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:     , 19   

VA File #   This is your social security number if receiving chapter 1606. 1607, 30 or 33 benefits. It is the veteran's social security number if receiving chapter 35 benefits.

VA Chapter #  

Branch of Service

Are you currently on Active Duty?   


City:   State:   


Phone (with area code):   

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

(Advance pay allows students to receive the first two monthly payments at the beginning of the semester. The VA determines whether you are eligible. Payment is sent to the school to verify enrollment then forwarded to student.)


Authority: This information is solicited through Title 38, U.S. Code. It is considered relevant and necessary to determine entitlement benefits. (P.L./ 93-579) Rev. 12/89 By submitting my e-mail address below as my electronic signature, I certify that the above information is correct. I also certify that the above courses apply toward my degree/certificate program at Fort Hays State University.



E-mail Address:   

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