VA Education Enrollment Form

University of New Orleans
VA Education Enrollment Form

Semester

Fall

Spring

Summer

Year: 20__

Student Information

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Student ID

Student SSN (LAST 4)

Home Phone

Work Phone

UNO Email Address

Check One Below

Active Duty

Active Duty Spouse

Active Duty Child

Veteran

Veteran Spouse

Veteran Child

LANG

Reserves

THINGS TO KNOW!
**All classes below MUST be in your program of study
**Retaking courses for a better grade are prohibited when using the GI Bill
***Your advisor must sign off on all courses
**2.0 GPA must be maintained***

Program of Study

Campus hrs.

Online/Hybrid hrs.

Re-order	Courses Take for Term	Advisor Initials	Weight	Operations
	Courses Take for Term	Advisor Initials	Item weight

more items

Please check the benefit(s) you are using

Chapter 30- Montgomery GI Bill (Active duty)

Chapter 31- VA Vocational Rehabilitation & Training

Chapter 33- Post 9/11 GI Bill

Chapter 33 Dependent – Post 9/11 GI Bill (Transferred benefits from Veteran)

Chapter 35- DEA Dependent’s Education Assistance Program

VA Claim #____

Chapter 1606- Reserve GI Bill (National Guard and Reserves)

Chapter 1607- REAP Reserve GI Bill

Check here for LA VA Title 29 Tuition and Fee Exemption (Original Cert Required)

Check Here if you are using both Chapter 33 (Post 9/11) and National Guard Tuition Exemption waiver

Check current stat that applies

New Student never used benefits

Continuing Student at UNO (used VA benefits before)

Continuing Student

Transfer Student (Cert of eligibility required)

Visiting Student only

Primary Institution (PI must approve courses for VA benefits)

Graduating Semester (Date of Graduation:)

Please Read Before Signing
I agree to promptly inform the certifying official on any changes in my status. I understand that I will be responsible for any debts I incur from the VA and/or UNO due to changes in my academic information. I understand that the VA does not pay for: more than one degree, minors, course(s) not in my degree curriculum, dropped course(s), course(s) already successfully completed (according to degree curriculum) or any course(s) covered under Academic Renewal/Amnesty, and repeated course(s) for raising GPA I know that unsatisfactory progress (academic probation and suspensions), dropped classes, resignations and non-attendance will be reported to the VA and may cause an overpayment.

Signature

Date