Atlantic Cape Community College Financial Aid Office
5100 Black Horse Pike J Building
Mays Landing, N.J. 08330 (609) 343-5082
Selective Service Appeal
____________________________________________ __________________________
Last name First name M.I. Student ID Number
____________________________________________ __________________________
Email Address Date of Birth
We have received notification from the U.S. Department of Education that your Selective Service System (SSS)
registration could not be confirmed. As a result, your financial aid application cannot be completed. You may
appeal this status by completing this form and returning it with all required documents to the Financial Aid Office
as soon as possible.
The Military Selective Service Act (a federal law) requires that all males who were born on or after January 1, 1960
to register with the Selective Service within 30 days of their 18thbirthday. This includes all male citizens, and non-
citizens, who permanently reside
in the U.S. Men with “green cards” must register. Men cannot register after they
reach 26 years old.
Please check the statement below that identifies your status, sign page 2 of this form, and submit this form with
supporting documentation.
□ I am registered with the Selective Service System. Attach a copy of your Selective Service registration
certification. To obtain registration certification, visit
www.sss.gov/
or call 1-847-688-6888.
□ I am female.
□ I was born before January 1, 1960.
□ I am a non-citizen who first entered the U.S. after I turned 26 years old. Attach a copy of I-94 or I-551.
□ I have served on active duty in the U.S. armed forces. Attach a copy of your DD214 Certificate of Release of
Discharge from Active Duty. To obtain a copy of the DD214, call 800-827-1000. Military service in the Reserves,
delayed entry pool or the National Guard is not considered active duty.
□ I am not registered with the Selective Service. You must demonstrate that you did not knowingly and willfully
fail to register. Be sure to clearly state on Page 2 of this form your reason for not registering with Selective Service.
You are required to submit a Status Information Letter. This can be obtained by contacting Selective Service at 1-
847-688-6888 or visit
www.sss.gov/
. Indicate on Page 2 the date you requested your letter as there may be a
delay in processing Status Information Letter requests. **Please note that your Financial Aid file will be
considered incomplete until we receive a copy of your Status Information Letter.
