Fillable New Hire Selective Service Statement STATEMENT OF SELECTIVE SERVICE STATUS

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New Hire Selective Service Statement STATEMENT OF SELECTIVE SERVICE STATUS

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National Park Community College
Department of Human Resources
STATEMENT OF SELECTIVE SERVICE STATUS
IN COMPLIANCE WITH ACT 228 OF THE 1997 ACTS OF THE
ARKANSAS GENERAL ASSEMBLY
I understand that to be eligible for employment with the State of Arkansas
or eligible for admission to an institution of higher education, I must
register, or be exempt from registration, with the Selective Service System
in accordance with the Military Selective Service Act, 50 U.S.C. Appx §
451 et seq., as specified in Act 228 of the 197 Acts of the Arkansas
General Assembly. I therefore swear or affirm under penalty of perjury
that I have registered with the Selective Service System, or I am exempted
from such registration because of the following provision(s) of the Military
Selective Service Act or Act 228 of the 1997 Acts of the Arkansas General
Assembly:
□ I am female,
□ I am a current member of the armed forces on active duty,
□ I am under 18 years of age,
□ I am 26 years of age or over,
□ I am an exempted resident alien,
□ Other (specify below).
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New Hire Selective Service Statement STATEMENT OF SELECTIVE SERVICE STATUS

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Completed 3 March 2020

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