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 * Please enter your mailing address. Mailing City * Please enter the city associated with your mailing address. Mailing State * Please enter the two-letter state code associated with your mailing address. Mailing Zip Code * Please enter the 5 digit zip code associated with your mailing address. Phone Number * Please enter your 10-digit phone number. Leave this field blank
