Skip to main content

Personal Information

VA Education Benefit Information

Fall 20221. Select and Complete the Chapter authorizing your benefits. *
Do you plan to use Federal Tuition Assistance in addition to your VA Education Benefit?
Note: Any tuition assistance used must be subtracted from the amount of Mississippi College tuition submitted to V.A.
Please note that we must have a signed FERPA from each student planning to use TA. Complete and return the FERPA form to the Office of the Registrar, Nelson Hall or mail to PO Box 4028, Clinton, MS 39058.
2. Have you previously used this VA benefit? Note: If no, you must apply with VA to use benefits. *

Academic Information

3. I am requesting certification for term: *
4. Have you attended MC before? *
Are you registered for an externship, internship or clinical course? *
Note: A transfer student continuing your benefits or changing degree program must submit a VA Form 22-1995 or VA 22-5495 using the VONAPP website. A continuing MC student changing major may submit a paper copy to our office.
8. My Program of Study is: *

Signature