Selective Service Status Appeal
MC ID#: M________________ Last Name: ____________________ First Name: _____________________
I failed to register with Selective Service
Before submitting this form, you must submit to The Selective Service System (SSS) a Request for Status
Information Letter form. This request form can be obtained from the financial aid office or by contacting
the SSS at 1-847-688-6888, or visit their website at The SSS will determine your status and
will mail you a Status Information Letter. You must provide a copy of the Selective Service Status
Information Letter with this form.
Based on my Selective Service Status Information Letter:
1. I was exempt from registering with Selective Service
a. Provide a copy of your Status Information Letter stating your exemption status.
2. I was required to register for Selective Service
a. Provide a copy of your Status Information Letter stating you were required to register.
b. Provide a detailed explanation, in writing, of the circumstances that led to your failure to
register with the SSS as required by law. You must explain that you did not knowingly
and willfully fail to register. Your statement should include the following:
- How and when you first became aware of the requirement to register for Selective Service.
- What attempts you made to register with Selective Service when, where (attach supporting
- Where you living during the years when you should have registered (ages 18-25)?
- If you were incarcerated and/or institutionalized during this period provide proof on official
- What was your citizenship status during the period?
- Did you attempt to enlist in any branch of the U.S. Armed Forces what branch, when, why
you were rejected, and how you were notified (attach supporting documentation)?
- Is there any other information/documentation that supports your claim?
Attach a separate sheet of paper if necessary. This appeal must be submitted with a copy of your
Selective Service Status Information Letter.
If you have questions, please contact the financial aid office.
By signing this form, I agree to provide information that will verify the accuracy of my
information, if requested. If I purposely give false or misleading information, I will be referred to
the United States Department of Education’s Inspector General. If I purposely give false or
misleading information in order to qualify for Title IV funds, I may be fined $20,000, sent to
prison or both.
Student Signature: _ Date: _
Office Use Only:
M AY __________
Office use only
Office of Student Financial Aid
Phone: (240) 567-5100