Fillable Office of Veteran Services Information Sheet (Jackson State Community College)

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Office of Veteran Services Information Sheet (Jackson State Community College)

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Country of origin: US
File type: PDF

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Office of Veteran Services Information Sheet
Jackson, Lexington, Savannah & Paris: Linda Nickell, School Certifying Official (SCO)
Name _____________________________________________________________________
Address ____________________________________________________________________
City/State ___________________________________ Zip Code_______________________
Cell Phone: ____________________________ Home Phone: ________________________
Email: __________________________________________________________________
Student ID (j-number): _____________________ SSN _______________________
and
If using Chapter 35, include Vet’s SSN: _________________________
Veteran Education Benefit (Please check one)
__ Post 9/11 Veterans Educational Assistance Program (Chapter 33) _____%
__ Post 9/11 Transferred Entitlement to Dependents (Chapter 33) ________%
__ Montgomery GI Bill-Active Duty Educational Assistance Program (Chapter 30)
__ Montgomery GI Bill-Selected Reserve Educational Assistance Program (Chapter 1606)
__ Dependents/Survivor Educational Assistance (Chapter 35)
__ Vocational Rehabilitation (Chapter 31)
__ Tuition Assistance
Starting Semester (circle one): Fall Spring Summer
For Veterans Only: I give the JSCC SCO permission to obtain my official JST. _______ (initials)
Declared Major: ______________________________________________________________
List all prior colleges and/or universities you have attended:
By signing below, I certify that I plan to attend Jackson State Community College and that I will
enroll in classes that pertain to the JSCC Degree Plan filed with my SCO. I understand that my
SCO will certify my classes only after I have turned in all required paperwork and only for
courses on the Degree Plan approved for Veteran Educational Benefits. I understand I must
provide official copies of all prior college transcripts and military transcripts before coursework
can be approved for certification. Failure to do so can result in delay in benefits payments. I
also understand that I must report any changes to my class schedule to my SCO.
_________________________________________________________
VETERAN OR DEPENDENT SIGNATURE
__________________
DATE
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Office of Veteran Services Information Sheet (Jackson State Community College)

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Completed 4 February 2021

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