OFFICE OF VETERANS AFFAIRS
STUDENT CONTRACT
Student Name Social Security Number
Mailing Address
Primary Phone MTC Student ID
Primary Email Address
I CERTIFY THE FOLLOWING
I understand that in order to receive benefits for a specified term, I must notify MTCs VA Office that I have
registered for classes each semester. (Initial)
I am responsible for notifying the MTC VA Office of any changes in my enrollment status. (Initial)
Courses not required for my program of study will not be approved for payment of VA benefits.
(Initial)
I may owe MTC or the VA money for course failures, withdrawals and no-shows. If you repeat a failed class and fail it
a second time, the grade will be non-punitive. You will be required to repay the VA funds received for that course.
(Initial)
If you no-show a course (register, do not attend, do not officially withdraw), the VA will not pay for the course. You
will be charged full tuition and fees for the no-showed course. (Initial)
I am only able to receive VA benefits for ONE (1) semester if I am pending a transcript from another institution.
(Initial) (answer N/A if no prior college attendance)
I have read the conditions of the MTC VA Student Contract and agree to be held responsible as set forth above.
Student Signature Date
MIDLANDSTECH.EDU | PO BOX 2408 | COLUMBIA SC 29202 | 803.738.7615
SD-19-5256V-02-19
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