Veteran Center - VA Benefit Form

First Name *

Last Name *

Student ID *

Phone Number *

Email * 🛈

Service Branch? *

New Student or Returning Student? * 🛈

New Student

Returning Student

Submit Certificate of Eligibility (COE) *

GI Bill® Program *

I understand that as a CH35 student the VA will send payment for my tuition and fees directly to me. It is my responsibility to pay the school. Failure to do so will lead to a debt at SJC. *

I acknowledge

Semester and year, you are requesting to use Benefits. *

I acknowledge as a GI Bill® Student I am aware that I must notify the School Certifying Official of any changes in my enrollment status. I am aware that by failing to report changes in enrollment status I am responsible for any overpayments received from the VA and or debt accrued from San Juan College. *

I acknowledge

I acknowledge as a GI Bill® Student I am aware that I must notify the School Certifying Official of any changes in my enrollment status. I am aware that by failing to report changes in enrollment status I am responsible for any overpayments received from the VA and or debt accrued from San Juan College. *

I acknowledge

I acknowledge that I must submit a new Benefits Election Form at the start of every term. The School Certifying Official will not assume that I want to charge the VA for any term. *

I acknowledge

I acknowledge If I choose to charge books through the bookstore I am required to pay off the Balance to the business office. Failing to do so will result in a business office hold. *

I acknowledge

I acknowledge I have read and understand my responsibilities for using my GI Bill® at San Juan College and by entering my name I am signing to authorize the San Juan College Certifying Official to Process and certify my courses with the VA. *

I acknowledge

First Name *

Last Name *

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