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VETERAN EDUCATION BENEFITS ENROLLMENT INFORMATION (White Mountains Community College)

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VETERAN EDUCATION BENEFITS ENROLLMENT INFORMATION
*Be sure to keep your address up to date with our offices & the VA. Use the WAVE to change your address with the VA
You must complete this form for every semester you want your credits certified.
STUDENT
ID #
A
OR
SSN
NAME:
EMAIL:
(WMCC email acct.)
MAILING ADDRESS
PHONE NUMBERS
Street or PO Box:
Primary Phone:
City, State, Zip:
Secondary Phone:
Current Program Major:
q Degree
q Certificate
Number of credits for current semester
I certify that all of these courses apply to my program of study.
Please certify me for the
q
Fall Semester
q
Spring Semester
q
Summer Semester
Year
Student Signature:
Date:
Rev. 2-2014
PLEASE PRINT – Complete all information requested below
Registrar’s*Office*
2020*Riversi d e *Drive*-*Berlin,*NH**03570*
Fax:**(603)*752-6335*
*
My signature below indicates that I understand I’m allowing the release of grades or any other information to the
Department of Veterans Affairs, National Guard, funding agencies or representatives of these agencies.
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VETERAN EDUCATION BENEFITS ENROLLMENT INFORMATION (White Mountains Community College)

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Completed 29 January 2021

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