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Selective Service Form
STUDENT NAME: _______________________________________________ WCC ID: ___________________________
Federal law requires all men 18 years or older and born after December 31, 1959 to register with the Selective Service
System to be eligible for federal student aid, unless they meet certain exemptions. The Department of Education was not
able to verify your registration or exemption when you completed the FAFSA. As a result, you are required to provide
written documentation as proof of your registration or exemption status. *This issue must be resolved before your
request for financial aid can be processed.
INSTRUCTIONS: Complete this worksheet using blue or black ink, attach relevant documentation, sign, and submit the
completed package to the WCC Financial Aid Office for review.
CHECK THE APPROPRIATE BOX BELOW
I am between the ages of 18 – 25 and have not yet
registered with Selective Service; please use my
FAFSA information to register me.
Sign and date the back of this form and return to the
WCC Financial Aid Office.
I am registered with the Selective Service System.
the Selective Service Acknowledgement
OR card. (available at www.sss.gov)
I have not reached my 18
-issued document showing your date
(Examples: state-issued ID card, driver’s license,
I am a female and/or I was born a female.
Make corrections to item # 21 at
fafsa.gov OR submit a
copy of your birth certificate.
I am currently serving on active duty in the U.S.
Copy of your current full
-time active duty orders OR your
I am a Veteran who is 26 years of age or older
and served in the U.S. Armed Forces,
excluding the Reserves, National Guard or
Copy of your DD Form 214, “Certificate of Release or
Discharge from Active Duty.”
I was not able to register because I was
hospitalized, incarcerated, and/or institutionalized
before the age of 18 and remained confined
Hospitalization, incarceration, or institutional
records documenting the length of confinement.
I am a non-U.S. male who first entered this
country after my 26
Passport with a date of entry stamp, I-94 with date
of entry stamp or a letter from the U.S. Citizenship
and Immigration Services (USCIS) indicating the
date you entered the U.S.
I am a non-U.S. male in this country on a valid
-20 form OR a letter from a school you
-1 Student Visa indicating your full-time