Veteran’s Certifying Official:
Bianca McKee-Shaw
Phone: (408)-855-5014
Veteran’s Returning Applicant Checklist
Student’s Name: ______________________ Term: _____________________________
College ID#:________________ Phone: ____________________________
Objective: AA ______ AS ______ Transfer to:___________ Certificate _______
Major: _______________ Chapter _____ Date: _________________ VA file#____________
On File
☐ Veterans Educational Plan
☐ Not applicable
☐ Enrollment Certification request form
☐ Parent School Letter
☐ Not applicable
☐ Discuss the following with the student:
☐Read the registration process, failing grade procedure, and deadlines
☐Understands that they are responsible for checking with the VA for GI Bill benefits
☐If utilizing Ch.33 benefits, they must be enrolled in 12 or more units in order to receive 100%
BAH and a minimum of 6.5 units to receive partial BAH
☐Explain that they must notify VA certifying specialist of any changes with courses and program
of study
Prior Institutional Credits to Report
Note: Only report in the box the number of credits that apply to the student’s current objective at Mission College
Total credits from Military Credits Prior Credits completed at
other institutions Mission College
For Office Use Only
VA Student Orientation _________________ Student Signature _________________________
Date
Student Certified on: __________________ by ____________________________
Date Certifying Official
Folder reviewed on: __________________ by ____________________________
Date VA Official
Edited on May 1, 2015 BMS
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