Fillable Va Student Responsibility Form - Chapman University (Page 2 of 2) in pdf

Student Veteran Responsibilities

APPROVED COURSES: You must register for courses that are required for your academic and degree program. The Veterans

Administration (VA) only pays benefits for those courses that are part of an approved degree program, and that have not been

previously and successfully completed. Please refer to your program evaluation and/or contact the Chapman University Advising

Center or your major advisor to be sure the classes you are taking will apply towards your major and degree.

SCHEDULE ADJUSTMENTS: You have until the add/drop deadline to make adjustments to your academic schedule. Changes in

enrollment after the last day to drop and add courses may result in the retroactive loss of benefits unless the VA finds mitigating

circumstances involved in the change. Loss of benefits could revert back to the first day of class.

CHANGE IN MAJOR: If, at a later date, you wish to change your academic program, you must complete a Change of Major form.

Be sure to alert the Chapman University VA Certifying Officer (va@chapman.edu)

WITHDRAWAL FROM A COURSE: You must report a withdrawal (“W”) from a course to the VA Certifying Officer immediately.

VA payment is based on academic progress so you must be enrolled and successfully completing your courses to be eligible for VA

benefits. All withdrawals will be retroactively reported to the VA and may result in the retroactive loss of benefits unless the VA

finds mitigating circumstances involved in the change. Loss of benefits could revert back to the first day of class.

CHANGE IN ENROLLMENT: Federal law requires you to report any change in your enrollment status that might affect your VA

education benefits. It is your responsibility to notify the VA Certifying Officer located in the University Registrar’s Office of any

changes in your status. This includes alterations to class schedule, change of major and change of address. Changes should be

reported promptly to avoid delay in payments or possible overpayments.

REFUNDS: Refunds will be processed in accordance with published Chapman University’s policy and will be refunded directly to

the issuer of payment.

Acknowledgement of Responsibilities

☑ I am aware I will be financially responsible for payment of fees not covered by the VA.

☑ I am responsible for all VA debts resulting from reductions or termination of enrollment, even if the payment was

directly submitted on my behalf.

☑ I am aware that changes in my registration may alter the payment the VA will award me.

☑ I am aware that any applicable refunds will be processed in accordance with published Chapman University policy,

and will be submitted directly to the issuer of payment.

I request to be certified to receive my VA benefits beginning:

Term (Fall, Spring, Summer)

Year

Student’s Signature: _________________________________________________________

Date:_______________________

Student’s Full Legal Name:____________________________________________________

To submit this form, please e-mail it as an attachment to va@chapman.edu.

Va Student Responsibility Form - Chapman University Page 2