Pacific Northwest Christian College Certification of Veterans Form

Certification of Veterans Form

Veteran Request for Certification

First Name *

Last Name *

Phone Number *

Email Address *

What Semester do you want certified?

Chapter of Benefits

Are you using Military Tuition Assistance? Provided by branch of service not VA benefits *

Yes

Are you using any G4H Tuition Waivers? (Any waiver meant solely for tuition and fees) *

Yes

Are you currently attending another college/university at the same time? *

Yes

What is your current Major? *

Are you taking any classes that you know will not be covered by VA Educational Benefits? Please list applicable classes, separated by commas. *

Comments or Questions. Must be fewer than 250 characters

By checking the box below, I certify that my major with the VA matches my major with G4H. The courses I am registered for are required for my major and are not waitlisted. I understand that if a change is made I must notify the School Certifying Official at registrar@Gather4Him.net and that this may result in an over-payment to the VA. I also acknowledge that if the information I provided is incorrect or necessary forms have not been completed, there may be a delay in certification and reimbursement from the VA. *

I agree to the terms above.

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Certification of Veterans Form

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