VA REGISTRATION / CERTIFICATION FORM

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  • Please enter a number from 1 to 25.
  • Student Certification

    I request to be certified for veteran education benefits during the semester listed above. I agree to the YACPA policies and procedures and grant permission to YACPA to release information concerning my educational records to the U.S. Department of Veteran Affairs. In addition, my address listed above will be updated in the California Veteran Affairs Agency database.

    I understand:

    • I must update the College and VA Certifying Official if I adjust my schedule and/or change my program of study.
    • I may be required to pay back funds to the VA for non-completed coursework or other non-allowable actions.
    • I am responsible for paying my student account balance at YACPA.