Submit this completed form and all supporting documents to Lamar State College Port Arthur Financial Aid Office using your preferred method.
Mail: LSCPA Office of Financial Aid ▪ PO Box 310 ▪ Port Arthur, TX 77641 Drop off: 304 Student Center
Scan and email: FinancialAid@lamarpa.edu Fax: 409-984-6021
Revised 10/21/2019
SELECTIVE SERVICE STATEMENT
Student Information
Name__________________________________________________________________ ID # _________________________
Information
In accordance with TEC, 51.9095, male students may not receive financial assistance without filing a Selective Service
Status Statement with their institution or other entity granting or guaranteeing the assistance. Financial assistance
includes grants, scholarships, loans or other assistance funded by state revenue, including federal funds or gifts and grants
accepted by the state.
For a male student that does not complete a FAFSA, the required status statement and back-up documentation must be
collected by Lamar State College Port Arthur to verify the current selective service status if the individual is applying for
any state financial aid. We are able to accept a copy of your registration card or a printout of online verification of
registration found at www.sss.gov
Your Selective Service registration card is printed only once at the time of your initial registration, after that the
replacement card is in the form of a letter confirming your registration with Selective Service. Call Selective Service at 1-
847-688-6888, for assistance.
Proof of Registration
____
I am providing proof of selective service registration/exemption with this form
_
___ I have previously submitted proof of registration/exemption to the Lamar State College Port Arthur
Financial Aid Office
Required Statement of Selective Service Status
A
re you currently registered for Selective Service, as required by Federal Law?
____ Registered ____ Not Registered ____ Exempt
(Proof of registration Required) (Documentation Required)
Signature
I, _____________________________________________________________________________________________________,
(Student’s Printed Name)
hereby certify that the selective Service status provided is true and correct. I understand that I must provide documentation, if
requested by my institution, and that I may be required to complete a new statement for each academic year for continued
eligibility.
S
tudent’s Signature ___________________________________________ Date _____________________
