study are you requesting? (List one only - VA only approves one program at a time)
Initial after reading each statement. By initialing and signing, you are acknowledging that you understand each statement and
your responsibility.
I understand that I must complete this form each semester to request my benets and that I must complete all requirements before I will
be certied for VA Educational Benets. I also understand that I must submit this form to RCC VA ofce immediately after registering to
prevent from being dropped for non-payment.
Per VA Regulations, I understand the VA will not pay for the following courses:
• Courses I have already successfully completed (some “D” grades may count)
• Remedial courses taken online
• Courses NOT required on my VA Student Educational Plan
• Self-paced open-entry/open-exit classes
I request for RCC to submit a certication for VA Educational Assistance this term on my behalf. I realize this may require release of
condential academic information to necessary institutions.
I understand that “Short term” classes affect my VA benets pay; in addition I am responsible for Tuition Fees not paid by the VA and it
may include Non-Resident Fees.
By signing below I understand in order for classes to be certied, they must be on the required portion of the approved VA Student
Education Plan. Furthermore, it is my responsibility to immediately notify in writing the RCC VA Ofce of any changes in my schedule or
academic major, and misrepresentation of my records or falsely certifying my classes may jeopardize my VA Educational Benets eligibility.
List all previous colleges attended:
College Name Units Earned
It is your responsibility to obtain ofcial, sealed
transcripts less than 90 days old from all colleges
attended. The VA requires all of your prior credit to be
evaluated before we certify your enrollment.
Student’s
Initial
Student’s
Initial
Student’s
Initial
Student’s
Initial
MINF
XSPA
XSFD
ACESS
XVCC
IASU
   
Initial Date Date Date
Date
Initial Initial
InitialInitial Date DateInitial
Revised 10/11/16
Signature: Date:
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IMPORTANT INFORMATION 1. If you are not completely (Norco College)

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Completed 2 February 2021

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