Mississippi Valley State University Request for VA Certification This form must be submitted to the School Certifying Official for each term you wish to certify your enrollment for VA Benefits. Student's Full Name Please enter your full name. This will also serve as your electronic signature. Student's ID Number Please enter your student ID number. Certification of Enrollment Requested for Term - Select -Chapter 30 Montgomery GI Bill®Chapter 31 Vocational RehabilitationChapter 33 Post-9/11 GI Bill®Chapter 35 DependentChapter 1606 Selective Reserves Please choose the term for which you want to be certified. Enter Term for VA Certification - Select -Spring 2025Summer 2025Fall 2025Spring 2026Summer 2026Fall 2026Spring 2027Summer 2027Fall 2027 MVSU Email Addresss Please enter your MVSU email address. Mailing Address Mailing Address Mailing Address Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Phone Number Please enter your 10-digit phone number.
