VA New Student Form

Veterans Education & Training Services: New Student Form

Student Information

Your Name(Required)

First Middle Initial Last

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

SSN(Required)

DOB:(Required)

Email(Required)

Phone(Required)

Intended Major

VA Information

Have you ever applied for VA education benefits?(Required)

Yes

If NO:

Please Complete an application for benefits VA Form 22-1990 at https://www.va.gov/education or 1-888-442-4551

If YES: Choose One

If Chapter 35 (Dependent): Name + SSN of Veteran

If Other: Please provide

Have you ever used VA education at another educational institution?(Required)

Yes

If YES: Please list the institution(s)

Are you currently on active duty?(Required)

Yes

Required Forms and Documentation: The items below MUST be on file with the VA SCO BEFORE benefits can be certified:

♦♦♦ Certificate of Eligibility (received after applying for benefits — reference question #1 above) *♦* Application for Admissions ♦♦♦ Official High School transcript or GED Certificate if applicable *♦* Official transcripts from ALL post-secondary educational institutions previously attended ♦♦♦ For more information about benefits including housing allowance, book stipend, etc., visit the GI Bill website at: https://www.benefits.va.gov/gibill/

Register for the Correct Classes

Classes outside your major cannot be certified Classes (with a passing grade) cannot be certified if repeated Audited classes, independent study classes, credit by exam, classes for which transfer credit has been awarded, or any other classes not counting toward graduation cannot be certified

Enrollment Status

For normal Fall and Spring terms, full time VA benefits will be paid if enrolled in 12 or more credit hours. For Summer terms or any other non-standard term, the VA will compute payments based on hours and term length

Attending Classes

You must attend class to receive VA education benefits. It is your responsibility to immediately notify the SCO if you add or drop a class, withdraw from school, or stop attending for any reason. Students may be responsible for overpayments resulting from any of the above listed changes.

Satisfactory Academic Progress (SAP)

You must meet the SAU and NC State Approving Agency standards of progress, meaning you must maintain a cumulative GPA of 2.0 or higher. You may not certify for VA benefits beyond two consecutive terms while below standards of progress. If you have extenuating circumstances, you may have the option to appeal.

Changing Majors

If you change your program you must complete a program change form through the VA and notify your SCO. Failure to do so could delay your benefits.

Tuition

The Department of Veteran Affairs will make payments of education benefits directly to you if you have entitlement. NOTE: Chapters 33 and 31 may be exceptions.

Graduation

Students are required to notify the SCO at the beginning of the term they intend to graduate. If needed, students may “round out” their final term and take a class outside of their major to be considered full time.

SAU Student ID (If applicable)

E-Signature(Required)