Fillable Wharton County Junior College (Wharton County Junior College)

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Wharton County Junior College (Wharton County Junior College)

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Country of origin: US
File type: PDF

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Wharton County Junior College
REQUEST FOR VETERAN CERTIFICATION
FALL SPRING MINI SUMMER Year_________
Last Name:
First Name:
Student I.D:
SSN:
Address:
Branch of Service: Army Navy Air Force Marine Corps
Coast Guard National Guard NA
WCJC Student email: All correspondence will be in WCJC student email.
Phone:
Major:
New WCJC VA Student: Y N
New WCJC Hazlewood : Y N
Guest Student: Y N
Name of Parent Institution (if applicable):
CHECK BENEFIT REQUESTED
CH. 30-MGIB®______% CH.31-VRE CH. 33- Post 911®______% CH. 1606
CH. 35-DEA – FILE # (MUST COMPLETE) ______________________________
HAZLEWOOD VETERAN______% HAZLEWOOD LEGACY: ______%
HAZLEWOOD DEPENDENT/SPOUSE (family member(s) of 100% disabled Veteran) ________%
Read and initial each item:
It is my responsibility to complete a “Request for VA Certification” each semester I wish
to use my VA / Hazlewood Benefits at WCJC
_____
The VA will only pay for classes on my degree plan. If I change my major I will notify the
School Veteran Official before doing so.
_____
_____ If I change my schedule, drop, withdraw, etc., I must contact the School Veteran Official
immediately: veterans@wcjc.edu.
By signing this form, I acknowledge I have read and understand the above statements.
Signature: _____________________________________ Date: _____________________
Form can be scanned and submitted to veterans@wcjc.edu or turned in at any WCJC Financial Aid Office.
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Wharton County Junior College (Wharton County Junior College)

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Completed 8 October 2020

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