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Certification Request Form - Summer 2023
The Certification Request Form must be submitted each semester by students who are using VA and Military Tuition Assistance (TA) at the University of Central Missouri.
* Indicates required question
Email
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Your email
Last Name
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Your answer
First Name
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Your answer
700 #
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If you do not have a 700#, please type n/a.
Your answer
Street
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Phone Number
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Your answer
Student Status
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Active Duty
Reserve
National Guard
Veteran
Dependent (Spouse/Child)
Military branch
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Army
Air Force
Marine Corps
Navy
Coast Guard
Space Force
Semester requesting to use benefits:
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Choose
Summer 2023
I request to have my enrollment certified to the VA for the following benefit:
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Choose
Chapter 30: Montgomery GI Bill® Active Duty
Chapter 31: Veteran Readiness and Employment
Chapter 33: Post 9/11 G.I. Bill®
Chapter 35: Dependent/Survivor Education Assistance
Chapter 1606: Montgomery GI Bill® Select Reserve
Not Applicable
I have exhausted my VA benefits and would like to receive the Military Tuition Package Extension (Veterans Only)
If you are using Chapter 31: Veteran Readiness and Employment, please provide you counselors name and email address.
*This information is required for School Certifying Officials to submit enrollment to the VA.
Your answer
Military Tuition Assistance (For Active Duty/Reserve/Guard)
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Upon receiving your Military Tuition Assistance, the Active Military Tuition Rate of $250 per credit hour for undergraduate courses will automatically be applied to your student account.
*Military Tuition Assistance (TA) is assistance provided by the Armed Forces for those that are currently serving in the military. If you are NOT serving currently this is not applicable.
Choose
Federal Tuition Assistance
State Tuition Assistance
Both
Not Applicable
Are you apart of the Central Missouri Police Academy?
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Yes
No
Please read and acknowledge below:
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A Certification Request Form must be submitted NO LATER than the second week of classes.
I have completed the online VA application to start my benefits. ( Only done your first semester)
I must submit a copy of my Certificate of Eligibility to the School Certifying Official.
If I change majors, I must notify the School Certifying Official.
If I drop or change courses, I must notify the School Certifying Official of these changes. As a reminder, when students drop courses while using VA benefits, a debt could be assessed.
School Certifying Officials may only certify courses that are degree requirements. It is highly recommended you consult with your Academic Advisor prior to enrolling.
The VA will not fund courses that have already been previously taken and successfully completed per the school catalog.
The amount of credits I take will affect my enrollment status and payment amount from the VA.
Students are responsible for checking their student email.
Students using Federal and/or State Tuition Assistance must apply for these benefits separately.
Students using Missouri Returning Heroes must apply for this separately.
If I am using Chapter 33, Chapter 30, and Chapter 1606 I must verify my enrollment at the end of each month in order to receive my monthly stipend.
Questions about payments and eligibility need to be directed to the VA Hotline: 1-888-442-4551.
If I am in the Air Force ROTC program, my AERO courses may only be certified to the VA if I have free elective room within my degree program.
For the VA to pay for remedial courses ( ENGL 1000, MATH 1010, MATH 1020, MATH 1040, MATH 1101, MATH 1110, MATH 1610, & MATH 1810) courses must be taken on campus and can not be certified if they are online.
Students must be making satisfactory academic progress towards completion of your program of study. Failure to maintain satisfactory academic progress will result in termination of benefits.
The following programs are not approved for VA funding at UCM: Alternative Certification Program, Individualized Programs except BS/ BA General Studies, THRIVE program, and the last 2 years of the Radiologic Technology Program (students need to seek VA approval from affiliates at their sites)
Required
I understand and acknowledge the above information and agree to comply with VA regulations.
*
I acknowledge
Required
A copy of your responses will be emailed to the address you provided.
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