Selective Service Appeal Form

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Selective Service Appeal
Incomplete applications will not be considered
Student’s Name__________________________________
MACC ID# ___________________________________
Complete Address _________________________________________________________________________________
street
city/state/zip
Telephone #__________________________________
E-Mail Address _______________________________
Date Of Birth (mo/day/year ________________________
SSN _________________________________________
According to information Moberly Area Community College (MACC) received from the U.S.
Department of Education, your registration with the Selective Service System (SSS) could not
be confirmed. As a result, you are not eligible for federal or state financial assistance. You
may appeal this status by completing this form and submitting it with all required documents to:
MACC Financial Aid Office, 101 College Ave, Moberly, MO 65270
The Military Selective Service Act (a federal law) requires all males who were born on or after January 1, 1960,
th
to register with the Selective Service System within 30 days of their 18
birthday. This includes all male
citizens and non-citizens, who permanently reside in the U.S. Men with "green cards" must register. Men living
in the U.S. without INS documentation (undocumented aliens) must also register. Non-immigrant men who are
in the U.S. temporarily (diplomatic corps, trade mission personnel, men holding valid visitor or student visas,
etc.) do not register.
Men cannot register after reaching age 26. A male non-citizen who first enters the U.S. as a permanent resident
after he has already passed his 26th birthday is not required to register because he is over the age limit.
Please select one statement that identifies your status and submit documentation as directed:
I am registered with the SSS. Provide a copy of your Selective Service Number to the MACC Financial
Aid Office. This information may be obtained by visiting the SSS website at , or by calling
1-847-688-6888.
I am exempt from the registration requirement. Provide a copy of the Selective Service Status
Information Letter to the MACC Financial Aid Office. This information may be obtained by visiting the
SSS website at , or by calling 1-847-688-6888.
I am exempt from the registration requirement because I am under the age of 18. Provide a copy of
your birth certificate or driver’s license to confirm your date of birth.
I have served active duty in the United States armed forces.
Provide a copy of your DD214
“Certificate of Release of Discharge from Active Duty” to the MACC Financial Aid Office. Military
service in the Reserves, delayed entry pool or the National Guard is not considered active duty.
I have failed to register with the Selective Service. Contact the SSS at 1-847-688-6888, or visit their
website at , and request a Selective Service Status Information Letter.
You must
demonstrate that you did not knowingly and willfully fail to register. The SSS will determine if you
were exempt from registering. If you are not exempt, documentation is required to prove that you had
reason(s) for not registering with the SSS. You must complete the reverse side of this form and provide
a copy of the Selective Service Status Information Letter to the MACC Financial Aid Office for further
review.
(Continued on back)

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