University of North Dakota
VA Enrollment Worksheet

After you submit this form, use your browser's "back" button to return to the previous page.

Complete and submit this form AFTER you have finished registering for the semester indicated below.

Please provide the following contact information:

First Name
  Last Name
Address
 City 
 State
Zip Code
 Day Phone
Student ID # W
 E-Mail Address
 
Expected Graduation Date:  Month    Year 

Eligibility:  (check one)

Chapter 30 (Montgomery GI Bill, Active Duty)
Chapter 31 (Vocational Rehabilitation
Chapter 32 (Post-Vietnam Veterans' Educational Assistance Program, VEAP)
Chapter 35 (Survivors' and Dependents' Educational Assistance Program
Chapter 1606 (Montgomery GI Bill, Selected Reserve)
Chapter 1607 (Reserve Education Assistance Program, REAP)
 
Term for which you are submitting registration information; you should complete this form again when you register for the next semester):
 
Fall Semester
Spring Semester
Summer Session

Number of credits you are registered or planning to register for the term indicated above? 

Are you repeating any courses?  Yes  No

If yes, which course? 

Please contact Carol Anson at the Veteran Services Office, 211 Twamley Hall, for further information if you are repeating a course.

List any courses being taken from schools other than UND:

Check all of the following that apply:

Do you plan to use VA benefits at UND Fall Semester?
Do you plan to use VA benefits at UND Spring Semester?
Do you plan to use VA benefits at UND Summer Session?

Changes to your enrollment affect the amount that you are paid.  A reduction in the number of credits you are registered for may result in an overpayment.  The VA will expect you to repay overpayments when they occur.  Please report promptly to the VA Certifying Official (Carol Anson) any changes to your enrollment, including withdrawal, that occur after this form is submitted.

Reminder:  This worksheet must be completed each semester AFTER you complete your registration.

You may submit this application using the "submit form now" button below or print and mail to:  UND Veteran Services Office, 264 Centennial Drive, Stop 7115 Grand Forks, ND 58202-7115 or fax to: 701-777-2040.

Last Updated:  June 04, 2008