Fillable Suny Cobleskill Veteran Student Status Form printable pdf download

Veteran Student Status Form

Last Name

First Name

M.I

VA File Number

SUNY Cobleskill I.D.

VA Educational Entitlement

(Select One)

Chapter 31

What is your mailing address?

What is your phone number?

What is your email address?

What is your Major?

How many credits will you be taking?

Last College Attended?

Last Semester attended (semester/year)?

Did you collect VA Educational benefits at that institution (select one)?

YES

If Yes, please submit form VA 22-1995

STATEMENT OF UNDERSTANDING FOR RECEIPT OF VETERANS EDUCATIONAL BENEFITS

As a Veteran, Active Duty Service Member, a Veteran's spouse or dependent receiving educational assistance from the Veterans

Administration, I understand that I am required to COMPLETE and SUBMIT a SUNY Cobleskill Student Status Form at least

10 business days before each semester in order to receive VA educational entitlements AND during the semester if any of the

following enrollment changes occur:

I am required to notify in writing the SUNY Cobleskill Certification Officer within 10 business days if I change my credit hours

•

(add or drop classes) _____________ (student’s initial)

I am required to notify in writing the SUNY Cobleskill Certification Officer if I am repeating a course that I have already earned

•

a letter grade for _____________ (student’s initial)

I am required to notify in writing the SUNY Cobleskill Certification Officer within 10 business days if I stop attending class

•

_____________ (student’s initial)

I am required to notify in writing the SUNY Cobleskill Certification Officer within 10 business days if I change my major

•

_____________ (student’s initial)

I am required to notify in writing the SUNY Cobleskill Certification Officer within 10 business days if my mailing address, phone

•

number, or email address changes _____________ (student’s initial)

I am responsible for all debts that I incur and must be repaid to the Department of Veterans Affairs. ____________(student’s initial)

•

I UNDERSTAND THAT IF I FAIL TO COMPLY WITH THE ABOVE REQUIREMENTS IT CAN RESULT IN AN

OVERPAYMENT, AND/OR UNDERPAYMENT, AND/OR NONPAYMENT OF BENEFITS.

Please note that this form can be emailed to Rebecca Burton, SUNY Cobleskill Certifying Official at

financialaid@cobleskill.edu

and/or faxed to us at (518) 255-5844. In order for Chapter 30, 1606 and 1607 payments to be released, you must also verify attendance

with the VA starting the last day of the month. You will need to either call the IVR (interactive voice response) system or access the WAVE

(web automated verification of enrollment). Access is available 24/7 at: IVR 1-877-823-2378 or WAVE

I hereby certify that I have read, initialed, and fully understand the requirements outlined above.

If submitting electronically, please print your name. Your printed name will serve as your signature for certification purposes.

Signature

Date

Please remember that this form is for YOUR protection, so it is important that you provide

*PLEASE KEEP A COPY FOR YOUR RECORDS*

timely and accurate information regarding your enrollment status.

•The State University of New York at Cobleskill, Financial Aid Office, PHONE (518) 255-5623 • FAX (518) 255-5844 • EMAIL

financialaid@cobleskill.edu

•

Suny Cobleskill Veteran Student Status Form

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