Veterans Educational Benefits Request Form

Download a blank fillable Veterans Educational Benefits Request Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Veterans Educational Benefits Request Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

VETERANS EDUCATIONAL BENEFITS REQUEST FORM
All students using veterans benefits at GCCC must complete, read and sign this request form before
enrollment will be certified and benefits request can be processed by Veterans Affairs.
First Name: ______________________________________
Last Name: ____________________________________________
Term:
Fall ___ Spring ___ Summer ___
Planned enrollment: Full Time ___
Part Time ___
Year: ______________ Branch of Service: ______________________
Chapter ____________________________________
File Number (Chapter 35 only) ___________
VA File Number ______________________________
GCCC ID Number _____________________
Address ________________________________________ City __________________________ St ______ Zip ____________
Phone _______________________________________________ Email _____________________________________________
Major ________________________________________________
Date of Birth_____________________
Will you receive Tuition Assistance, Grants or Scholarships through GCCC or a third party?
If yes, please list: _________________________________________________________________________________________
Last school attended using VA benefits _______________________________________________________________________
*Note: A ‘Change of Place of Training’ form must be filed with the VA.
Have you received a degree from Garden City Community College? Yes
No
n
n
Do you have college credits from any school other than Garden City Community College? Yes
n
No
n
School Name ________________________________________________ City, St ____________________________________
Degree/hours earned _________________
School Name ________________________________________________ City, St ____________________________________
Degree/hours earned _________________
School Name ________________________________________________ City, St ____________________________________
Degree/hours earned _________________
Please submit all official college transcripts to:
Garden City Community College
Admissions Office
801 Campus Dr
Garden City, KS 67846
*A debt may be posted to your account if you decide to withdraw on or before the first day of a course and funds have already
been received from the VA.
*A new VA Educational Benefits Request Form is required for each semester you want to use your VA benefits. An updated request
is necessary if you add courses to your schedule.
_______I request GCCC to certify my enrollment and submit my request for benefits to the Veterans Affairs Office.
_______I do not wish for GCCC to certify my enrollment and submit to the Veterans Affairs Office.
All the information on this form is true and complete to the best of my knowledge.
______________________________________________________________
________________________________
Signature
Date

ADVERTISEMENT

00 votes

Related Articles

5 Things You Need To Know About The Gi Bill Benefits
Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids

Related forms

Veteran Educational Benefit Request Form - Edinboro University Veteran Educational Benefit Request Form - Edinboro University Legal
Quarterly Veterans Center Benefits Request Form Quarterly Veterans Center Benefits Request Form Legal
Veteran's Certification Request Form Veteran's Certification Request Form Legal
Veterans Educational Benefits Information Sheet Veterans Educational Benefits Information Sheet Legal
Veterans Benefit Request Form - Vbrf Veterans Benefit Request Form - Vbrf Legal
Form Gc-8-29 - Dental Benefits Claim Instructions And Dental Benefits Request Form Form Gc-8-29 - Dental Benefits Claim Instructions And Dental Benefits Request Form Business
Form Gc-10 (2-12) - Vision Benefits Medical Claim Form And Medical Benefits Request Form- Aetna Form Gc-10 (2-12) - Vision Benefits Medical Claim Form And Medical Benefits Request Form- Aetna Business
Veteran Enrollment Certification Request Form - 2016 Veteran Enrollment Certification Request Form - 2016 Business
Form Gc-7 - Aetna Medical Claiand Benefits Request Form Form Gc-7 - Aetna Medical Claiand Benefits Request Form Business
Form Gc-7 (2-12)j - Aetna Medical Claim Form And Benefits Request Form Form Gc-7 (2-12)j - Aetna Medical Claim Form And Benefits Request Form Business

Related Categories

Parent category: Legal
Download
Go