FINANCIAL AID
STATEMENT OF REGISTRATION STATUS
Student Name: IRSC Student ID #:
I certify that I am registered with Selective Service
I certify that I am not required to be registered with Selective Service because:
I am female
I am in the armed services on active duty (Note: Does not apply to members of the
Reserves and National Guard who are not on activeduty.)
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INDIAN
RIVER
STATE
C .o ,L.
LEGE
I have not reached my 18th birthday
I am a resident of the Federated States of Micronesia, or theMarshall Islands, or a
permanent resident of the Trust Territory of the Pacific Islands (Palau)
Student Signature Date
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signature
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