Office of Financial Aid
710 Colegate Drive, Marietta, OH 45750
Phone: 740.568.1908 Fax: 740.376.0257
Selective Service Verification
Student Name: ____________________________________ WSCC ID: _______________ DOB: _____/______/________
Federal law requires men age 18 through 25 to register with the Selective Service System. According to your Free
Application for Federal Student Aid (FAFSA), the Department of Education was unable to verify your Selective Service
registration or exemption.
You must resolve any conflicts regarding your Selective Service status before being awarded Federal Student Aid. If you
have any questions, please contact the Financial Assistance Office.
Please check the statement that describes your circumstance:
I am a female and I am not required to register with the Selective Service.
I have not reached my 18th birthday, but will register with the Selective Service within 30 days of my 18th
I was born before January 1, 1960.
I am a veteran of active duty in the U.S, Armed Forces (National Guard or Reserves are not included). Attached is
a copy of my DD-214. (Contact the Veterans Administration at 1-800-827-1000 to get a copy, if needed).
I am registered with Selective Service. Attached is documentation of my registration status. (If you do not have a
copy of your registration, you can login to the Selective Service web page at or by calling
I am not required to register for Selective Service based on the fact that I entered the United States after my 26
birthday. Attached is a copy of my date-stamped I-94 or port of entry papers.
None of the above statements accurately describes my circumstance. I have attached a copy of my status letter
acknowledging the reason for non-registration status along with a detailed explanation below, if additional
space is needed please continue on the back of this page. (Please contact the Selective Service at
or 1-847-688-6888, to request a Status Letter.)
Certification: By signing this form, you are certifying that all the information reported on it is complete and correct.
_________________________________________________________________________ __________________
Student Signature Date