This research examined student and instructor perceptions on preference and perceived effectiveness of a university’s synchronous video learning based course delivery system. Instructors and students responded to surveys that asked if four learning modes (Classroom, Synchronous Classroom, Synchronous Home and Online) were equivalent. They were asked mode (modality) preference, effective in using Synchronous technology, if blending online components to a classroom course benefitted the learning experience, and if Veteran’s Affairs (VA) students chose class offerings based on reimbursement differences. The study found that respondents did not perceive mode to be equivalent, and indicated a preference for classroom instruction followed by Online, EV Home and EV Classroom. Both instructors and students indicated that instructors were confident/competent using Synchronous equipment and VA students indicated differences in reimbursement impacted their choice of learning mode chosen. Students who had taken a Synchronous class indicated that Home was their second most preferred method of learning. Recommendations included future research to evaluate the differences in student performance among the four modes of learning.