Vocational Rehabilitation Form/chapter 31 Benefits

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Vocational Rehabilitation/Chapter 31 Benefits
Name
Student ID#
Last
First
MI
Please initial each statement:
_____ You are required to submit VA Form 1905 from your VA Advisor to our office.
_____ You must contact Cindy Rossbach, Office of Student Accounts, at 937-229-4111 about your Book Voucher.
_____ You are required to sign up for certification each semester via the provided online form, in order to certify your enrollment each
term.
_____ You must submit copies of transcripts from previous institutions to verify transfer credits.
_____ All courses you register for must be required for your program of study or elective requirements. You will be responsible for any
tuition and fees for any course not applicable toward your degree program. If you are not sure whether a course will meet a
degree or elective requirement, please ask your academic advisor before registering for the course.
_____ You may retake a course if you failed the course with a grade of F. VA benefits will not cover a retake of a course with a grade
of D or higher unless your degree requires a higher grade. The UD Veterans Services Office needs confirmation that you
earned the F from your instructor.
_____ You are required to notify this office and complete
VA Form 22-1995
if you change your program of study. Your certification
status will be considered inaccurate until completed.
_____ You are required to notify this office any time you add or drop courses. Failure to do so will result in incorrect payment and/or a
debt to the VA.
_____ The following grades and academic status can impact your benefits:
X – Audit; No credit awarded
U - Unsatisfactory; no credit awarded
NC - No credit awarded
No Progress
I – Incomplete
Academic Probation
N – No grade reported
Academic Dismissal
W – Withdrawal
Signature
I, ____________________________,
have reviewed and agree to adhere to the information explained on this document
(print name)
and I have been given the opportunity to ask any questions regarding this information.
___________________________________________________________
________________________________
Signature
Date
Veterans Services | Flyer Student Services
300 College Park
St Mary’s, Room 108
Dayton, Ohio 45469-1601
Phone: (937) 229-4311/Fax: (937) 229-4338/Email: vetservices@udayton.edu

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