KCC Veteran Educational Benefits Request Form
Name:
First Name
Middle Name (Full)
Last Name
Date of birth:
-
Month
-
Day
Year
Date Picker Icon
KCC I.D. no.:
Address
Street Address
Street Address Line 2
City
State Abbreviation
Zip Code
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Veteran status:
Veteran
Active Duty
Spouse
Dependent
Branch:
Dependent/Spouse only:
Have any other dependents of this veteran used his/her benefits before you?
No
Yes
If yes, how many?
CHAPTER
Chapter Selection
III. Veteran Grant
III. National Guard Grant
MIA/POW
CH 31/19 (Voc. Rehab)
Post 9/11-CH 33
CH 30 (GI Bill)
CH 1606 (Guard & Reserve)
CH 1607/REAP
CH 35 (Dependents)
CERTIFICATION PERIOD
TERM
Please answer only if using Federal VA Benefits (CH 30, CH 33, CH 1606, CH 1607, CH 35):
Current degree/major (from the KCC catalog):
**If this is a change of major from your last semester using your GI Bill or you are a new student, you will need to complete a VA Change of Training/Program form.
I hereby certify that all statements are true and complete to the best of my knowledge and belief:
I authorize release of school and testing records to the VA and Illinois Student Assistance Commission for use in advising me and supervising my program of education and training.
If I stop attending classes and/or earn a failing grade, the school is required to report the last date of attendance to the VA and I may owe the VA if the grade was not earned.
I will only be certified for classes that are required for the above stated degree.
I cannot receive payment for audited classes or repeated classes with a grade of D or better, unless it is for graduation requirements.
Registering prior to completion of the official evaluation of high school, college, and/or military transcripts may have financial implications, including requirement to return VA funds for which I have previously received credit.
I am held to the same Academic Standing requirements as all students at KCC.
I am responsible for notifying the Office of Financial Aid within two weeks of ANY changes in my program/curriculum and semester hours enrolled.
Non-compliance with school and VA regulations may result in an overpayment which I understand that I must repay.
I must request certification of benefits each semester.
Post 9/11 Chapter 33 benefit recipients: The housing allowance is paid if the student's rate of pursuit is more than 50%. Individuals only enrolled in distance learning courses will be eligible for a monthly housing allowance equal to 50%. The applicable Basic Allowance for Housing rate will be multiplied by the rate of pursuit, rounded to the nearest multiple of 10.
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Veteran Educational Benefits Request Form
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