Bpcc Va Education Enrollment Form ***please Note*** Page 2

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Please Check the Education Benefits You Are Using at BPCC
Chapter 30 – Montgomery GI Bill
____
____Chapter 31 – VA Vocational Rehabilitation & Training
____Chapter 33 – The Post 9/11 GI Bill (Certificate of Eligibility required)
____Chapter 35 – DEA Dependent’s Education Assistance Program
____Chapter 1606 – Reserve GI Bill
____Chapter 1607 – REAP Reserve GI Bill
____ Check Here - If you receive LA VA Title 29 Tuition and Fee Exemption (Original Certificate Required)
____ Check Here - If you have the Louisiana National Guard Waiver
ACADEMIC ADVISOR SECTION ONLY
ALL CLASSES IN THIS SECTION MUST BE PART OF THE DECLARED CURRICULUM
Please ensure coursework is entered on the computer before this form is turned in to A-138.
Degree of Study
________________________________________________
Course Prefix & Number
Initials
Course Prefix & Number
Initials
***GI BILL WILL NOT PAY FOR ONLINE DEVELOPMENTAL COURSES***
DEVELOPMENTAL COURSEWORK MUST BE TAKEN ON CAMPUS
PLEASE LIST ALL DEVELOPMENTAL COURSEWORK HERE
Course Prefix & Number
Initials
Course Prefix & Number
Initials
ADVISOR COMMENTS
_________________________________________________________________________________________________
_________________________________________________________________________________________
The classes listed above, to the best of my knowledge, are required for completion of the student’s program
of study as specified in the current academic catalog for BPCC.
Academic Advisor’s Signature
______________________________________ Date __________________

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