GCC | Veteran Registration Adjustment Form

Veteran Registration Adjustment Form

This form is to report changes to your schedule if you have already submitted certification for this semester. This form is NOT a drop/add form and the submission of this form does NOT make any changes to your schedule. This form only reports schedule changes you have made to the GCC Veteran Affairs office

Contact Information First Name Last Name Student ID

Program Information Program of Study Chapter Term: Fall Spring Summer Year

Mitigating Circumstances for drop/withdrawal

Illness or injury afflicting student during enrollment period

Illness or death in student's immediate family

Unavoidable change in student's conditions of employment

Immediate family or financial obligations beyond student's control which require student to suspend pursuit of program

Discontinuance of course by the school

Unanticipated active military service

Unanticipated difficulties with childcare arrangements

Other

Statement of Understanding/Signature

I understand that any change in enrollment to include dropped classes and grades of W, F, and X may lead to the VA recouping all tuition and housing payments for the class retroactive to the start of the semester.
I understand that VA will hold me responsible for any overpayment of my educational benefits.
I understand that I will be responsbile if any changes result in a debt to the College.

Signature Date