OMB Control No. 2900-0576 Respondent Burden: 3 Minutes Expiration Date: XX/XX/XXXXCertificate of Affirmation of Enrollment Agreement • December 18th, 2014
CERTIFICATE OF AFFIRMATION OF ENROLLMENT AGREEMENT - CORRESPONDENCE COURSE 1. FIRST NAME-MIDDLE INITIAL-LAST NAME OF ELIGIBLE PERSON 2. VA FILE NO. 3. NAME OF COURSE 4. DATE ENROLLMENT AGREEMENT SIGNED 5. NAME AND ADDRESS OF SCHOOL PURPOSE OF THE AFFIRMATION PROVISION OF LAWTo provide you time (no less than five full days following your signing of an enrollment agreement) during which you can reflect on your decision to enroll in a correspondence course and determine if such correspondence course is suitable to your abilities and interests. The Correspondence School Agreement you have signed is not effective unless you complete this form and return it to the school.AFFIRMATION PROCEDURE:A. Decision not to Affirm - If you decide not to affirm the Correspondence School Agreement you have signed, do not sign this form. Destroy it. Additionally, you may notify the institution, at any time, of your decision not to affirm the enrollment agreement. The institution, thereupon, without imposing
OMB Control No. 2900-0576 Respondent Burden: 3 MinutesCertificate of Affirmation of Enrollment Agreement • February 11th, 2009
CERTIFICATE OF AFFIRMATION OF ENROLLMENTAGREEMENT CORRESPONDENCE COURSE 1. FIRST NAME-MIDDLE INITIAL-LAST NAME OF ELIGIBLE PERSON 2. VA FILE NO. 3. NAME OF COURSE 4. DATE ENROLLMENT AGREEMENT SIGNED 5. NAME AND ADDRESS OF SCHOOL PURPOSE OF THE AFFIRMATION PROVISION OF LAWTo provide you time (no less than five full days following your signing of an enrollment agreement) during which you can reflect on your decision to enroll in a correspondence course and determine if such correspondence course is suitable to your abilities and interests. The Correspondence School Agreement you have signed is not effective unless you complete this form and return it to the school. AFFIRMATION PROCEDURE: A. Decision not to Affirm - If you decide not to affirm the Correspondence School Agreement you have signed, do not sign this form. Destroy it. Additionally, you may notify the institution, at any time, of your decision not to affirm the enrollment agreement. The institution, thereupon, without impo
