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Last Updated:
Wednesday, June 01, 2011.

Veterans Affairs Program: Certification Request Form

*Address:
Current on File:
New/Updated (enter address below):

1. Have you requested certification before? Yes No

2. What term are you requesting a new certification for?

Intersession/Spring
Summer
Fall

3. Do you have a Student Educational Plan on file with the Counseling Office (You must have a Student Educational Plan on file prior to the end of your first semester of attendance)? Yes No



(this question helps protect AVC from spam)

*Required

A copy of this information will be e-mailed to you. If you want a hard-copy, please print this page for your records.