Enrollment Certification Request

This request is for the following semester (Please select one):
 
Personal Information
[10 digits] ex. (###) ###-####
(You may qualify for in-state tuition & fees rates. See the VSO)
Student Information

Please mark the appropiate information below

Classes to be Certified
Class 1
Ex. MAT-101-001
Class 2
Ex. MAT-101-001
Class 3
Ex. MAT-101-001
Class 4
Ex. MAT-101-001
Class 5
Ex. MAT-101-001
Veteran Education Benefits Information

Which VA Education Benefit Program are you requesting to be certified under this semester? Please visit www.gibill.va.gov to learn which education benefit is best for you:

Terms and Conditions

ALL COURSE WORK MUST BE REQUIRED FOR THE DEGREE IN ORDER TO USE VETERANS BENEFITS. FOR ALL FAILING GRADES, THE INSTRUCTOR WILL BE CONTACTED FOR LAST DATE OF ATTENDANCE. NOT ATTENDING CLASSES MAY AFFECT YOUR TOTAL BENEFIT.

Reduction in course enrollment after certification will be submitted to the VA and may result in the retroactive loss of benefits unless the VA finds mitigating circumstances involved in the change. Loss of benefits could revert back to the first day of class.

CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Contact Info

Email: veteran.services@azwestern.edu
Phone: (928) 344-7622
Fax: (928) 344-7543
Location: 3C - Top Floor
Hours:

  • Monday - Thursday: 7:00am - 5:00pm