VETERANS RECERTIFICATION WORKSHEET
This form requires Javascript to be enabled for submission and authorization.
*
Required
1801 N Cottonwood Iola, KS 66749
Phone: 620.365.5116 ext.6291
Fax: 620.365.7403
Name
*
required
First Name
Last Name
Email Address
*
required
Phone Number
*
required
Address 1
*
required
Address 2
City
*
required
State
*
required
Zip
*
required
Please select which benefit you plan to use:
*
required
CHPT 30 M Montgomery GI Bill (MGIB)
CHPT 33 Post 9/11 GI Bill
CHPT 1606 MGIB for Select Reserve
CHPT 31 Veteran Readiness & Employment (VR&A)
CHPT 35 Dependent's Education Assistance (DEA)
Unknown
What Semester do you plan to enroll at Allen in?
*
required
SUMMER
FALL
SPRING
Of what year?
*
required
What do you request to be certified to the VA as?
*
required
Allen Degree/Certificate Student
Guest Student
Please list Program Degree/Certificate
*
required
Please List Parent School
*
required
To be certified, you must request a "PARENT SCHOOL LETTER" be sent to Allen Veterans Services.
Changes to your course schedule OR enrollment in classes outside your current compliance agreement, repeating successfully completed classes, or enrolling in short-term classes, may result in the VA determining an overpayment in your benefit - all overpayments are the responsibility of the benefit recipient.
You must attend class and make satisfactory academic progress as defined in the ACC Student Handbook.
You must submit a Veterans Recertification Worksheet to the ACC Veteran Services office to have subsequent semester enrollments certified to the VA.
Prior credit from all previous colleges, as well as your DD214, must be evaluated and credited toward your degree/certificate requirements.
If you change your ACC degree/certificate intent, you must notify the ACC Veteran Services office and complete a new Compliance Agreement.
The ACC VA Office corresponds via the ACC student email system. It is your responsibility to check your ACC student email account.
Terms of Service
*
required
By submitting this form I state that I have provided accurate information, have read and understand the above statements, and agree to comply with all VA guidelines
Submit