(Print this form, complete your section, take it to your Academic Advisor then return it to DACC Financial Aid Office)
DANVILLE AREA COMMUNITY COLLEGE
           OFFICE OF STUDENT FINANCIAL AID & VETERAN'S EDUCATIONAL BENEFITS

VA Student Enrollment Certification:
To be completed by Student & Academic Counselor & Returned To Financial Aid

Student: Complete 1 through 8                                                                    (Circle one)
1. Name: ______________________________ SSN: _____-____- ______  2.  Fall    Spring  Summer          Year: ______

3. Identify Your Educational Purpose at DACC.  What is your Program of Study (Major)?      _________________________

4. Attach Your Semester Schedule To this form   (or ask your advisor to print it and attach it for you).

5. If you are repeating or substituting any course work, please explain in student's remarks.  The Course Substitution Form MUST be provided to your Academic Advisor at the time of enrollment (and be approved by faculty member).

Student Remarks:  ________________________________________________________________________________________

I certify the accuracy of the above information and request certification.  I understand that I will report any changes in my class schedule to the DACC Financial Aid Office, the VA Regional Office (via the certification process) and to my academic advisor:

7. Signature of student:  ______________________________________      8. Date: ________

Advisor's Use Only

Advisor, Please review the attached semester schedule and verify that it is relative course work per students Declared Major. Veteran's Educational Benefits can only be certified for credit hours in students declared Program of Study (Major).

Student's: Major Title: ______________________________  Major Code: _________

As of this date, the student has completed prior credit towards this major as indicated: ________ and is in the process (pending) credit hours in this major : ____________ (current semester hours).  If current semester hours consist of classes NOT required for completion of program please list these classes: ____________________________________________________________________________________________________________

Remarks:____________________________________________________________________________________________________

Advisor's Signature: ________________________ date: ________

Please Note: If you wish to attach a Degree Audit to this form as a detailed "explanation" of credit hours completed, in process and still required you may do so. Thank you.