Follow the steps to accurately complete your form.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin with Part 1: Student Information. Fill in your last name, first name, and middle initial. Then, enter your student ID, current mailing address (including city, state, and zip code), phone number (with area code), email address, date of birth (in mm/dd/yyyy format), major (including concentration if applicable), anticipated graduation semester and year.
3. Proceed to Part 2: Benefit Program. Select your status by checking one of the boxes (active duty, veteran, etc.). Indicate whether you have received VA educational benefits at BRCC before by checking yes or no. Then, select the VA education program you qualify for by checking the appropriate box.
4. Move on to Part 3: Enrollment Certification. Mark the term for which you are requesting certification (fall, spring, or summer). List all registered courses required for your degree, along with their credits and whether they are repeats. If any course is an internship or co-op, provide the zip code of the location next to the course.
5. Complete Part 4: Student Certification. Review and check each box to acknowledge your understanding and agreement with the statements listed. Ensure you certify that your courses satisfy degree requirements and that you accept responsibility for any debts incurred due to changes in enrollment.
6. Finally, provide your signature to validate the information you have supplied. Ensure all fields are completed accurately, and it may be helpful to save changes before downloading, printing, or sharing the completed form.

Complete your VA Enrollment Verification Form online today to secure your educational benefits.