VA – Online Request for Certification Admissions – VA Request for Certification "*" indicates required fields URLThis field is for validation purposes and should be left unchanged.Term* Summer Spring Fall Select a termYear*Example: 2025This field is hidden when viewing the formTerm of CertificationSpring 2025Fall 2024Summer 2024Please Select a Term.Guest Student No Yes Select “Yes” if you are a guest student.Home CampusPlease tell us which campus you’re from.Name* First Last Enter both your first and last name.Student ID.*Please enter your student ID. If you do not have a student ID please contact theAdmissions OfficeEmail* Phone*Please enter your phone number.VA Chapter Code*Chapter 30 – Montgomery ActiveChapter 31 – Vocational RehabChapter 33 – Post 9/11Chapter 35 – Survivors/DependentsChapter 1606 Select ReserveIs this a new major? No Yes Select Yes, if this is a new major.Course DataAdd one or more courses.Courses Course Name Course Number Units Start Date End Date Add/Drop Class Type Actions Edit Delete There are no Courses. Add Course Maximum number of courses reached. Add one or more Courses.Comments and Agreement.CommentsIf you have any comments please enter them above.Agree to Terms* Agree I certify that: • I am aware that only courses that are required for my degree objective will be certified. • I am aware that changes in my course enrollment and length of term of my courses may alter the payment the VA will award me. • I understand that I will be responsible for any overpayment I might receive for all unreported withdrawls or FW grades. • I am aware that I must fill out this form each semester after registering for classes. • I am aware that the certification process may take up to 14 days, so I am responsible for ensuring that I submit this request prior to the term payment deadline.
