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Complete & submit to the Veterans Center within 24 hours of registration
Accounts cannot be processed without this form

~Student Information~
[Student ID # is not required.]


I am a Veteran of the Armed Forces.

If using Veteran Affairs Education Benefits,
Select benefit used:

I am currently a member of the Massachusetts National Guard & I will be using the MA National Guard Tuition & Fee Waiver
Note: If using waiver, please provide a copy of your waiver certificate.

~Semester applying for Educational Benefits~

Spring 2015     Summer I 2015     Summer II 2015     Fall 2015    

~By acknowledging all the statements below you are indicating that you understand and agree to the terms explained~

I understand that my account will be charged for health insurance if I am registered for 9 credits or more, UNLESS I waive my health insurance off my bill through MyMassasoit within 24 hours of submitting this form.
I am enrolled in a degree program/eligible certificate program (approved by the VA). If not, I understand that I can only be non-degree for 2 semesters.
I understand that any/all changes to my status must be reported to the Veterans Center within 24 hours.
I understand that all of the courses I am registered for must be required for my current degree program.
I understand that I need to maintain Satisfactory Academic Progress to collect Military Education Benefits.

  • You may be certified before this information is updated. Please be aware that if at any point you become academically deficient you are no longer eligible for benefits at Massasoit Community College until you are back in good academic standing.

I understand that this form must be submtted every semester within 24 hours of registration.
I understand that it is my responsibility for payment to Massasoit Community College if the VA does NOT cover any of my balance.
I am not in default of a student loan or owe a refund on any previously received financial aid.

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