Admitted Military Student Information Form

Military Student Information Form: For All Students with a Military Connection

Personal Information



* (e.g. 218-555-2000)

* Undergraduate Graduate
Military Information
What branch are you associated with? (Check all that apply)

  What is your current status? (Check all that apply)

VA Education Benefits Please check the VA Education Benefit(s) you plan to use as a CSS student:
% of Benefits
Voc Rehab Counselor's Name

Terms of Agreement * I understand that:
  • No payment can be received for audited courses.
  • In the case of any failing grade, the instructor will be contacted to verify the last date of attendance.
  • I must notify the Certifying Official (George Beattie of any changes in my enrollment (ie add/drop classes & dropping to part time) and that such changes could impact my level of educational benefits.
  • I consent to the release to the US Department of Veterans Affairs all of my student education records maintained by the College of St. Scholastica, including but not limited to my social security number.
  • Classes that do not meet for the entire semester are only certified for the period in which they meet. The VA will exclude them during the rest of the semester when determining how much you will be paid.
  • Chapters 30, 1606, and 1607 recipients must verify enrollment monthly (online via WAVE or by phone).