Class Climate online-survey - semester worksheet 1

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You are entitled to participate in an online survey. The details of the survey are:

Minot State University

Minot State University Veterans Center

General Surveys

Minot State University VA semester worksheet

1Spread Sheet information

1.1 TERM? (example Fall-2017 or Spring-2019 or Summer 2015) Mandatory field

1.2 Student ID # Mandatory field

Question Student ID # Mandatory field

1.3 Last Name: Mandatory field

Question Last Name: Mandatory field

1.4 First Name: Mandatory field

Question First Name: Mandatory field

1.5 Last 4 numbers of your VA file number? Mandatory field

1.6 Email Address (very important for benefits information): Mandatory field

(maximum 45 characters)

45 Remaining characters for the answer of this question

1.7 Phone number format (000-000-0000): Mandatory field

- -

1.8Are you (Mandatory field)

1.9What benefit chapter are you using? (Mandatory field)

1.10 What % do you qualify for your benefit? (Enter 0 if you do not know) Mandatory field

1.11 Remaining months of benefit? (Enter 0 if you do not know) Mandatory field

1.12 Major? Mandatory field

Question Major? Mandatory field

1.13Are you? (Mandatory field)

If this is your first term transferring to Minot State you are required to complete additional paperwork (DD 22-1995) to be certified, please contact the Veteran Center office.

1.14Number of credits enrolled in this semester at Minot State? (Mandatory field)

Changes made to your schedule after submitting this form need to be reported to the Minot State Veteran Center office. Your changes may create a debt for you that will require re-payment of VA educational benefits you may have already received (book stipend, housing, tuition and fees).

1.15 Are you repeating any courses (enter 0 if no, list repeated courses if yes)? Mandatory field

(maximum 150 characters)

150 Remaining characters for the answer of this question

1.16 Are you taking Collaborative classes (enter 0 if no, list course and school if yes)? Mandatory field

(maximum 150 characters)

150 Remaining characters for the answer of this question

1.17 Are you using tuition waivers (enter 0 if no, list waivers below if yes) Mandatory field

(maximum 50 characters)

50 Remaining characters for the answer of this question

1.18 Are you receiving scholarship(s) (enter 0 if no, list scholarship(s) if yes) Mandatory field

(maximum 150 characters)

150 Remaining characters for the answer of this question

1.19Your instructor will be contacted if you receive a failing grade. It is important to understand that the VA pays you for attending class, not just registering for the course(s) (Mandatory field)

1.20The VA WILL NOT pay for repeated courses (unless the course you are repeating requires a higher grade than you received initially) (Mandatory field)

1.21The VA WILL NOT PAY FOR AUDITED COURSES (Mandatory field)

1.22Chapter 30, 1606 and 1607 recipients must verify their enrollment monthly (online via W.A.V.E. or by phone) (Mandatory field)

1.23FAILURE TO NOTIFY THE MINOT STATE VETERANS OFFICE OF CHANGES TO MY SCHEDULE MAY RESULT IN AN OVERPAYMENT OF BENEFITS WHICH I WILL BE RESPONSIBLE TO PAY BACK TO THE VA (Mandatory field)

1.24I consent to the release to the US Department of Veterans Affairs all of my educational records maintained by Minot State University, including my Social Security Number to allow me to receive VA educational benefits (Mandatory field)