2019-2020 Verification of Selective Service – Blue Ridge Community College
Instructions:
Complete this form and submit it to the Financial Aid Office as soon as possible, so that your financial aid won’t be delayed. The
Financial Aid Office can assist you if you have questions. Start by carefully completing this form, then attach any requested items.
Incomplete forms will be returned unprocessed. If you do not know your Student ID number, instructions for looking it up can be
found here: Find Your Student ID
Student Information:
Last Name: ____________________________ First Name: ________________________ Middle Initial: ___________
Student ID: ____________________________ Date of Birth: __________________ Phone Number: _____________________
Street Address: __________________________________________________________________________
City: __________________________________ State: ______ Zip: _____________
Email Address: _________________________________________________________________________
Students who have registered for Selective Service:
If you are registered for selective service, please visit www.sss.gov/registration and print a copy of your registration verification to
submit to the financial aid office.
Students who have not registered for Selective Service:
Please check one of the following options and provide any applicable documentation:
☐ I did not register for Selective Service because I entered the United States of America after the age of 26. I am able to
supply documentation to support this. **If you did not enter in to the country until after your 26
th
birthday you must
bring in proof of your birthday as well as the documentation showing when you entered in to the country for the office
to make a copy and attach to this statement or you can contact selective service to get a letter stating you are not
required to register. You must provide documentation to support this statement regardless of the reason.
☐ I did not register for Selective Service for another reason. Please provide an explanation in the space below and attach
relevant documentation. You may attach additional sheets if necessary.
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Signature:
By signing this worksheet, you certify that all the information is complete and correct. You must physically sign this form.
Student Signature: ________________________________ Date Signed: _________________
Please return this form by fax to 540-234-8189, scanned e-mail attachment to finaid@brcc.edu, or mail to Blue Ridge Community
College, Office of Financial Aid, Box 80, One College Lane, Weyers Cave, VA 24486. Please call 855-844-3631 if you have questions
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signature
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