Certification Request Form - Fall 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. 

Email *
Last Name *
First Name *
700# *
If you do not have a 700#, please type n/a.
Street Name *
City *
State *
Zip Code *
Phone Number *
Student Status *
Military branch *
Semester requesting to use benefits: *
I request to have my enrollment certified to the VA for the following benefit: *
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. 
Military Tuition Assistance (For Active Duty/Reserve/Guard) *
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.
Are you apart of the Central Missouri Police Academy?
*
Do you plan in participating in a Study Abroad program this semester? *
Please read and acknowledge below: *
Required
I understand and acknowledge the above information and agree to comply with VA regulations. *
Required
A copy of your responses will be emailed to the address you provided.
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