Veterans Educational Benefits Enrollment
To receive VA Educational Benefits at this College you MUST fill out and sign a "(VEBEF) Veterans Educational Benefits Enrollment" form each semester with our campus Veterans Affairs Office once you've officially registered for your courses.
- Please print this page, complete the information then turn it into the Veterans Affairs Office
PLEASE PRINT YOUR ANSWERS TO THE QUESTIONS BELOW:
Please select SEMESTER and YEAR that you are REQUESTING VA CERTIFICATION:
VA Educational Benefit CHAPTERS:
( ) Chapter 30, Montgomery GI Bill
( ) Chapter 35, Dependents
( ) Chapter 31, VA Vocational Rehabilitation
( ) Chapter 1606, Mont., GI Bill (Guard/Reserve)
( ) Chapter 32, VEAP
( ) Chapter 1607, REAP
( ) Chapter 33, Post 9/11 GI Bill
( ) VRAP Veterans Retraining Assistance Program
( ) KRS-164 (505/507/515)
- KY State Tuition Waivers: By checking this block the waiver will be applied ONLY if a copy is on file with JeffersonCTC VA Office.
- A copy can be attached and we’ll apply and track each semester.
Date of Birth:
STUDENT ID#: 00______________
KCTCS/Jefferson Student Email Address (ONLY):
TYPE OF DEGREE/PROGRAM PLAN:
( ) AA = Associates in ARTS
( ) AS = Associates in SCIENCE
( ) AAS = Associates in APPLIED Sciences: List AAS Degree Name (i.e.: Culinary Arts, Nursing etc).
( ) Diploma or Certification in: List Plan name (i.e. HVAC, Auto-Technician, Welding etc).
My Signature Below Indicates:
- I understand that it is MY responsibility to report any change that affects my student status (attendance, changes in schedule/credit hours, grades, degree/program plan, mailing address etc) to the JeffersonCTC Office of veterans Affairs and the Department of Veterans Affairs; and that I will be held LIABLE for any overpayment which results from my failure to comply.
- I understand I am responsible for paying tuition and fees cost within the deadlines established by JeffersonCTC.
- I understand I will ONLY be paid VA Benefits for classes/coursework that is required for my degree/program plan here at JeffersonCTC.
- I understand that if I have previously completed a class elsewhere that is the equivalent to a course I’m currently taking, I will not receive VA Benefits for the current class/course.
- I have given permission to the JeffersonCTC VA Office to release to the JeffersonCTC Financial Aid Office information necessary to determine eligibility.
- The information given is correct and accurate.