Praire State College Selective Service Confirmation Form
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1Financial Aid Office
(708) 709-3735
202 S. Halsted St.
Fax: (708) 709-3716
Chicago Heights, IL 60411
Selective Service Confirmation Form
Student’s name________________________________________________ ID#_________________________________
The U.S. Department of Education requires that we verify your selective service registration. Men aged 18-25 are
required to register with the Selective Service System (SSS). We must have documentation before we can continue
processing your aid.
Status
Requirements
I will register, or have just recently
SUBMIT official documentation that you are registered.
registered.
A copy of your registration acknowledgement card (not
To register or request a Status
your application for registration) –OR-
Information Letter, go to the Selective
A copy of your on-line web certification
Service web-site at
and
select “Registration Info.”
1. SUBMIT a copy of your birth date from a driver’s license or
state ID, birth certificate or passport, -AND-
2. SUBMIT documentation of immigration entry date into the
I am a non-citizen who entered the
U.S.:
U.S. after turning 26,
For entry after age 26 – A date stamp on the I-94
-OR-
form; OR a date passport immigration stamp
For proof in status in U.S. until you turned age 26 – A
I entered the U.S. as a lawful
letter from the U.S. Citizenship and Immigration
nonimmigrant on a valid visa and
Services (USCIS) indicating your entry date; OR a
remained in the U.S. when I turned 26
student via form (I-20) or other valid U.S. passport
or older.
visa stamp. A Resident Alien Card (Green Card) is not
sufficient proof of date of entry.
I am a male U.S. citizen, permanent
resident alien, refugee or political
1. SUBMIT a Status Information Letter from Selective Service
asylee age 26 or older, who did not
– request a letter a
–AND-
register for selective service as
2. SUBMIT an explanation describing your failure to register
required by law.
for selective service, including any extenuating
circumstances and whether you knowingly or willfully
Eligibility for aid will be determined by
failed to register as required by law.
the Financial Aid Office based on
documentation submitted
I am under age 18 and unable to register at this time. (provide government issued ID)
I was born a female and am not required to register. (provide government issued ID or birth certificate)
I was born before 1960 and was not required to register. (provide government issued ID or birth certificate)
I am currently in the armed services on active duty. (provide military orders)
Note: This does not apply to members of the Reserve and National Guard who are not on active duty.
I am a citizen of the Republic of Palau, the Republic of the Marshall Islands, or the Federated States of
Micronesia. (provide documentation)
I declare, under penalty of perjury, that the information on this form is true, complete, and accurate to the best of my
knowledge.
Student’s Signature______________________________________________ Date_______________________________
M:StuServFAVAofficeSelectiveServiceConf.docx
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