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Veteran Registration and Certification Form
The completion of this form authorizes Veteran Services to provide required information and to certify your enrollment at MSSU for a specified semester to the U.S. Department of Veteran Affairs, St. Louis, Mo.

First Name: 
Middle Initial: 
Last Name: 
Zip Code: 
Phone Number: 
Is this a change of address?
Email Address: 
Branch of Service: 
Military Affiliation/Statues

Please check all that apply:

CH 30 Montgomery G.I. Bill-Prior or Active Duty
CH 31 Disabled Veteran/Vocational Rehabilitation
CH33 Montgomery GI Bill (Post 9/11 Transfer of Entitlement)
CH 33 Montgomery GI Bill (Post 9/11)
CH 35 Survivors/Dependents Education
Veteran's SSN 
CH 1606 Montgomery G.I. Bill Selected Reserve National Guard
CH 1607 Reserve Educational Assistance Program
Are you currently National Guard, Active Duty or Reserves
Have you applied for financial aid?
Please Select Type of Degree:
What is your major(Major must be declared by end of second semester)?
Is this a change in Program?
Are you changing place of training?
Please Select One:
Please Select a Semester:
Have you received VA benefits at other schools?
Have you requested transcripts from the other schools to be sent to MSSU?
List other colleges/universities attended : 
I understand that:
  • I will provide a copy of my DD-214 and VA Certificate of Eligibility Letter to the School Certifying Official.
  • I will be enrolled in an approved program of study and ensure that all classes are in my degree plan.
  • I will attend class, make satisfactory progress, and maintain a 2.0 grade point average.
  • I will report any changes in my enrollment (add, drop or withdrawal) to the School Certifying Official.
  • I will provide information to the Financial Aid Office regarding my military status, category and monthly rate of pay.
  • I will provide my authorization for State or Federal Tuition Assistance to the School Certifying Official and Bursar Office.
  • I will be responsible for all tuition and fees, or the portion, not paid by my VA education benefits.
  • I will complete this form and sign prior to every semester I wish to use my VA education benefits.
  • By signing this form I authorize MSSU to certify my enrollment to the U.S. Department of Veteran Affairs
Please Sign with Your Lionet SID and PIN: