Northern Virginia Community College
VETERANS ENROLLMENT REPORTING FORM

This is an on-line version of NVCC's VA Enrollment Reporting From.  It can be used in place of the paper form.  Currently only the
Alexandria Campus VA Advisor is using this method of reporting. 

  1. Please identify yourself:

    First Name
    Last Name
    Empl ID
    SSN  
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Work Phone
    Home Phone
    E-mail
    Chapter
    		 (30 31 32 35 1606 1607 34/30)
    Branch of Service
    		(USN, USA, USMC, USAF, USCG, PHS)
    Semester I would like to recieve benefits
      (SP, FA, SU and Year (example, SP 05)

  2. Please provide the following product information:
                                                                                                                          
    Course Prefix      Course Number       Section Number      # Credit Hours           
       (HIS)                  (121)                        (72A)                         (3)                  VA OFFICE US ONLY
                                                                                                                  FROM          TO            HRS
    		     
    		     
    		     
    		     
    		     
    		     
    		     

                                                         STATEMENT OF UNDERSTANDING

    1. EACH TERM I must report my registration and any changes in my enrollment to my campus of record Veterans
    Advisor.

    2. I must be officially in a program of study leading to a standard college degree or certificate and have all prior education
    and training evaluated by the end of my second term of enrollment. I do not expect to be paid by the VA for courses
    previously completed.

    3. I will ensure that the courses I am taking are required or can be used as electives in my program of study, and
    I understand that I must make satisfactory progress toward graduation.

    4. I understand that courses scheduled to meet for other than the normal 16-week term are paid at a different
    rate based on the number of credits and length of course. See your campus Veterans Advisor for details
    on irregular enrollment training time.

    5. I understand that grades of W, X, and I (or R for non-developmental courses) may result in a reduced
    payment from the VA.

    6. Courses for which an ''I'' (Incomplete) is awarded must be completed by the end of the subsequent semester
    (excluding summer). Otherwise, my entitlement to benefits for that course may be reduced and may result in
    an overpayment.

    7. I understand that enrollment in development/deficiency courses will not be certified unless a need is
    established by an assessment test.

    8. I understand that if I fail to complete ELI courses in two or more semesters then in the future these courses
    will not be certified for payment until completed. All ELI courses (including Summer) are 16 weeks in length.
    The start and ending dates are usually different from standard courses which may impact my benefits.

    9. I understand that the VA will hold me responsible for any overpayment of my educational benefits.

Northern Virginia Community College | 3001 North Beauregard St. Alexandria, Virginia 22311-5097
Tel: 703 845-6200 | V/TDD: 703 845-6016
Updated: October 3, 2005
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