Clearwater Christian College CCC Campus News CCC Twitter CCC Facebook

Veteran's Administration Verification


Your certification will be processed and transmitted to the VA upon receipt of this information. Please keep in mind that you must be registered for classes. If any further documentation is required, you will be contacted via your Clearwater student e-mail account.

Fields marked with an asterisk (*) are required.
Personal Information
*
Last Name:
*
First Name:
 
Student ID Number:
*
Social Security Number:
*
Email Address:

Other Information
*
For which term are you requesting VA assistance?
*
Select your VA Education Benefit type.
 
If your benefit type is Chapter 35, please supply the VA file number (Veteran's SSN):
*
Are you on Active Duty?
Yes No
If yes, please submit a copy of your current orders to the Financial Aid Office.
*
Have you applied to the Veterans Administration?
Yes No
If no, please go to http://vabenefits.vba.va.gov/vonapp/main.asp; submit it to the VA and fax a copy to CCC at 727-791-1347.
*
For the term you indicated, do you plan to graduate at the end of that term?
Yes No
*
Current Program/Major:
*
Have you changed your program of study of school since your last term of enrollment?
Yes No
If yes, complete the appropriate form at the site below; submit to the VA and fax to CCC at 727-791-1347.
Chapter 31 Veterans: Contact your Vocational Rehabilitation counselor to request a change of program.
Chapter 35 (Survivors and Dependants of Veterans) complete VA form 22-5495.
All other Veterans complete VA form 22-1995.
http://www.va.gov/vaforms/