Veteran Enrollment Card

Indicates required field

Veteran Enrollment Card

Personal Information

First Name

Last Name

Chapter

Student ID

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Degree Type

Associates Degree

Bachelors Degree

Masters Degree

Major

SSN of Veteran

Branch

Status

Veteran

Dependent

Veteran Semester

I completed and signed the BSU Veteran Enrollment Card signifying that I will be attending Bluefield State University for the:

Semester

Year

Hours

Any changes to your class schedule MUST BE reported to the Certifying Official. All official notifications will be sent to your BSU email address. You must also notify the Certifying Official if you are not attending or wish to withdraw from your classes.

Signature

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Date

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