Forms

Contact Information

First Name

Last Name

Student ID

Preferred Phone Number

Street Address

City

State

Zip

Are you a Massachusetts Resident?



Are you a dependent using VA benefits?



Student Email Address

Personal Email Address

Branch of Service














Other

Have you submitted proper documentation to receive qualified benefits? (DD-214, NOBE, VONAPP application, Certificate of Eligibility, etc)



Which semester are you wanting to be certified for?

How Many IN-RESIDENCE Credit Hours will you be taking? MOST classes are 3 credit hours (Please check each course to verify)

How Many ON-LINE Credit Hours will you be taking? MOST classes are 3 credit hours (Please check each course to verify)

How many TOTAL credits are you taking this semester? MOST classes are 3 credit hours (Check each course to verify)

What Educational Benefit are you planning to use?










If you are Chapter 33 (Post 9/11 G.I. Bill) What percentage are you certified for?* If you are not Chapter 33, please select N/A

Are you being charged out of state tuition and receiving 100% of your Post 9/11 GI Bill



If you are a Continuing Education student, do you want to apply the State Veterans Waiver to your account? (This may affect your Financial Aid package)?



Declared Major

Level of Study

What is your estimated graduation date? (ex. Spring 12, Fall, 12, etc...)