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Search for:
VA Education Benefits Request Form
VA Education Benefits Request Form
Name
(Required)
First
Middle
Last
Phone Number
Date
(Required)
MM slash DD slash YYYY
Email
(Required)
Last 4 digits of SS#
(Required)
Program
(Required)
Semester
(Required)
Summer 2024
Fall 2024
Spring 2025
Are you currently receiving Veteran Benefits?
(Required)
Yes
No
If you have not received VA benefits as a Trocaire College student, please upload the Certificate of Eligibility (COE) or bring a copy of the COE to the Registrar's Office.
Drop files here or
Select files
Max. file size: 50 MB.
Will you be using your VA benefits this semester?
(Required)
Yes
No
Have you changed your academic program?
(Required)
Yes
No
Consent
(Required)
I hereby certify that by selecting the “I Accept” button, I am signing this request form electronically and that my electronic signature is the same as my handwritten signature.
