Veteran Services Attendance Form

Please complete this form for each semester of attendance. This does not replace the Veteran Student Orientation where the office provides unique face-to-face guidance and gathers additional information for certification.

Section A: Student Information

Name

Student ID

Email

To which term will the benefit be applied?

Section B: Statement of Understanding (All Students Must Complete this)

I have requested the Niagara County Community College process my VA benefits in accordance to the rules and regulations that govern the VA Education Benefit Programs. Check the box to indicate that you have read, understand and agree to the following:

I understand that VA Education Benefits Certification Form must be completed by the first day of each term that you wish to receive benefits. Failure to comply may adversely affect processing your benefits.
I agree to report my registration status for each semester that I receive benefits.
I understand that any change in registration may adversely affect my benefits.
I understand that I must be enrolled in an approved program of study that leads to a degree or certificate.
I understand that only degree-applicable courses: courses that count towards my major are eligible to be covered by my VA benefits.
I understand that my benefits will not cover courses previously passed at NCCC or another institution.
I am responsible for paying any charges not covered by benefits (I.e. digital course materials).

I understand that if I fail to comply with the above requirements, it may negatively impact my eligibility and could result in an overpayment or underpayment of benefits. Any overpayment becomes a debt incurred by me and must be repaid to the Department of Veterans Affairs in full before any future benefits are paid.

Signature

Today's Date

(Digital Signature)

GI Bill® is a registered trademark of the U.S. Department of Veterans Affairs (VA). More information about education benefits offered by VA is available at the official U.S. government Web site at https://www.benefits.va.gov/bill.