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VETERANS OFFICE ENROLLMENT CONFIRMATION FORM

Student Information
Please enter your Student ID Number.
Please enter the academic year of your enrollment
Please enter the academic session of your enrollment
Enrollment Verification
Please enter your Student ID, PIN, Academic Year and Academic Session above... Your information will be displayed here after you make the proper selections.
Please check this box if you would like to update your personal information
Personal Information
Please enter your first name
Please enter your last name
This field is automatically generated from your input above
Please enter your mailing address
Please enter any additional address information
Please check if the address listed above is new
Please enter your city of residence
Please enter your US state of residence
Please enter your zip code
Please enter your home phone number
Please enter your mobile phone
Check/Fill in all that apply:
If you checked the preceding box, please enter the name of the other institution.
If you checked the this box, please select the quarter for which you would not like to receive benefits.
Please provide a reason for your departure
Validation

Wait List Procedures: If you are on the Wait List for a class, then you are not enrolled in that class, and the class will not be reported to the VA. It is your responsibility, as the student, to watch your Wait List to see if you become enrolled in the class. Once you move from the Wait List and become enrolled, you must complete a new Veteran’s Office Enrollment Confirmation Form, so that the revised information can be reported to the VA.

I certify that the above information is correct and that all courses lead to my declared degree. I certify that any repeated courses are required for my degree, or are required to continue in a required sequence of classes (ie, Math).

It is my responsibility to ensure that my classes are applicable to my declared program of study. If these courses do not apply to my declared program of study, the Veterans Office will make one attempt to notify me.

I understand that it is my responsibility to report any change in schedule to the Veterans Office at SPSCC, and that I must submit this form before my enrollment will be certified to the VA.

Ch 33 Post 9/11 GI Bill Students only:
The student is responsible for paying any balances not paid by the Department of Veterans Affairs including but not limited to non-resident tuition charges, balances remaining beyond the percentage of eligibility payment received from the VA, balances for classes not covered by VA benefits and remaining balances due to exhausted entitlement in the middle of the term.

Dependents receiving the WA State Tuition Waiver for dependents of deceased/100% permanently & totally disabled Veterans: You are responsible for paying all fees. The waiver applies to tuition only.

By entering my name above, I agree to the aforementioned terms