This form must be submitted every semester you are enrolled or when adjusting your schedule.

  • Please complete and submit the online form below.
  • Note that your curriculum code is required to complete this form. The curriculum code is a reference number (no letters) for your degree or certificate program.

Degree and Certificate Programs at LCCC


  • (Your LCCC email address begins with the username for your MyCampus account and ends in
  • Your Assigned Academic Advisor can be found on your MyCampus Account
  • See the link above for the list of Majors
  • (4-digit number - See the link above for the list of Curriculum Codes/Majors)
  • (See the link above for the list of Majors)
  • (4-digit number - See the link above for the list of Curriculum Codes/Majors)
  • If this is a University Partnership Program, please provide the information below

  • Enter each course below (i.e.: Course Abbreviation and Number HLED 151 Credit Hours 3). Click the Plus Sign to add additional courses.
    Course Abbreviation and NumberCredit Hours 
  • Will you be using any additional funding sources? (i.e. Grants, Scholarships, Tuition Assistance)
    For each additional source click on the plus symbol to add another row.
  • Your Branch of Service
  • Current Military Status - I am...
  • GI Bill Benefit Chapter
  • If you are a new student, have you used your G.I. Benefits at another college?
    Note: If so, you will need to complete VA Form: 22-1995 Change of Program/Place of training.
  • If you are uncertain if the courses you have registered for are required in your degree, you should consult with your advisor before requesting enrollment certification.
  • Note: If you stop attending class and receive a failing grade, VA will not pay for that class.


*GI Bill® is a registered trademark of the U.S. Department of Veterans Affairs (VA). More information about education benefits offered by VA is available at the official U.S. government web site