Employee Personal Profile Page 2
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1
2Selective Service Certification
On July 11, 1991, the Alabama Legislature enacted a requirement for state employers to determine whether employees are
properly registered with the Selective Service System. Please review the alternatives below and select the one that describes your
status under the Military Selective Service Act.
I hereby certify that:
☐
I am a male between the ages of 18 and 26 and I have registered with the Selective Service System as required by federal law.
☐
The registration requirement does not apply to me; I am female, or I am a male over the age of 26.
☐
The registration does apply to me, but I am not yet 18 years of age. I will register at the appropriate time.
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I
understand that false or misleading information in my application or interview may result in my release.
Signature:
Date:
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