VA Certification Request Form

Use this form to request VA education benefits certification for an academic period.

Full Name Full Name First Last
Student ID
Must be 7 digits. Currently Entered: 0 digits.
Furman Email Address
Academic Period
Session
VA Education Benefit
Eligibility Tier
By signing this form, I understand that:

By signing this form, I understand that:

• My enrollment will be certified to the U.S. Department of Veterans Affairs for the academic period listed above.

• I am responsible for my enrollment and must promptly notify Enrollment Services of any changes, including adds, drops, or withdrawals.

• Failure to report enrollment changes may result in delayed VA payments and/or overpayments that I may be required to repay to the U.S. Department of Veterans Affairs or Furman University.

• VA education benefits may not cover all tuition and fees, and I am responsible for any remaining balance.
Electronic Signature

Draw or Type

Your electronic signature has the same legal effect as a handwritten signature. Clear

Full Name

Your electronic signature has the same legal effect as a handwritten signature.
Questions?
Furman University Enrollment Services
(864) 294-2030
enroll@furman.edu