GI Bill Certification Form

Name:

Email:

Student ID:

Phone:

I am (check all that apply)

Veteran

Active-duty Service Member

Reservist/National Guard

Dependent

Benefit Chapter:

Will you be using the Hazelwood Act with your VA education benefit (Texas veterans)? :

Yes

No

Are the courses for an OC degree or certificate?:

Yes

No

Yes, name of degree/certificate or No, name of institution you plan to transfer to:

Courses not listed on an OC degree plan will require a Parent Institution Letter from the granting institutions’ certifying official before enrollment can be submitted to the VA.

Reason for submitting this form. (check all that apply):

New Enrollment

Schedule Change

Course(s) Cancelled

Drop/Withdraw

Terms of enrollment. Check all that apply. Along with year. Check boxes for terms. 4 digits for year.:

Fall 

Midwinter 

Spring 

Maymester 

Summer I 

Summer II 

I understand that the above information is true and agree to comply with the policies of implemented by Odessa College and the OC Veteran Affairs Office as stated in the OC Veterans Handbook. I also agree to pay any amount that the VA does not cover (schedule change fees, late registration fees,third attempt fees, and any other amounts VA will not pay). I agree to follow the attendance policies for the courses I enroll in set by the faculty and Odessa College and will notify the OC Veterans Affairs Office if I drop, withdraw, change my degree plan, address, email,or phone number.

By submitting the Submit Box, I agree to the above.