Tusculum College VA Certification Request

Please fill out this form to request certification of courses to the Department of Veteran’s Affairs (VA). Be aware that all information given is for certification purposes only. This form is not a substitute for submitting registration, schedule change or change of major forms. You are still responsible for submitting these documents to the Registrar’s Office and notifying the School Certifying Official by submitting a Certification Request Form. This form is to be submitted to a School Certifying Official no later than one month before the start of the term for which the certification is being requested to avoid any payment delays.

Name	Student ID number

Chapter/ Chapter 33 %	File Number

Major (s)	Minor	Catalog Year

Classification (Freshman, Sophomore, etc.)	Anticipated Graduation

*You may attach a copy of your schedule indicating if each course applies to your major/minor/Gen Ed in lieu of filling in the below table

Course and Section	Begin Date	End Date	Applies to Major/ Minor/ Gen. Ed.

VA Student Policy Basics

You must submit a copy of your initial letter of eligibility and DD214 before any courses will be certified

Major must be declared by junior year

All courses certified to the VA must be applicable to your officially declared degree/program of study (Either specific required courses or electives to reach the required number of hours for graduation not accounted for with your major).

Only exception is your final semester in which you may take electives to reach full time status

Dropping a course may result in a balance owed to Tusculum College and/or the VA

If dropped after the first day of class, it may create a debt owed to the VA

Dropping below full-time will affect how much the VA pays

Failing a course due to non-attendance is required to be reported to the VA and may result in a debt to the VA

VA does not pay during breaks, you will only receive benefits during days that you are in a course for the training time or rate of pursuit as processed by the VA

Any courses unnecessarily repeated (original grade met degree requirements) cannot be certified to the VA

All previously attempted credit must be submitted to Tusculum College for review

Credits given up for academic forgiveness still must be factored in for VA purposes

Scholarships designated for tuition and fees only will be deducted from the tuition amount submitted to the VA for students using Chapter 33 benefits.

If you take courses at another institution while a student at Tusculum College, you must contact the SCO to receive approval prior to registering

Any remedial course taken through distance learning cannot be certified to the VA

If Chapter 33 and living on campus, room and board charges cannot be billed to the VA as tuition and fees. However, the housing allowance issued to you may be used to cover this cost.

If chapter 33, you will only receive your housing allowance for dates in which you are in a class and that your rate of pursuit is processed by the VA as >50%

If chapter 33 and taking online courses, during dates in which you are only registered for a distance learning course your housing allowance will be paid as half the value of the national average

You are responsible for any remaining balance with Tusculum College not covered by the VA.

Course attendance is required, last dates of attendance may be reported to the VA and could result in a debt

Non-punitive grades, such as W and E, are reported to the VA and may result in a debt

I understand that signing this form that I am requesting my applicable courses to be submitted to the VA for the _____________ semester once my registration has been processed. I also understand that if any changes are made to my schedule that I must submit a new certification request form along with the registration and that failure to do so may result in a balance owed to the Department of Veteran’s Affairs and/or Tusculum College for which I am responsible. I also certify that I have read and understood the VA Policies as summarized on this form.

JS 8/1/2016 Signature	Date