SVCC - VA Benefits Enrollment UPDATE Request
Submit this form to request an update to your VA benefits certification. This includes ADDING a class, DROPPING a class, or WITHDRAWING from a class.
Last Name *
Your answer
First Name *
Your answer
Student ID *
Please do not use your Social Security Number.
Your answer
Student Email Address *
Your answer
Personal Email Address
If you would like to be contacted at this address about VA or Veterans benefit information.
Your answer
Preferred Phone Number *
Your answer
Semester *
Your answer
Number of Hours Added and Type (Online or Residential)
Your answer
Date of Add
MM
/
DD
/
YYYY
Number of Hours Dropped and Type (Online or Residential)
Drop occurs after the first day of classes and before the last day to drop with a refund.
Your answer
Date of Drop
MM
/
DD
/
YYYY
Number of Hours Withdrawn From and Type (Online or Residential)
Withdrawal occurs after the last day to drop with a refund.
Your answer
Reason for withdrawal.
The VA understands that sometimes issues arise that prohibit a student from completing a semester or a class. By submitting this information the VA can make an appropriate decision with regards to how your change in enrollment is processed.
Your answer
Date of Withdrawal
MM
/
DD
/
YYYY
I understand that changing my enrollment can and will result in a change to my VA benefits. This change could result in a debt to me (the student) and/or the school. *
If you (the student) receives a debt letter from the VA for Tuition and Fees, please bring it to the VA Certifying Official.
I understand that a debt created by the VA may not match a debt at SVCC. *
If you would like additional details about a VA debt please call the VA Education Department at 1-888-442-4551.
Electronic Signature *
By typing or signing your name below you are signifying that the above answers are correct and you agree to SVCC's Terms and Conditions.
Your answer
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