| Personal
Information |
| Name (Last, First, Middle) |
|
| VA
Program You Are Eligible For |
|
If you are eligible for CH. 35, you must fill out the
VA File Number below |
| VA File Number |
(Chapter 30, 33, 1606, and 1607 = Student's SSN. Chapter 35 = Veteran's
SSN) |
| Local
Address |
| Street Address |
|
| City |
|
| State |
|
| Zip Code |
|
| Phone (Area Code, Prefix, Number) |
-
- |
| EMail |
|
| School-Related
Information |
| Are you a new student at Miami? |
Yes
No |
Benefits received before at Miami
or another institution? |
Yes
No |
| If you are eligible for the Post-9/11 GI Bill
benefits (CH 33), are you an out-of-state undergraduate student? |
Yes
No
N/A |
| Transfer credits: |
(List only credits being applied to Miami degree.) |
| Class Standing |
|
| Campus |
|
| Degree Objective |
|
| Major |
|
| Expected Graduation Date |
|
| I will attend fall 2009 |
Yes
No |
| Are you attending full time? |
Yes
No |
| If part time, number of credit hours |
|
| I will attend spring 2010 |
Yes
No |
| Are you attending full time? |
Yes
No |
| If part time, number of credits |
|
| Are you repeating any courses? |
Yes
No |
| If yes, which one(s) |
|
| The VA will not pay for a repeated course that you
have previously received credit for, and the VA will not pay for audited
courses that are not a university requirement. |
| Non Standard Enrollment: Please
be aware that if you are taking a course that is not the full length of
the semester or you are taking a sprint course, the actual dates of the
course will be submitted to the VA which could affect your enrollment
status and your pay. For example, if you are taking 9 full semester hours
and a 3 credit hour sprint, you will only be paid for full-time hours
while the sprint course is in session. |
| Advance Pay: Advance pay must be requested
at least 30 days prior to the start of the fall semester. This payment
will be for the months of August and September and will be available in
our office on the first day of the term. The next payment will not be
issued until November. If you are eligible for break pay you must specifically
decline the break pay in order to receive advance pay. Advance pay is
only available for the fall semester. |
| Do you want advance pay? |
Yes
No |
| Change in course enrollment at any time may result
in the retroactive loss of benefits unless the VA finds mitigating circumstances
involved in the change. Loss of benefits may revert back to the first
day of class. Courses added during the drop/add period are considered
by the VA to begin on the day the course was added, not the first day
of semester. |
| I am aware that changes in my registration may
alter the payment the VA will award me. I understand that I will be liable
for any overpayment I may receive from the VA. |
| By typing
my name below, I certify that I have read and understand this document,
and that all statements are true and complete to the best of my knowledge.
|
|
|