Fort Hays State University

Class Schedule for Veterans Benefits

Required Student Information

First Name

Last Name

FHSU ID

Major:

Date of Birth

Are you currently on Active Duty?

What is your relationship to the Veteran?

VA File #

VA Chapter #:

Branch of Service:

If eligible, do you wish to recieve advance pay?

(Advance pay allows students to receive the first two monthly payments at the beginning of the semester. The VA determines whether you are eligible. Payment is sent to the school to verify enrollment then forwarded to student.) Authority: This information is solicited through Title 38, U.S. Code. It is considered relevant and necessary to determine entitlement benefits. (P.L./ 93-579) Rev. 12/89 By submitting my e-mail address below as my electronic signature, I certify that the above information is correct. I also certify that the above courses apply toward my degree/certificate program at Fort Hays State University.

Address:

City:

State:

ZIP:

Phone Number:

Email:

Please indicate the number of hours you are taking at FHSU:

Semester (Gradschool Comp Exam):

Year:

Please give all the Course Names/Course Number/Course Hours you are taking:

Course Name	Course Number	Course Hours
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Comments (Optional):

I agree to pay any fees that my VA benefits do not cover

Please Note: Standalone non-degree certificate programs will not work for GI Bill Benefits.

Financial Aid