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_______________________________________________ ______________________________
NAME OF STUDENT/VETERAN BANNER ID
SEMESTER DEGREE & PROGRAM
SIGNATURE OF FACULTY ADVISOR DATE
SIGNATURE OF STUDENT/VETERAN DATE
This document contains both information and form fields. To read information, use the Down Arrow from a form field.
LOUISIANA DELTA COMMUNITY COLLEGE
Division of Student Affairs Department of Enrollment Services
VA Certification Form
Dear Veteran Student:
P
lease present this form to your advisor when registering for classes. References to “Student/Veteran” on this form refers to
students receiving Veteran Educational Benefits.
This is to certify that
Is currently enrolled in the
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in the following program:
Please indicate if courses below are additional subjects required to overcome a grade-point deficiency for a degree program,
(2) repeated courses for which credits has been previously granted, or (3) deficiency courses needed to complete final admission
into degree program .
* COURSE NAME AND NUMBER
CRN Number
SEMESTER HRS.
This student-veteran may take the above subjects in partial fulfillment of the authorized program of study.
am aware that am responsible for verifying that these subjects are a requirement (or a creditable elective) of this
student-veteran 's program, and that the student-veteran will receive full graduate credit for them.
I verify that this information is correct and understand that educational pay benefits cannot be authorized until I file this form
immediately after completing registration each semester or summer term.
I understand that I must notify my campus VA Certifying Official Gwenn Hall as soon as I have either:
· Registered for coursework
· Added a class or classes
· Dropped a class or classes
· Withdrawn from any coursework
· Resigned f
rom the college
· Changed your major
I understand that if I add/drop classes, withdraw from classes, or cease attending I may have to repay all or part of the benefits I
have received.
This file must be submitted to the Enrollment Services/ Student Success Services Office immediately following completion of
registration.
