DECLARATION OF INTENT
TOWSON UNIVERSITY
Veterans Affairs Office
Enrollment Services Center, Room 211
8000 York Road
Towson, Maryland 21252-0001
Phone: 410-704-3094 Fax: 410-704-2537
Effective May 1, 2017: Any Declaration of Intent Form submitted via email will NOT be processed for certification of VA
Education Benefits due to security concerns.
A Declaration of Intent must be submitted to Towson University’s Veterans Affairs Office (see above) each term a student requests
certification for VA education benefits. Please type or print clearly and submit by mail, fax or in person. Students requesting
certification for the first time at Towson should contact the Veterans Affairs Office at least 8 weeks prior to the date of
enrollment to ensure timely processing of the paperwork. For assistance regarding various GI Bill education benefits administered
by the US Dept. of Veterans Affairs call 1-888-442-4551 to speak with a Veterans Benefits Coordinator or visit their website at
www.gibill.va.gov to access information.
NEW STUDENTS

Submit Declaration of Intent Form & Certificate of Eligibility or NOBE.
CONTINUING STUDENTS AT TOWSON UNIVERSITY

Declaration of Intent Form. (Also, VA Form 22-1995 or 22-5495 if major/degree change.)
TRANSFER STUDENTS WHO HAVE PREVIOUSLY USED VA EDUCATION BENEFITS

Same documentation as “New Students” & VA Form 22-1995 or VA Form 22-5495
VA FORMS 22-1995 & 22-5495
Use for change of major, change of school, or change of degree (i.e., undergraduate to graduate). Submit online at gibill.va.gov &
provide a VA email confirmation or copy of the form to our office.

VA Form 22-1995 – Request for Change of Program or Place of Training.

VA Form 22-5495 – Dependents’ Request for Change of Program or Place of Training. Use ONLY for Marine Gunnery
Sergeant John David Fry Scholarship OR Ch. 35 Survivors'/Dependents’ Educational Assistance Program.
**Do NOT email. Certification will not be processed.**
Term:
Fall
G.I. Benefit Program:
Minimester
Spring
Name:
Number of credits/term:
Address:
Major:
Summer
Changed major or degree? Submit VA Form 22-1995 or 22-5495
City
State
Zipcode
Undergraduate:
Graduate:
Is this a new address: Yes ☐ No ☐
Have you used VA Benefits:
Daytime Phone:
TU Email:
Yes ☐
No ☐
@students.towson.edu
NOTE: *SS#s (VA#s if Ch.35) MUST be included in order to receive benefits. Failure to submit #s will cause delays in certifications.
Yes ☐
*SS# Student:
New student at Towson:
*SS# Ch. 33:
If so, number of credits transferred:
No ☐
SS# of Parent/Spouse for Ch. 33 Post-9/11 Assignees
*VA# Ch. 35:
VA# of Parent/Spouse for Survivors’/Dependents’ Educational Assistance
Teacher Certification:
Yes ☐ No ☐
Are you active duty:
Yes ☐
Continuing student at Towson
& first time using VA benefits: Yes ☐
No ☐
Second Bachelor’s Student:
No ☐
Yes
☐
No ☐
I declare my intention to attend Towson University for the semester and carry the number of credits shown above. I realize it is my responsibility to
report to the Office of Veterans Affairs any change in my credit load and that failure to do so may result in an overpayment for which I will be liable. I
am in an approved program and will enroll in only those courses that meet the program’s requirements.
Signature:
Date:
5/1/17cm