VA Benefits Application & Agreement

Section 1: Benefits Information
Page 1 of 1
1. 

First Name:

2. 

Last Name:

3. 

Student ID:

4. 

For which academic year and term would you like to start using benefits? (e.g. 2018 Spring)

*Required
5. 

Are you a veteran of the armed services?

*Required
6. 

Are you the spouse or dependent of a veteran?

*Required
7. 

Are you currently serving on active duty?

*Required
8. 

Are you participating in ROTC?

*Required
9. 

Please select the benefit program under which you are eligible.

*Required
10. 

If you are a veteran, please select the option that best matches your service. If you are a spouse/dependent, select "Spouse/Dependent."

*Required
11. 

Have you submitted your Certificate of Eligibility (COE) or Post-9/11 GI Bill Statement of Benefits to Franciscan University?

*Required
12. 

If you have your COE or Post-9/11 GI Bill Statement of Benefits and have not yet submitted it to Franciscan University, please upload a PDF version here.

Please click "Choose File" to select the PDF from your device, and then click "Add File" to submit the form.

You are allowed to upload 1 files
 
NOTE:

If you do not yet have your COE or Post-9/11 GI Bill Statement of Benefits, you can apply for it online using the VA's electronic benefits site.

13. 

Please enter any questions or special instructions for the Veteran's Assistant in this box.

Statement of Rights and Responsibilities

Please read the statement below and verify that you have read, understood, and accepted its conditions and expectations.

14. 

 I understand that:

  • It is my responsibility to monitor my Franciscan email account for all communications from the Registrar’s Office.
  • It is my responsibility to obtain official transcripts with final grades from all colleges or postsecondary schools that I have previously attended, whether or not VA benefits were received.
  • My enrollment for Fall and Spring semesters will automatically be submitted to the VA. I must notify the Registrar’s Office before the beginning of the Fall/Spring semester if I choose not to receive benefits for that semester.
  • My enrollment for Summer semesters will not automatically be submitted to the VA. I must notify the Registrar's Office before the beginning of the Summer semester if I chose to receive benefits for that semester.
  • Any time I change my degree plan/major(s) it is my responsibility to: 1) see my academic advisor 2) notify the Registrar’s Office of said changes so improper benefits are not received.
  • ALL classes taken must fit into my degree plan. (If an exemption is necessary for reasons beyond my control, I will notify Registrar’s office as soon as possible.)
  • I must maintain satisfactory academic progress as set forth by school policies and individual program standards. If satisfactory progress is not maintained, it may result in a temporary suspension of VA benefits.
  • My enrollment status will be submitted to the VA within 30 days after the beginning of a semester per the VA's requirements. If I require an early or provisional certification due to extenuating financial circumstances, it is my responsibility to request this from the Registrar's Office. I understand that an early or provisional certification may not always be possible, and that the University cannot certify my tuition and fees to the VA until after the semester has begun.
  • The VA will administer benefits based on my attendance. If I stop attending for any reason, my last date of attendance will be reported to the VA and may create a debt for me with the VA (If this situation is caused by mitigating circumstances beyond my control, I may be eligible for an exemption from any debt accrued by the VA). I will notify the Registrar’s office immediately after withdrawing from or ceasing to attend a course
  • The VA WILL NOT pay for audits, withdrawals after final add/drop periods, or classes that have already been taken with a passing grade (exemptions possible if a passing grade is not sufficient for specific/department program requirements).

I have read and understood the above statements. I authorize Franciscan University of Steubenville to certify my VA educational benefits. I authorize FUS to release information about me for the processing of my VA educational benefits. I understand a file will be maintained by the university to meet compliance with VA regulations for record keeping purposes. I understand that I am responsible for contacting the VA/Registrar’s office with questions regarding my file and benefits.  Franciscan University Veterans Services Office is not a subsidiary of the Department of Veterans Affairs; Franciscan University submits a certification for payment to the Department of Veterans Affairs and they release payment. Questions about payment may be directed to the Franciscan University Veterans Office at veterans@franciscan.edu.  Questions about benefit programs, changing or combining programs, percentage of eligibility, or months of eligibility remaining should be directed to the Department of Veterans Affairs Regional Education Office at 1-888-442-4551.

*Required
SUBMISSION INSTRUCTIONS:

Please check the box and click "Next" on the bottom left of the screen to review your application before submitting.

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