VA Enrollment Certification
Cell Phone Number
Street Address Line 2
State / Province
Postal / Zip Code
Type of student:
First-time TJC student
Continuing Studies/Non-Credit Student - TJC West
Are you confident in your current Major selection?
No, I would like more information from Career Planning
Please indicate which benefits you plan to utilize (select all that apply):
Hazlewood - Veteran
Hazlewood - 100% Disabled Veteran Dependent
Chapter 30 - Montgomery GI Bill
Chapter 31 - Vocational Rehab
Chapter 33 (Veteran) - Post 9/11 GI Bill
Chapter 33 (Dependent)
Chapter 35 (Dependent)
Chapter 1606 - MGIB Selected Reserve
Active Duty Military Tuition Assistance Program (TA)
MyCAA for Active Duty Military Spouses
I am planning to use benefits for (select all that apply):
Have you submitted your FAFSA?
Do you plan on submitting any military transcripts?
Please read and initial each statement:
I will notify the TJC Veterans Affairs Office of any changes in my class schedule.
Courses that are successfully completed with a passing grade may not be re-certified to the VA.
I understand that I can only be certified for classes that are on my degree plan.
I understand I am responsible for any balances due that may not be covered by my approved benefits and am responsible for any payments due by TJC payment deadlines if VA benefits are still processing.
Should be Empty: