Veterans Benefit Request Form - Vbrf (Page 2 of 2) in pdf

U N I V E R S I T Y O F C A L I F O R N I A , S A N T A B A R B A R A

FFICE OF

INANCIAL

ID AND

CHOLARSHIPS

2 1 0 1 S A A S B , S A N T A B A R B A R A , C A 9 3 1 0 6 - 3 1 8 0 T E L E P H O N E ( 8 0 5 ) 8 9 3 - 2 4 3 2

VA Benefits: Academic Advisor Approval Form - AAA

This form is required for any student requesting enrollment certification of Veteran Educational Benefits, along with the Veteran Benefit

Request Form (VBRF) for every quarter you wish to receive VA Benefits. You, the student, must complete the course schedule below and have it

approved and signed by an academic advisor in your department or college. This is to verify that units you are requesting to be certified for with

the Department of Veteran Affairs will apply towards your degree/major/minor requirements.

All students must notify the VA Certifying Official in the Office Of Financial Aid and Scholarships if ANY of your courses change or if you

withdraw and/or apply for an incomplete (or extension for “I” grades) in any course. All students must further understand that any “NP” or

other “non-punitive” grade(s) received will be reported to the VA and the student will be responsible for any overpayment/debt this may cause.

A. Student Information

Name

Perm Number

Email Address

Phone Number

*If this is a proposed schedule and/or there are ANY changes in your enrollment at any time, please submit an updated and signed AAA form.

Failure to do so may result in delays of certifications for future quarters.

*Is this a revision to a previously submitted course schedule for the term?

Yes / No

B. Term, Course and Major Information

Quarter:

FALL 20________

WINTER 20________

SPRING 20________

SUMMER 20________

Does this Course Fulfill:

Online

Summer

Course Number

Course Title

Units

(major, minor, GE, other)

Y/N

Session

TOTAL UNITS: __________

Current Major: __________________________________

Has your major changed in the past year: _____________

C. To Be Completed by Advisor or Department



This student is requesting certification of Veteran Educational Benefits for courses taken at UCSB. Prior to certification,

the courses must be verified by the major department and/or academic advising. Your signature verifies that the above

courses are applicable toward the DEGREE, MAJOR/MINOR, AND/OR GRADUATION REQUIREMENTS for the above

student.



If you have reviewed the above schedule and confirm that ALL of the above units are contributing to the student’s degree

requirements, please sign below.

Advisor Signature

Date

Advisor name and Department (please print)

Extension

Return this completed form to:

UCSB Office of Financial Aid and Scholarships, Attn: VA Certifying Official, 2101 SAASB, Santa Barbara, CA 93106-3180

Or fax to 805-893-8793

Phone: 805-893-8905 or Email:

VeteransBenefits@sa.ucsb.edu

Veterans Benefit Request Form - Vbrf Page 2

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