Military Student Intent for Certification Form

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‘‘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/gibill.”

This form is a tool for us to stay connected. It helps you remember some of the big ticket items the VA will and won’t pay for and it helps the School Certifying Official (SCO) know what you want done with your education benefits. We are here to serve you to the best of our ability, but teamwork is helpful. Important: By submitting this form you agree that Grace College and Theological Seminary will not share the information with the applicant without your express permission.

Name*
First Name Last Name
Email*
Applicable Semester*
- Fall
- Spring
- Summer
Applicable Year*
What benefit are you using for this term?*
Are there any changes to your program of study (e.g. major/minor changes, Undergrad to Grad)?*
If yes, please write in your NEW major(s), minor(s), or program(s) of study.
To the best of your knowledge, are any of these courses NOT a part of your degree completion program? If yes, please notify the SCO to see what impacts there might be to your benefits.*
Are you doing a required internship, practicum, or other course, which required hourly work? If yes, please contact the SCO.
Are you a Graduate or Seminary students taking less than 6 credit hours? If yes, please contact the SCO.
Are there any changes to your contact information or personal information?*
If yes, please write in your updated contact information.
Will your benefits expire this semester? If yes or unsure, please contact the SCO to estimate your out-of-pocket expenses.*
Are there any changes to your COE? If yes, please contact the SCO to make sure we have what we need to certify you correctly. Changes do your COE can occur after submitting another DD214.*
Are you changing which benefit chapter you want to use this semester (e.g. Chapter 31 Vocational Rehabilitation to Chapter 33 Post-9/11 GI Bill)? If yes, please contact the SCO to discuss the impacts.*
Are you graduating after completing this semester? If yes, you may enroll up to full-time status even though all courses may not be required for degree completion.*
Fowarding Address
If you have any comments or special considerations for the SCO please write them in this block.
PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING: I understand that I am ultimately responsible for tuition and fees. VA payments will be made according to current VA policy. I understand that I will receive benefits only for courses applying towards my program of study. Courses not listed as a requirement for program completion will not be certified and I will not receive benefits for them. I understand that the VA determines my rate of pursuit (full time vs part time) and this may impact funds distributed. For example, if you pursue at less than half time your BAH may be withheld. I understand that any change in status (dropping/adding courses, withdrawing courses, address and phone number changes, etc), must be reported immediately to the SCO. Changes in enrollment after certification may result in an underpayment or overpayment of benefits. The best thing to do is discuss the impact of schedule changes with the Financial Aid Office and SCO BEFORE making the changes. I understand that after prior credit has been evaluated (military transcripts/prior college), any credit awarded for class(es) that I’m currently enrolled and certified for by the VA will be decertified, which may result in an overpayment of benefits. I understand that I am liable for any overpayment(s) that I might receive from the VA. I understand that any unsatisfactory progress will be reported to the DOD/VA. Some DOD programs require at least a B minimum. I understand that I must complete this form for EVERY SEMESTER I wish to receive VA educational benefits. Failure to complete this form as soon as I have finalized my enrollment for the indicated term may cause a delay in my benefits.*
- I hereby certify that all statements I have made on this form are true and complete to the best of my knowledge

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