| 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, 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 |
| Transfer credits: |
(List only credits being applied to Miami degree.) |
| Class Standing |
|
| Campus |
|
| Degree Objective |
|
| Major |
|
| Expected Graduation Date |
|
| Number of credit hours for Summer 2009 |
|
| 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. |
| 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.
|
|
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