Fill - Free fillable Form 5307497999: 20192020SelectiveServiceForm (Woodland Community College) PDF form

YubaCommunityCollegeDistrict

FinancialAidOffices

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YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999

WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725

LakeCounty Campus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923

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2019‐2020SelectiveServiceForm

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____________________________________________________________ __________________________________

LastName  FirstName  M.I. StudentIDNumber

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____________________________________________________________ __________________________________

MailingAddress(includeapt.no.)DateofBirth

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____________________________________________________________ __________________________________

City    State ZipCode PhoneNumber(includeareacode)

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AccordingtoFederalLaw,mostmalesmustregisterwithSele ctiveServicetoreceivefederalstudentaid.Ifyou

areafemaleorwerebornbefore1960,registrationisnotrequired.Ifyouareamalebetweentheagesof18

through25,youmustregisterwithSelectiveServicetobe

eligibleforfinancialaid.

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If you believe you have already registered with Selective Service, please provide confirmation of your

registration(e.g.acopyofyourSelectiveServiceRegistrationAcknowledgment).

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Ifyoudidnotregister,youcanregisterwithSelectiveServicebydoingoneofthefollowing:

 Registeronthe

Webatwww.sss.gov.

 CompleteaSelectiveServiceRegistrationformatyourlocalpostoffice.

 Answer"Yes"toItem22onyourStudentAidReport(SAR)andreturnyoursignedSARto

theDepartmentofEducation.

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IfyoudidnotregisterwithSelectiveService,andareamalenow

26orolder,youareineligibleforFederal

student aid. You may submit an appeal to the Financial Aid Office explaining the reasons for your failure to



1. Obtaina"StatusInformationLetter"fromSelectiveService.Youcandownloadthe"RequestforStatus

Information

Letter"ontheWebatwww.sss.gov.



2. AssoonasyoureceivetheStatusInformationLetterfromSelectiveService:

 SubmitacopyoftheStatusInformationLettertotheFinancialAidOffice

 IncludeatypedstatementexplainingwhyyoudidnotregisterwithSelectiveService

 Attachanysupportingdocumentationwithyourappealrequest



I certify that the information provided is true and correct to the best of my knowledge. I understand that this

informationwillbeused to determine my eligibility for financial aid andthatfalseormisleadinginformationmay be

causefordenial,termination,and/orrepaymentoffinancialaidfunds.

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________________________________________________________ _______________________________

StudentSignatureDate

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Page1SelectiveService

Rev.9/25/17



FORFINANCIALAIDOFFICEUSEONLY

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DocumentationSubmitted: StatusInformationLetter PersonalStatement

 SupportingDocumentation_________________________________________________________________________

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Decision: Approved  Denied

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__________________________________________________________________________________________________

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__________________________________________________________________________________________________

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__________________________________________________________________________________________________

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__________________________________________________________________________________________________

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_____________________________________________________ _________________________________

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FinancialAidSignature  Date

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