Veteran Intent Form

Must submit every semester. This will allow Certifying Official to report number of enrolled units to the US Department of Veterans Affairs (VA). If any units are added or dropped an updated form must be submitted.

Is this a new semester form or updated form:
Name Name First Last
Email

Confirm Email Address
Phone Phone - ### - ### ####
Total number of units I intend to enroll in:
Must be a number less than or equal to 40.
Have you or will you apply to Financial Aid?

Have you or will you apply to Financial Aid? Yes No Application Pending
Select the term you are reporting number of units for. Enter the four digits for the year of the selected term. (Example Fall 2020). One term per submission. If you need to cover several terms, please submit an online submission for each term.
Semester

Semester Fall Winter Spring Summer
Year
Must be a number between 1980 and 2040
Enter 4 digit year (Example: 2021)
Semester units are being reported for:
VA Chapter:
Social Security Number
Must be 9 digits. Currently Entered: 0 digits.
Please enter in your full 9 digit Social Security Number here (e.g. 123456789)
Student IVC ID Number:
Must be 9 characters. Currently Entered: 3 characters.
Please enter in your full G# value (e.g. G00123456).
Major (program of Study)
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
I understand that I am required and that it is my responsibility to have any and all Official Transcripts sent to Imperial Valley College, Admissions and Records by the end of the first semester of using my Education Benefits. A failure to do so will result in an interruption in my Education Benefits. (IVC Catalog pg. 28)

I understand that it is my responsibility to complete an Intent Form with the Imperial Valley College, Military & Veteran Success Center each semester in order to continue my Education Benefits. A failure to do so will result in an interruption in my Education Benefits.

I understand that I am required to inform the Imperial Valley College Military & Veteran Success Center of any and all changes to my schedule during the Semester. A failure to do so may result in an overpayment on my part, which would result in a debt with the US Department of Veterans Affairs.

I understand that by signing this form I am acknowledging that I have read all information thoroughly and understand what information has been provided to me I certify that: I am enrolled in the units claimed above and that I am nor repeating any course for which I have previously received credit, and all information provided is current and correct.
Do you understand and accept the disclaimers above?

Do you understand and accept the disclaimers above? Yes
Draw or type your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Veteran Intent Form

Veteran Intent Form

Select the term you are reporting number of units for. Enter the four digits for the year of the selected term. (Example Fall 2020). One term per submission. If you need to cover several terms, please submit an online submission for each term.