"The El Paso County Community College District does not discriminate on the basis of race, color, national origin, religion, gender, age, disability,
veteran status, sexual orientation, or gender identity"
1 Rev. 03/02/2020
2020-2021
Financial Aid Office
Statement of Selective Service Status
First Name: ___________________ Last Name: ____________________ EPCC ID: _______________
STATEMENT OF SELECTIVE SERVICE
This form must be completed and submitted to the Financial Aid Office prior to disbursement of any
funding.
Select your current Selective Service status:
Registered
I have registered for Selective Service. (Proof of registration
required)
Not
Registered
I have not registered for Selective Service.
Exempt
I
am
not
required
to
register
for
Selective
Service
based
on
the
registration requirements. (Additional documentation is required
for selective service appeal.)
Justification of answer:
I certify that the selective service status provided is true and correct. I understand that I must
provide documentation if requested by El Paso Community College Financial Aid Office and I may
be required to complete a new statement for each academic year.
__________________
__________
Student signature Date
click to sign
signature
click to edit
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