Veteran Educational Request for Benefits

This form is for JCU students to apply for their veteran educational benefits

Banner ID*

First Name*

Last Name

Email Address*

Major/Program (Select One)*

I am...*

An incoming student

A continuing/current student

I authorize the University to certify my VA educational benefits for:*

Year*

I have registered for the following amount of credits:*

I understand that it is my responsibility to submit a new Request for Benefits Form ANY time there is a change to my registration including adding, dropping, or switching classes.*