Student’s Last Name
Home Phone
VETERAN ENROLLMENT CERTIFICATION REQUEST
First Student ID#: 855
Cell Phone
Street Address
City State Zip Code
Term of Enrollment: Year:
PLEASE CHECK ALL THAT APPLIES TO YOU:
National Guard Waiver
(Copy of National Guard Commander’s Certificate is needed)
Iraq/Afghanistan Waiver
Veteran Deferment Form
Veteran Deferment Room and Board
Signature: Date:
Please review the following information and initial by each:
_____ National Guard and Iraq/Afghanistan waiver applicants must apply and complete the process for federal financial aid (FAFSA) and provide proof of filing. This application can be completed online.
_____ I understand that I am responsible for notifying my school’s certifying official of each semester that I enroll in classes and of any adjustments in enrollment to avoid a possible VA overpayment.
_____ I am also aware that I must fill out this form prior to the beginning of each semester.
FOR OFFICE USE ONLY:
________Date Submitted Approved by ____________________ Date Approved ______________