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Request for VA Certification
This form must be completed each semester you wish to use your VA Education Benefits at Labette Community College.
GI Bill® is a registered trademark of the U.S. Department of Veterans Affairs (VA). More information about education benefits offered by VA is available at the official U.S. government Web site at
https://www.benefits.va.gov/gibill
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* Indicates required question
Please enter your last name
*
Your answer
First name
*
Your answer
LCC Student ID Number
*
Your answer
LCC Student Email Address
*
Your email address is in the format of
firstname.lastname@student.labette.edu
Your answer
VA File Number
*
The VA file number is associated with the servicemember or veteran who earned the benefits you're using. If you're unsure of the VA file number, please type "unsure" in the answer field below.
Blank answers will not be accepted.
Your answer
Alternate Email Address
*
Your answer
Current Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
May we text you at the number above?
*
Yes
No
If you'd prefer us to use a different name than your legal first name, please tell us below.
Your answer
What pronouns do you use?
Our staff members in the Student Success Center all use she/her/hers pronouns. Feel free to leave this blank if you'd prefer.
Your answer
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