Veteran Benefits Form - Gordon State College printable pdf download

Gordon College

Office of the Registrar

VETERAN BENEFITS FORM

419 College Drive

Barnesville, GA 30204

Personal Information

Last Name

First Name

Social Security Number

Street Address

Apt/Suite #

City

State

Zip Code

Home Phone #

Cell Phone #

Email Address

GCID (If Known)

VA File # (Ch. 35 Only)

Degree Type (AA, AS, BS, etc.)

Program Type (Psychology, Nursing, Business, etc.)

Term of Enrollment:

____Fall

____Spring

____Summer

Year: ____________________

Check One

____I have submitted my VONAPP (Veteran’s Online Application) online.

____I have NOT submitted my VONAPP online, but plan to do so in the near future.

____I have NOT submitted my VONAPP online, but I have attached one of the following VA forms:

Veteran or Reservist: VA Form 22-1990 (Applying for the first time) OR VA Form 22-1995 (Transfer Students)

Dependent or Spouse: VA Form 22-5490 (Applying for the first time) OR VA Form 22-5495(Transfer Students)

Check One

___Chapter 30 (MGIB Active Duty)

___Chapter 1606 (MGIB Reserves) ___Chapter 1607 (REAP)

___Chapter 33 (Post 9/11)

___Chapter 31(Voc. Rehab)

___Chapter 35(Survivor & Dependents)

Have you ever used your VA benefits at another school?

___Yes

___No

If you answered Yes, please complete and attach the Request for Change of Program or Place of Training (VA Form 22-1995 for

Veteran/Reservist OR VA Form 22-5495 for Dependent/Spouse).

Check One

I am the ____1

____2

____3

dependent under Ch. 35 to use benefits.

I am the ____spouse of a veteran.

VA File Number (Required for Chapter 35 ONLY) ______________________________

Please review the following information and initial by each:

Initials

I understand that….

In order to receive VA Benefits, You MUST DECLARE A MAJOR and have official acceptance to Gordon College. This

major must correspond with the major listed on your application for Veteran Benefits

If you wish to change your education objective, you MUST submit a request for a Major Change with the Registrar’s Office

at Gordon College.

Credit for prior training is required; therefore all students requesting VA Benefits MUST have official transcripts submitted

to the school and have them evaluated.

Every semester you register and choose to use VA benefits YOU ARE RESPONSIBLE for paying your tuition and fees

(Except Chapter 31 and Chapter 33 with the right documentation)

You MUST take courses that are in your approved major at Gordon College. If you are taking classes outside of your major,

your enrollment will be reduced and your payments may be affected.

All Chapter 30, 1606 and 1607 Veterans are responsible for verifying their enrollment at the end of every month. You can

verify your enrollment at 1-877-823-2378 or via internet at , and click on WAVE.

I understand that I am responsible for notifying my schools Certifying Official of each semester that I enroll in classes and

of any adjustments (increase or decrease in hours) in enrollment.

Signature___________________________________________________ Date___________________________________

Veteran Benefits Form - Gordon State College

Related Articles

Related forms

Related Categories