Form 22-0976 APPLICATION FOR APPROVAL OF A PROGRAM IN A FOREIGN COUNT

OMB Approved No. 2900-0853
Respondent Burden: 20 Minutes
Expiration Date: XX/XX/20XX

APPLICATION FOR APPROVAL OF A PROGRAM IN A FOREIGN COUNTRY
PART I - GENERAL INFORMATION
1. TELL US WHY YOU ARE SUBMITTING THIS APPLICATION (You may check more than one box.)
INITIAL APPLICATION. This is a request for an initial approval to be designated as an institution with programs eligible for participation in VA GI Bill® benefit
programs.
APPROVAL OF NEW PROGRAM(S). This is a request for additional programs to be approved and added to a current, active GI Bill Approval.
REAPPROVALS. This is a request for a full reapproval of currently approved GI Bill program. Program reapprovals are required every 24 months.
UPDATE INFORMATION. The purpose of this application is to update information about the institution. If "update information" is checked, please identify at least
one purpose below. This may include issues such as changes of address, banking information, etc.
OTHER. (Specify)
2A. THE INSTITUTION IS CLASSIFIED AS:
PUBLIC

PRIVATE-FOR-PROFIT

PRIVATE-NOT-FOR-PROFIT

2B. DOES YOUR COUNTRY'S GOVERNING AUTHORITY, WITH OVERSIGHT OVER EDUCATIONAL INSTITUTIONS AND PROGRAMS, OFFICIALLY CLASSIFY
THE FACILITY AS A INSTITUTION OF HIGHER LEARNING? (i.e., as a college, university, or similar establishment offering postsecondary level academic

instruction leading to the conferring of a degree.)
YES
NO (If "YES," what type of degree(s)?)

2C. DOES THE FACILITY PARTICIPATE IN A PROGRAM UNDER TITLE IV WITH THE U.S. DEPARTMENT OF EDUCATION?
YES

NO

(If "YES," please list your OPEID Number):
3B. VA FACILITY CODE (If known)

3A. NAME OF INSTITUTION
4A. PHYSICAL ADDRESS

4B. MAILING ADDRESS

4C. COUNTRY

5. INSTITUTION WEBSITE ADDRESS

PART II - DEGREE PROGRAMS
6. PLEASE PROVIDE THE FOLLOWING INFORMATION FOR THE EDUCATIONAL PROGRAMS THAT YOU ARE REQUESTING TO BE APPROVED FOR GI BILL
BENEFITS.

NAME OF DEGREE PROGRAM
(i.e. AS Business Administration, BS
Information Technology)

TOTAL LENGTH OF
PROGRAM
(i.e. 2 year, 3 year program)

NUMBER OF WEEKS
PER TERM/SEMESTER

ENTRY REQUIREMENTS

NUMBER OF
CREDIT HOURS

Check here if you are requesting approval for more than 4 programs and continue on a separate sheet(s). Please annotate each sheet to read, for example, 1 of 3, 2
of 3 etc., and attach the separate sheet(s) to the approval package.

PART III - SCHOOL CERTIFICATION AND ACKNOWLEDGEMENTS
7. THE FOLLOWING ARE REQUIREMENTS FOR PARTICIPATION. VA MUST BE ABLE TO VERIFY THE FOLLOWING INFORMATION USING THE SUBMITTED
DOCUMENTATION OR OTHER PUBLISHED INFORMATION.
• The institution has adequate available space, the appropriate facilities and equipment to conduct the programs for which it seeks approval.
• The institution has a calendar showing holidays, closings, beginning and end-dates of each quarter, term or semester, and other important dates, such as exam periods.
• The institution has documented policies relative to the refund of the unused portion of a tuition, fees, and other charges in the event a student withdraws or
discontinues their enrollment.

VA FORM
XXX 20XX

22-0976

SUPERSEDES VA FORM 22-0976, AUG 2022,
WHICH WILL NOT BE USED.

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PART III - SCHOOL CERTIFICATION AND ACKNOWLEDGEMENTS (Continued)
7. THE FOLLOWING ARE REQUIREMENTS FOR PARTICIPATION. VA MUST BE ABLE TO VERIFY THE FOLLOWING INFORMATION USING THE SUBMITTED
DOCUMENTATION OR OTHER PUBLISHED INFORMATION.
• Schools Deemed Nonaccredited for VA Purposes - Any insttitution which fails to forward any refund due within 40 days after such a change in status, shall be
deemed, prima facie, to have failed to make a prompt refund and may be suspended or withdrawn from eligibility.
Authorizing Official
Initial Here
8. THE INSTITUTION MUST RETAIN THE RECORDS AND ACCOUNT INFORMATION OF VA STUDENTS FOR THREE YEARS FOLLOWING THE ENDING DATE
OF THE LAST PERIOD OF ATTENDANCE CERTIFIED TO VA. THE INSTITUTION MUST MAKE THESE RECORDS AVAILABLE FOR VA INSPECTION UPON
REQUEST FOR THE PURPOSE OF VERIFICATION OF COMPLIANCE WITH THE FOLLOWING PROGRAM REQUIREMENTS:
• Maintain sufficient records to show the progress of each VA student and to promptly inform VA when the conduct or progress of any VA student is not satisfactory
in accordance with the regularly prescribed standards and practices of the institution.
• Institution will give appropriate credit for previous education and training of VA students and shorten the training program appropriately.
• Institution will only certify to VA, courses that are required for the completion of the student's degree program.
• Institution will charge both VA and Non-VA students the same tuition, fees and other related miscellaneous amounts for the costs of attendance.
• Institution will agree to promptly inform the VA when it comes to the school's attention that any VA student:
o Has changes in hours of credit or attendance, or

o Has interrupted or discontinued a course or program of study, giving the date(s) of withdrawal, and the reason(s), if known, or
o Completed/graduated from the program, or

o Receives grade(s) for any course(s) that will not be used when computing graduation requirements.
Authorizing Official
Initial Here
9. INSTITUTION UNDERSTANDS THE FOLLOWING IMPORTANT PROGRAM REQUIREMENTS AND/OR LIMITATIONS:
• Institution will be financially responsible to VA for the payments made directly to the educational institution pursuant to the Post-9/11 GI Bill, and the Yellow Ribbon
GI Bill Educational Enhancement Program.
• Institution will not impose any penalty, including the assessment of late fees, the denial of access to classes, or other institutional facilities, or require that VA
students borrow funds due to VA-delayed disbursement of funding.
• Institution will not engage in advertising and/or enrollment practices of any type, which are erroneous, deceptive, or misleading either by actual statement, omission
or intimation.
• Institutions are prohibited from using "GI Bill" in any manner that directly or indirectly implies a relationship affiliation, or endorsement affiliation with the Department
of Veterans Affairs.
• Institution must select an employee to act as a VA contact person (School Certifying Official) and will complete a new VA Form 22-8794, Designation of Certifying
Official, whenever a new employee is selected to perform this role.
• Institution agrees to adhere to the VA GI Bill Trademark Terms of Use. Please click this link for information regarding the Terms of Use.
Trademark Terms of Use - Education and Training (va.gov).
• Institution agrees to submit all enrollment certifications and any amendments, adjustments, or terminations electronically through the Enrollment Management (EM)
system.
First Time User: Create an ID.me account - ID.me
Existing User: Sign in to ID.me - ID.me
Authorizing Official
Initial Here
10A. THE FACILITY IS FINANCIALLY SOUND AND CAPABLE OF FULFILLING ITS COMMITMENTS FOR TRAINING. THE FACILITY AGREES TO SUBMIT WITH
THIS APPLICATION FINANCIAL DOCUMENTATION TO SUBSTANTIATE FINANCIAL SOUNDNESS. (Examples of documentation may include copies of tax returns, or
financial reports that reports the financial position of the institution or establishment, as prepared by any appropriate third-party entity. New facilities are requested to
submit 24 months of financial data to determine financial soundness. Please contact your Education Liaison Representative (ELR)/State Approving Agency (SAA) for
additional guidance if needed)).
NOTE: US Department of Education, Title IV school participants are not required to provide financial statement with the application.
YES

NO (If "No," explain the circumstances below.)

10B. INSTITUTIONS THAT PARTICIPATE IN VA GI BILL PROGRAMS MUST AGREE TO ELECTRONIC FUNDS TRANSFER (EFT) - DIRECT DEPOSIT
TRANSACTIONS FOR THE PAYMENT OF FUNDS OWED TO THE INSTITUTION.
Authorizing Official
Initial Here
NOTE: VA will contact the institution to make arrangements to set up electronic funds transfer (EFT) - Direct Deposit or International Direct Deposit Arrangement.
11. BRANCHES: PLEASE LIST OTHER OFF-CAMPUS LOCATIONS, INCLUDING COMPLETE MAILING ADDRESS FOR EACH OFF-CAMPUS LOCATION WITHIN
SAME COUNTRY.

BRANCH

VA FORM 22-0976, XXX 20XX

COMPLETE ADDRESS

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IF MORE THAN 4 BRANCHES, PLEASE ATTACH A COPY OF THE COMPLETE LIST OF BRANCHES WITH YOUR APPLICATION. PLEASE EMAIL
FEDERAL.APPROVALS@VA.GOV FOR ANY ADDITIONAL QUESTIONS.
12. LIST OF SCHOOL GOVERNING BODY, OFFICIALS AND FACULTY. (Please attach a separate sheet if you would like to list additional names.)

OFFICIALS AND FACULTY

TITLE

PART IV - MEDICAL SCHOOL INFORMATION ONLY
13. INSTITUTION IS LISTED AS A MEDICAL SCHOOL IN THE WORLD DIRECTORY OF MEDICAL SCHOOLS PUBLISHED BY THE WORLD HEALTH ORGANIZATION.
YES

NO

14. THE NAME OF THE ACCREDITING AUTHORITY OPERATING IN YOUR COUNTRY THAT RECOGNIZES THE INSTITUTION AS A MEDICAL SCHOOL.
15. INSTITUTION PROVIDES (and requires its students to complete), A PROGRAM OF CLINICAL AND CLASSROOM INSTRUCTION THAT IS AT LEAST 32
MONTHS IN LENGTH.
YES

NO

16. INSTITUTION GRADUATED CLASSES DURING EACH OF THE LAST TWO 12-MONTH PERIODS.
YES

NO

(If "YES," include the date (month, day, year) of the last two graduating classes and the number of students that graduated in each class.)
DATE OF GRADUATING CLASS (MM/DD/YYYY):

NUMBER OF STUDENTS THAT GRADUATED:

DATE OF GRADUATING CLASS (MM/DD/YYYY):

NUMBER OF STUDENTS THAT GRADUATED:

PART V - INSTITUTION CONTACTS
17A. NAME OF SCHOOL FINANCIAL REPRESENTATIVE

17B. SCHOOL FINANCIAL REPRESENTATIVE EMAIL ADDRESS

18A. NAME OF SCHOOL CERTIFYING OFFICIAL (No signature for original

18B. SCHOOL CERTIFYING OFFICIAL EMAIL ADDRESS

applications)

PART VI - CERTIFICATION AND SIGNATURE OF AUTHORIZING OFFICIAL
I CERTIFY THAT all statements in this application are true and correct to the best of my knowledge and belief.
19A. NAME OF AUTHORIZING OFFICIAL

19B. SIGNATURE OF AUTHORIZING OFFICIAL

19C. DATE SIGNED (MM/DD/YYYY)

PRIVACY ACT INFORMATION: VA will not disclose information collected on this form to any sources other than what has been authorized under the Privacy Act of 1974 or Title
38, Code of Federal Regulations, Section 1.526 for routine uses (e.g. VA sends education forms or letters with a veteran's identifying information to the veteran's school or training
establishment to (1) assist the veteran in the completion of claims forms or (2) for the VA to obtain further information as may be necessary from the school for the VA to properly
process the veteran's education claim or to monitor his or her progress during training as identified in the VA System of Records, 58VA21/22/28, Compensation, Pension, Education and
Veteran Readiness and Employment Records - VA , published in the Federal Register. Your obligation to respond is required to obtain or retain education benefits. The
requested information is considered relevant and necessary to determine the maximum benefits under the law. While you do not have to respond, VA cannot process your claim for
education assistance unless the information is furnished as required by existing law (38 U.S.C. 3471). The responses you submit are considered confidential (38 U.S.C. 5701). Any
information provided by applicants, recipients, and others may be subject to verification through computer matching programs with other agencies.
RESPONDENT BURDEN: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB
control number. The OMB control number for this project is 2900-0853, and it expires XX/XX/20XX. Public reporting burden for this collection of information is estimated to average
20 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing the
burden, to VA Reports Clearance Officer at vapra@va.gov. Please refer to OMB Control No. 2900-0853 in any correspondence. Do not send your completed VA Form 22-0976 to this
email address.
VA FORM 22-0976, XXX 20XX

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INSTRUCTIONS AND INFORMATION PAGE
Line Items 7 - 10
In order for a program to be approved, line items 7 - 10 must be initialed by the institution authorizing official acknowledging agreement and
compliance with the requirements. If the school is unable to agree to EFT requirements, programs will not be approved for VA benefits.
Line Items 11 - 12
These sections must be completed in its entirety. Attach additional sheets if necessary.
Line Items 13 - 16
These questions only need to be completed by medical schools. If the institution is not a medical school, you can disregard these questions.
IF YOU NEED HELP
If you need help in completing this form, you can contact the VA at: Federal.Approvals@va.gov.
TO FILE THIS FORM
Please email the form to Federal.Approvals@va.gov. No need to send a hard copy application via U.S. mail.

VA FORM 22-0976, XXX 20XX

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