Appeal To Denial Of Student Financial Aid Due To Selective Service Requirement Page 2
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2Form 125-311
Page 2 of 2
Appeal to Denial of Student Financial Aid Due to Selective Service Requirement
Student's Name
NOVA Student ID
A.
Check the appropriate exemption to the Selective Service Requirement and provide documentation:
[ ]
I was unable to register with the Selective Service System because I was hospitalized, incarcerated or institutionalized
during the entire time I was 18 through 25 years of age.
[ ]
I am a commissioned officer of the Public Health Service on active duty or a member of the Reserve of the Public
Health Service.
[ ]
I am a commissioned officer of the National Oceanic and Atmospheric Administration.
B.
Take the following actions if you failed to register with the Selective Service System before your 26th birthday.
1.
Call the Selective Service System at 1-847-688-6888 during the hours 7:30 am – 6:00 pm Central Standard Time
regarding your circumstance. You should be prepared to describe in detail the circumstances that prevented you
from registering.
2.
After your call, complete any documents provided by the Selective Service System. The required Status Information
Letter, is also available on the Selective Service System Website,
3.
Attach a copy of the Selective Service System Status Information Letter to this form.
4.
Describe your circumstance in detail here. Consider where you were living when you were between the ages of 18
and 25, your citizenship status, if applicable, etc. Attach documentation to support your appeal. Print or type legibly.
Attach separate pages as necessary.
C.
Mail your appeal to: College Financial Aid Office, Northern Virginia Community College, Central Financial Aid
Office, Annandale, VA 22003-3796.
For Office Use Only:
Status Information Letter Code: _____
Explanation type:
Decision:
By Whom:
Student Notified
Date:
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