Fillable VETERANS REGISTRATION FORM (Andrews University)

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VETERANS REGISTRATION FORM (Andrews University)

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The completion of this form authorizes Veterans Services to provide required information and certify your enrollment at AU for a specific semester to the US Department
of Veterans Affairs (DVA), Department of Defense Branches (DOD) or VR&E Counselor (Under Chapters 30, 32, 33, or 35, 31 Title 38, USC or Chapter 1606, 1607 Title 10 USC).
AU ID# Last 4 Digits of Social Security # Email Address
Last/Family Name
First Name
Middle Name
Maiden/Previous Name(s)
Home
Street Address
City
State
Zip/Postal Code
Country
Is this a change of address since the last time you received educational benefits?
☐
Yes
☐
No
Telephone Number
PLEASE CHECK THE APPROPRIATE CATEGORY:
**
☐
Ch 30 Montgomery GI Bill—Active Duty (MGIB) **
☐
Ch 1606 Montgomery GI Bill—Selected Reserve (MGIB-SR)
*
☐
Ch 31 Vocational Rehabilitation
☐
Ch 33 Post—9/11 GI Bill
☐
Ch 32 Veterans Educ. Assistance Program (VEAP)
☐
Tuition Authorization (Branch)
☐
Ch 35 Dependents Educational Assistance (DEA)
Soc Sec/Case # of Survivors/Dependent
**Ch 30 and Ch 1606 —To receive a check, you must verify your school attendance to the DVA at the end of each month.
*Need Authorization from Voc Rehab Counselor, call 1-877-823-2378 (IVR) or go online—www.benefits.va.gov/vocrehab
GUIDELINES:
The dollar amount of your GI Bill Educational Benefit check may be affected by DROPPING or ADDING courses, enrolling in an unauthorized repeat
of a satisfactorily completed course, enrolling in courses not authorized under the general education requirements degree program, and enrolling
in block classes or summer terms with variable dates.
I understand that I must attend class and maintain at least a 2.00 grade point average (GPA) and that it is my responsibility to notify Veterans
Services if
I make a change in my class load.
If first time filling out this form:
» Have you requested your military transcript?
☐
Yes
☐
No
» Have you requested your previous college transcript?
☐
Yes
☐
No
» (GI B
ILL) Have you completed a Change of Place of Training Form 22-1995?
☐
Yes
☐
No
MAJOR/DEGREE PROGRAM: TERM
: Year
☐
Fall
☐
Spring
☐
Summer
Is this the same degree program you had the last term you received benefits?
☐
Yes
☐
No
ACRONYM &
NUMBER
COURSE TITLE
CR
HRS
INSTRUCTOR
R=Repeated*
A=Audit
D=Deficiency
Q=Not Required
*Repeat Policy: The DVA will not pay for the repeat of a satisfactorily completed course.
STATEMENT (Student): “My signature verifies that I understand the guidelines for course registration as printed on both sides of this form.”
STATEMENT (A
dvisor): “My signature verifies that each course listed above is required for this student’s General Education and degree program.
If not, the course is designated as such in the ‘Not Required’ column.”
Student’s signature
Date
Academic Advisor’s signature
Date
DVA Education 1-888-442-4551 Rev 3/2015
www.benefits.va.gov/gibill
20160705
VETERANS REGISTRATION FORM
Course Registration
Guidelines for Veterans
Office of Veterans Services
Andrews University
Administration Building 1st Floor
Phone: 1-269-471-3286
Email: veterans@andrews.edu
Fax: 1-269-471-3228
COURSE APPLICABILITY FOR VA CERTIFICATION
Only credits that apply toward completion of the student’s degree program can be certified for VA purposes. Ex.: If 12
credit hours are certified, all 12 must apply. If a student enrolls for 12 credits but only 9 satisfy degree requirements,
only 9 credits will be certified. There are two exceptions to the rule.
The last semester before graduation, all credit hours taken can be certified if one or more of the credits satisfy a
graduation requirement. Last means last. There is only one last semester.
If a substitution is requested and approved for a degree requirement, VA will allow the substitution.
REPEATING COURSES
Courses that are failed or for which the grade does not meet minimum requirements for graduation may be
certified for VA purposes if they are repeated.
Courses that are successfully completed may not be certified for VA purposes if they are repeated. If students
choose to take additional courses to raise their GPA to graduate, the courses must not have already been
successfully
completed and can only be taken during the last semester.
CREDIT HOURS AND CLASS LOADS DURING ACADEMIC SEMESTER
Andrews University Credit Hours for Class Loads
Program/Level
Full-time 3/4-time 1/2-time
Undergraduate
12+ 9–11 6–8
Graduate
8+ 6–7 4–5
Master of Divinity
9+ 6.75 4.5–6.74
VA TRAINING TIME REQUIREMENTS FOR VA EDUCATIONAL BENEFITS
(Standard Semester Term)*
Undergraduate (Training Time Equivalency)
12 credits or more = Full time
9–11 credits = Three-quarter
6–8 credits = One-half time
4–5 credits = Less than one-half time
1-3 credits = One-quarter time
Graduate
Certified as per AU credit hours time
for class load policy. (See above.)
*Changes in credits are reported to VA only if training time changes according to the above chart.
INDEPENDENT STUDY, REMEDIAL AND DEFICIENCY COURSES
Independent Study, Remedial and deficiency courses are approvable if printed in the current bulletin. Otherwise,
such courses must be approved by the State Approving Agency before they can be certified as part of an approved
degree program. See the benefits coordinator in the AU Veterans Services Office.
Chapters 33, 30, 32, 1606, and 1607: Entitlement is charged for remedial and deficiency training.
Chapter 35: Entitlement is not charged for 5 months of full-time remedial and deficiency training.
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Completed 16 August 2020

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