Gadsden State Community College

VA STATEMENT OF UNDERSTANDING

Wallace Drive Campus
Financial Aid Office
P O Box 227
Gadsden, AL 35902-0227
PH: 256-549-8207 Fax: 256-549-8450 / Harry M. Ayers Campus
Financial Aid Office
1801 Coleman Road
Anniston, AL 36207
PH: 256-835-5467 Fax: 256-835-5487 / McClellan Center
Financial Aid Office
100-A Gamecock Drive
Anniston, AL 36205
PH: 256-238-9341 Fax: 256-238-9360
Chapter (check all that apply) 30 31 33 1606 35 Alabama GI Scholarship
Name: / Home Phone #:
Mailing Address: / Cell Phone #:
City, State, Zip: / E-Mail Address:
Student #: G / VA File # (Chapter 35 only):
Are you currently on Active Duty? Yes No / Major:
Do you receiveNat’l Guard TA? Yes No / Previous College:
Have you applied for or do you receive any scholarships, waivers, PACT, or employer-based aid? Yes No

Please read and initial:

  • I understand that I’m a Veteran or Dependent of a Veteran which entitles me to receive educational benefits. Educational Benefits should not be considered as Income.The Muskogee VA Office nor Gadsden State Community College can guarantee payments will arrive the same date each month. ______
  • I understand that the SCO can only share information with me, the student. ______
  • I understand that I must submit a VA Semester Certification Requestto the Gadsden State School Certifying Official each semester after I register in order to have my enrollment certified for the semester in which I’m enrolled. ______
  • I understand that I must provide a current Education Enrollment Status (Post 9/11 – Chapter 33) each semester printed from the eBenefits website. A link is available on our website for your convenience. ______
  • I understand that if I’m receiving Chapter 33 (Post 9/11) benefit, I’m responsible for the purchasing of my books with the understanding that I may receive a book stipend to help offset the cost of my books. ______
  • I understand that if my educational benefit doesn’t cover the total cost of my tuition/fees, I am responsible for the balance. If I owe a balance by the payment due date, my classes that I registered for may be dropped. ______
  • I understand that I must attend all classes in which I’m enrolled. ______
  • I understand it is my responsibility to notify the Gadsden State School Certifying Official immediately of any change in my enrollment status, including adding or dropping a class or completely withdrawing from the College. I understand VA may require repayment of benefits received by me due to changes in my course schedule after the add/drop period. ______
  • I understand only classes required for the completion of my degree/certificate program as listed in the catalog curriculum outline will qualify for VA education benefits. I understand that registering for classes outside my declared major, for repeat classes in which I have already received a passing grade, or for excessive electivesWILL NOT qualify for VA benefits. ______
  • I understand that if I have questions concerning a delay in payment or monthly attendance verification issues, I will first request from Gadsden State’s VA office the Cert ID# for my enrollment certification and will then contact VA education benefits at 888-442-4551or via e-mail inquiry through Ask a Questiononline at ______

Records Release Authorization:

By signing below, I authorize the release of my school records to the Department of Veterans Affairs for use in supervising my program of education and for use in any VA capacity.

SIGNATURE ______DATE ______

FORM REVISED 5/16/2017