Veteran Registration Certification Form
Contact Information
 
Program Information Yes No

Fall
Spring
Summer

Yes No
Before submitting this form, you must:
  • Apply online using va.gov (https://www.va.gov/education/how-to-apply/) if this is your first time using GIBill® benefits. Provide proof of application or a copy of your Certificate of Eligibility.
  • Be registered for classes.
  • Review your degree to ensure all coursework applies to your degree. Contact your advisor if you have any questions about course applicability. Only applicable coursework will be certifiedforVABenefits.
Transfer and Re-Entry Students only:
 
Benefit Information Active Duty Veteran Spouse Dependent
Yes No
(Eligible Service members utilizing TA, must receive approval from an Educational Services Officer, or Counselor, within the Military Service prior to enrolling and email TA authorization to vservices@germanna.edu.)
Select Applicable Benefit(s):
(Must have form of payment in place, i.e. pay out-of-pocket, payment plan, financial aid, etc.)
(VRE Counselor must submit Purchase Order)
(Must verify enrollment each month)
(1st semester ONLY): Best Phone # to Contact to Obtain File #) (If only using Chapter 35, must have form of payment in place, i.e. pay out-of-pocket, payment plan, financial aid, etc.)
Must submit enrollment in myVMSDEP portal each semester to prevent classes from being dropped
 
Course Information
 
Yes No
 
Yes No
 
Yes No
 
Yes No
 
Yes No
 
Yes No
 
Acknowledgement Information
 
Statement of Understanding/Signature
I have read the information contained in this form, and accept responsibility for repayment to Germanna and/or VA if required. I understand the Terms and Conditions, and acknowledge that the information I have provided here is correct.