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Military Benefits Notification Form - Enrollment Data Form
Students who are eligible for veterans or military benefits must self-disclose their eligibility to the Rockhurst University Student Accounts Office prior to the payment due date to avoid a late payment fee. A late fee will only be assessed if we do not know of a pending VA payment.
Please note: This form is only open for the current term. This form will open for future terms after the bills are available for that term. You cannot complete this form before the bills open for a future term.
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Your enrollment certification
cannot
be submitted to the VA until the School Certifying Official receives an accurately completed form.
Term
Spring 2025
Rockhurst Student ID (example: @00123456)
Please enter @00
and
your six digit ID number
Birthdate
Birthdate
January
February
March
April
May
June
July
August
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October
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December
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1905
1904
1903
1902
1901
1900
Full SSN (no dashes)
Expected Graduation Date
First Name
Last Name
Email Address
Phone Number
What is your major?
Accelerated Nursing
Accounting
MSN
Analytics and Technology
Applied Mathematics
Bachelor of Science in Nursing
Bachelor of Science in Nursing (RN to BSN Health System Employees)
Bachelor of Science in Nursing (RN to BSN)
Biochemistry
Biology
Biology (Molecular)
Biology (Organismal)
Business Administration
Business Communication
Chemistry
Communication
Computer Science
Corporate Finance/Accounting
Criminal Justice
CSD/Speech Pathology
DPT
Economics
Education (Elementary)
Education (Secondary)
Education (Special)
EDD
Engineering
Engineering, Biomedical
Engineering, Civil
Engineering, Electrical
Engineering, Mechanical
English
English (Film)
English (Literature)
English (Writing)
Exercise Science
Financial Management
Financial Markets and Economic Analysis
French
Fundraising Leadership Studies
Global Studies
Health Sciences
History
Information Technology
International Business
Management
Marketing
Marketing Analytics
Master of Science in Nursing (Adult Gerontology Acute Care Nurse Practitioner)
Master of Science in Nursing (Family Nurse Practitioner Second Masters)
Master of Science in Nursing (Family Nurse Practitioner)
Master of Science in Nursing (Generic)
Master of Science in Nursing (Nurse Educator)
Materials Science
Mathematics
MBA
MED
Medical Laboratory Sciences
Nonprofit Leadership
Nursing
OTD
Philosophy
Philosophy (Bioethics)
Philosophy (Professional)
Philosophy (Social Justice)
Physics
Physics of Medicine
Political Science
Pre-Dentistry
Pre-Law
Pre-Medicine
Pre-Nursing
Pre-Occupational Therapy
Pre-Optometry
Pre-Pharmacy
Pre-Physical Therapy
Pre-Physician's Assistant
Pre-Veterinary Medicine
Psychology
Public Policy
Spanish
Sports Management
Strategic Communication
Theology and Religious Studies
Still Deciding
What is your military status?
Veteran
Dependent of a Veteran
Spouse of a Veteran
Active Duty
Reserve
What is the percentage of eligible payable benefits?
VA Education Benefits
Active Duty
CHAPTER 30 - Montgomery G.I. Bill
CHAPTER 31 - Vocational Rehabilitation
CHAPTER 35 - Survivors' & Dependents' Educational Assistance Program
CHAPTER 33 - Post 9/11 G.I. Bill
CHAPTER 1606
CHAPTER 1607
ArmyIgnited TA
Missouri National Guard
Other
I am a
I am a
Military Servicemember
Dependent of a Military Servicemember
If the servicemember is a parent or spouse, please enter their
full name
. This is requested by the VA during school certification. If you are the military servicemember please type NA.
If the servicemember is a parent or spouse, please enter their
SSN#
. This is requested by the VA during school certification. If you are the military servicemember please type NA.
If using Chapter 31 please enter the PO# (purchase order number) given to you by your VA rep:
Please attach your Certificate of Eligibility.
Reminder about Dropping Courses:
Please notify the Certifying Official if you add or drop hours. When you drop a class and your credit hours change, we report your new enrollment information to the VA. It is your responsibility to notify us of any changes to your enrollment. This change could result in a debt owed to the VA depending on when in the semester you dropped the course. Please contact the
Ask a Question
https://www.gibill2.va.gov
or GI Bill Education Call Center (1.888.442.4551)
for specific questions about creating a debt, or the Certifying Official to know how we will report the dropped class to the VA.
For more information on VA programs or for benefits rate information, visit the VA website:
http://www.gibill.va.gov
.
Submit