Selective Service Number Verification form

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University of Rio Grande 2022-2023

Office of Financial Aid

Selective Service Number Verification Please fill in the spaces below: Student Name: _________________________________________________________________

University of Rio Grande/Rio Grande Community College

Social Security Number: __________________________________________________________

PO Box 500 Rio Grande, OH 45674-0500

Student’s ID Number:_____________________________________________________________ Email: _________________________________________________________________________ The Selective Service System requires that most males from age 18 through 25-including permanent residents and other eligible non-citizens register with the Selective Service. Anyone required to register with Selective Service must have done so in order to be eligible for federal financial aid. As required by the Higher Education Act, the US Department of Education electronically matches FAFSA’s with registration records from the Selective Service System.

Financial Aid Office

Phone:740-245-7218 Fax: 740-245-7102 Email: finaid@rio.edu

Please indicate the status of your selective service registration below: ______ I have already registered with Selective Service Please provide your selective service number here: ___________________________________ ______ I have not registered with Selective Service Please explain the reason that you have not registered for Selective Service: ____________________________________________________________________________________ ____________________________________________________________________________________ Complete the Request for Status Information Letter (located online at https://www.sss.gov/verify/sil/ and mail it the Selective Service system. ______ I am not yet 18 years of age, but will provide my selective service number upon registration. ______ I am not registered, but was on active duty in the armed forces. A copy o f the DD Form 214, ‘Certificate of Release or Discharge from Active Duty’ is needed to confirm this. Active duty does not include the reserve forces, the delayed entry pool, or the National Guard. ______ I am not required to register for selective service. A copy of the Status Information Letter (received from Selective Service when the student is not required to register) or similar documentation from Selective Service is needed to confirm this.

Student Signature: ________________________________________________ Date: ______________

Visit: www.rio.edu for more information


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