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

Military Student Services Coordinator's Signature

Date

Onward.Upward.Forward