LaGuardia Community College
VETERANS REQUEST FOR CERTIFICATION
*PLEASE SUBMIT TO C-371 IF YOU ARE USING GI BILL BENEFITS FOR THE TERM BELOW*
Failure to complete any portion of this form may result in your certification not being processed.
NAME: STUDENT ID:
CITY: STATE: ZIP:
NO If yes, are you: __ Active Duty __ Guard/Reserve
Are you currently serving in the military?
Is this a new address? YES NO
Have you updated your
in CUNYfirst? Yes
__ I have applied for Benefits via VONAPP
Please select GI Bill Benefits program:
__Chapter 33 – Post 9/11 GI Bill __Chapter 1606 – Selected Reserve/ National Guard
__Chapter 30 – Montgomery GI Bill __Chapter 1607 – Reserve Education Assistance Program (REAP)
__Chapter 35 – Survivors’ and Dependents’ Assistance __ I have recently changed from one benefits program to another
__Chapter 31 – Vocational Rehabilitation
Are you planning to use Military Tuition Assistance?
Federal Yes No
State Yes No
Degree: __Associate’s __Certificate __Non-degree
Major/ Program: __________________________
We cannot certify veterans without a progressive objective.
Is this the same major you had last term? Yes No
*Term Requested: __ Fall 15, Session I (09/08/15 – 12/17/15) __ Fall 15, Session II (01/04/16 – 02/25/16)
__ Spring 16, Session I (03/05/16 – 06/20/16) __ Spring 16, Session II (06/27/16 – 08/15/16)
Course Number (i.e. ENGL 112)
Course Name (i.e. English Comp I)