Financial Assistance Office

Class Schedule for Veterans Benefits

Student's Name:   

FHSU ID or Social Security Number:   

If you have any comments, please include them below:
    

Major or Career Objective:    

Birth date: January February March April May June July August September October November December   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   , 19   

VA File #   

VA Chapter #  Chapter 30-Active Duty Chapter 1606-Reserve or Guard Chapter 1607- REAP Chapter 35-Dependent of Veteran Chapter 33-Post 9/11  

Are you currently on Active Duty?   Yes No  

Address:   

City:   State:   Zip:   

Phone (with area code):   

Please indicate the number of hours you are taking at FHSU:
Semester/ Year:  Hours:   


Please list courses to be taken this semester:
It is the responsibility of the Veteran to notify the Financial Assistance Office regarding any change in enrollment.
Course Name                              Dept./Course Number               Hours

           

If eligible, do you wish to receive advance pay?  Yes No  

If eligible, do you wish to receive pay over breaks?   Yes No  

Please indicate the amount of VA benefits you will receive each month $   

E-mail Address: