Fillable MILITARY BENEFITS CERTIFICATION FORM (College of the Albemarle)

Fill Online, Printable, Fillable, Blank MILITARY BENEFITS CERTIFICATION FORM (College of the Albemarle) Form

Use Fill to complete blank online COLLEGE OF THE ALBEMARLE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

MILITARY BENEFITS CERTIFICATION FORM (College of the Albemarle)

On average this form takes 11 minutes to complete

The MILITARY BENEFITS CERTIFICATION FORM (College of the Albemarle) form is 2 pages long and contains:

  • 1 signature
  • 5 check-boxes
  • 39 other fields

Country of origin: US
File type: PDF

U.S.A. forms for College of the Albemarle

BROWSE COLLEGE OF THE ALBEMARLE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
How many online classes are you enrolled in?
The following forms must be submitted to the VA Certifying official prior to initial certification of benefits:
Application for Admission (only required prior to enrollment, not each term)
Certificate of Eligibility (received after applying for benefits).
Official High School transcript or GED Certificate if applicable.
Official Transcripts from ALL post-secondary schools.
Your semester schedule
This form should be completed every semester by all students using VA Education Benefits.
Semester (Please Check):
FALL
SPRING SUM
MER
Year:
Last Name First Name Phone Number
Address City State Zip
VA File # Social Security Number Date of Birth
Major Email
Please list all post-secondary school schools attended:
MILITARY BENEFITS CERTIFICATION FORM
VA School Certifying Official: Stacia Sparrows
(252) 335-0821, ext. 2258
stacia_sparrows41@albemarle.edu
30 31 33 35 1606 1607
Yes No
Benefit Chapter Please Check:
Ar
e you currently on active duty? Please Check:
Ar
e you a Veteran or dependent? Please Check:
1.
Have you applied for VA Education Benefits? Yes No
If no, complete an application for benefits VA f
orm 22-1990 at http://vabenefits.vba.gov/vonapp/main.asp
2.
Have you ever used VA Education Benefits at another college? Yes No
If yes, you must submit VA Form 22-1995
3.
Are you repeating courses? Yes No
4.
Are you enrolled in a Hybrid Class? Yes No
Veteran Dependent
Print
Save As...
Reset Form
• Classes outside of your major cannot be certified
• Classes (with a passing grade) cannot be certified if repeated
• Audited classes, independent study classes, credit by exam, classes for which transfer
credit has been awarded, or any other classes not counting toward graduation cannot
be certified
• Developmental classes taken on line cannot be certified (only face to face
developmental classes can be certified)
Chapter 30, 1606, and 1607 are required to report enrollment status on the last calendar
day of each month at www.gibill.va.gov/wave/index.do or 1-877-823-2378
For normal terms, full time VA benefits will be paid if enrolled in 12 or more credit hours.
For summer or any other non-standard term, the VA will compute payments based on
hours and term length.
Chapter 33 students only: A reduced amount of BAH will be received if enrolled
exclusively in virtual courses (online/hybrid)
You must attend class to receive VA education benefits. It is your responsibility to
immediately notify the SCO if you add or drop a class, withdraw from a school, or stop
attending for any reason. Students may be responsible for overpayments resulting from
any of the above listed changes.
You must meet the COA and North Carolina State Approving Agency standards of
progress, meaning you must maintain a cumulative GPA of 2.0 or higher. You may not
be certified for VA benefits beyond two consecutive terms while below the standards of
progress. If you have extenuating circumstances, you may have the option to appeal.
If you change your program you must complete a program change form and notify your
SCO. Failure to do so could delay your benefits.
You are required to pay for all charges at the time of registration. The Department of
Veteran Aairs will make payments of education benefits and COLA (if applicable) to
you as long as you have the entitlement.
Note: Chapter 33 (post 911 GI bill) and Chapter 33 (Vocational Rehabilitation) may be
exceptions.
Students are required to notify their SCO at the beginning of the semester that they
intend to graduate. If needed, students may “round out” their final term and take a class
outside their major to be considered full time.
For more information about benefits including housing allowance, book stipend, etc., visit the GI Bill website at:
www.gibill.va.gov/resources/benefits/resources. You may also apply for financial aid at www.fafsa.gov. Please make
sure to add COA’s school code – 002917.
I have read the information on both sides of this form and understand my responsibilities:
Printed Name Signature
COA Student ID Date
STUDENT GUIDELINES AND RESPONSIBILITIES
Register for
the Correct
Classes
Reporting
Enrollment
Enrollment
Status
Attending
Class
Satisfactory
Academic
Progress
Changing
Majors
Tuition
Graduation
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

MILITARY BENEFITS CERTIFICATION FORM (College of the Albemarle)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 26 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document