Office of Student Financial Aid
Veterans Affairs
Western Kentucky University
Bowling Green, KY 42101 |
Certification Request Form |
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Name:
(Last name, first name)
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Chapter:
Dependents:
(Ch 31/34 only) |
WKU ID: |
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Are you currently active duty:
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File Number:
(for chapter 34 or 35 only) |
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Do you have a kicker:
If yes, list the monthly amount:
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Permanent Mailing Address: |
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Major: |
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Contact Phone #:
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Minor: |
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Email:
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Level:
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Certification is requested for:
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Summer 2008
Fall 2008
Winter 2009
Spring 2009
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Class Schedule
This section is to be completed AFTER REGISTRATION. The courses
listed below should be REQUIRED for graduation credit to be applied
towards: completion of University's general education
requirements; completion of major and/or minor.
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Subject
ex: (HIST) |
Course #
ex: (120) |
Section#:
ex: (006) |
Credit Hrs:
ex: (3)
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Campus:
ex: (Main) |
Office Use Only |
Cert |
Non |
Resn |
Drp/A |
Reason
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1. Not o
n POS
2. Repeat Course
3. Minor not declared
4. Excessive
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PC ________
U ___ G ___
Training ____
Active _____
Kicker ______
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Total Credit Hours: |
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Reg |
Non |
DSP |
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Tuition: $_______ |
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Fees: $_________ |
| By submission of this form, I certify the accuracy of the above information and request certification. The classes listed above should be required for graduation in a DECLARED and APPROVED Program of Study. I understand that I must report any changes in my calss schedule to the VA Office and to the Department of Student Financial Assistance within five (5) working days. |