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MILITARY STUDENT SERVICES ENROLLMENT REPORTING FORM
Note: This form must be completed each term
Name:
Student1.D.Number:___
DegreeProgram:___
Military Benefit: ☐ 30 ☐ 31 ☐ 32 ☐ 33 ☐ 35 ☐ 1606 ☐ 1607 ☐ MYCAA ☐ STA ☐ FTA ☐ ROTC ☐ DWV
Term: Fall _____ Spring: _____
Winter _____ Summer _____
DEPARTMENT COURSE NUMBER SECTION HOURS CURRICULUM SHEET COURSE SUBSTITUTE
5. I understand taking a course that is not part of my curriculum sheet and not approved by my department; the VA office will not be responsible for payment
3. I must seek a program/major of study by the end of my second semester to continue my VA benefits.
1. I must met with my VA coordinator each semester to update my file and have an advisement session every 30 days
2. I must report any changes in my enrollment at Kentucky State University to my VA coordinator immediately.
4. I will ensure the courses I take are required or can be used as electives in my program of study.
6. If a course has been substituted for another course, I must have a course substitution form signed by my advisor and provide a copy to my VA coordinator.
7. If an add/drop from has been signed b my advisor for a course, I must provide a copy to my VA coordinator.
8. If taking classes through another University I must have the visiting student form approved by my advisor and department chair and provide a copy to my VA coordinator.
9. I understand failure to report any changes to my enrollment will result in restrictions/reimbursements from VA in the future.
VA Students Signature
VA Students Signature
___ Date
2023
Date