Veteran Benefits: VA Enrollment Form
You must be enrolled in courses for the semester before completing this form. If you are registered for more than one term (i.e. Summer & Fall), please make a separate submission for each semester for which you have already registered (i.e. Spring/Summer, etc.).

If you do not click Continue or Move to Draft within 2 hours, your data will be lost.

If you do not click Continue or Move to Draft before the timer expires, your data will be lost.
Fields with * are required.
Register for classes BEFORE you submit this form
Please check the box below to indicate that you have read and understand this process
VA Enrollment Process Information
Last Name
First Name
Student ID number (beginning with "0")
Date of Birth
Preferred Contact Number
Preferred e-mail address
Accountability Statement
It is the responsibility of the student to make sure that they are enrolled a VA approved program.
VA Chapter Benefit information
Which benefit chapter do you receive?
Information for Chapter(s) 30, 33, 35, 1606 and 1607:
Go to the e-benefits website to obtain a copy of your Statement of Benefits
Have you already submitted a copy of your COE to the college?
You can submit your COE here:
Information for Chapter 31:
Program Information
Degree/Certificate Program
Enter your total credit hours
Are you graduating this semester?
Do you plan to receive any other form of tution assistance (scholarships) or a tuition waiver?
If yes choose one below
How much do you expect to receive?
Please read and click the box to indicate that you understand the statement