Request for VA Enrollment Certification Name First Last Trinity Student ID Number (if known)Date of Birth MM slash DD slash YYYY School Level Undergraduate Graduate Major Is this a new major or degree objective? Yes No Trinity Email PhoneSemesterFallSpringSummerYear VA Educational Benefit (as applied for on VA Form 22-1990): Chapter 30 (Montgomery GI Bill®) Chapter 31 (Vocational Rehabilitation) Chapter 33 (Post 9/11 GI Bill®) Chapter 35 (Dependent of disabled/deceased veteran) Chapter 1606 (Montgomery GI Bill®) – Selected Reserve) If this is your first time using a benefit at Trinity, you must attach a copy of your Certificate of Eligibility or Notice of Basic Eligibility. Drop files here or Select files Max. file size: 49 MB. SchedulePlease list below the courses for which you are currently registered. VA Certifications will not be completed until you are registered for courses. Please note that VA will not pay BAH to Post 9/11 recipients enrolled less than halftime or only in distance education course. To add more rows, click the "+"Course IDSectionSessionCourse TitleCreditsRepeat?Online? Trinity Statement of Veteran ResponsibilityBy agreeing below, I certify that all courses are applicable to my degree program and meet VA requirements. I agree to promptly notify the Office of Enrollment Services and VA of any changes in my credit hours, either as the result of dropping or withdrawing from courses. I understand that completion of this form assures me of enrollment certification with the Department of Veterans Affairs, but does not guarantee payment from the VA. Payment depends on my being enrolled in an approved program, my not owing money to the VA for overpayment, and my compliance with all other VA regulations. I further understand that any information on this form or in my University record may be shared with the VA at its request. I have read and accept the Trinity Statement of Veteran Responsibility By submitting this form for review by Enrollment Services, I understand that I have answered everything truthfully to the best of my knowledge, and I am "digitally signing" and approving it. Yes No GI Bill® is a registered trademark of the U.S. Department of Veterans Affairs (VA). More information about education benefits offered by VA is available at the official U.S. government Web site at https://www.benefits.va.gov/gibill.