GI Bill Enrollment Form

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EACH semester you must fill out this form to notify us that you wish to use your GI Benefits for the upcoming semester. This must be done for any winter intersession or summer classes you plan to take as well.

If, at any time, your enrollment plans change and you drop/add classes or withdraw from the University completely, you must inform the Veteran Services Office. FAILURE TO DO SO MAY RESULT IN THE STUDENT OWING MONEY TO PENN WEST CLARION OR TO THE VA OFFICE!

First and Last Name *

Penn West ID Number *

Penn West Email *

Degree Seeking *

Campus Location *

Major *

Type of GI Benefit *

Please certify my enrollment for *

Number of Credits I am enrolled for *

Other benefits you are planning to use this semester *

I agree that if I make any changes to my schedule (increasing or decreasing credits), I will immediately notify the Veteran Services Office of such changes as they may impact my GI Bill Education Benefits. By typing your name in the box below, you are confirming you are the student listed above. You authorize Penn West Clarion to certify your enrollment to the VA Office.
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