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WMU Student Financial Aid | 1903 W. Michigan Ave., Kalamazoo, MI 49008-5337 | (269) 387-6000

SELSER

Student Name:_
WIN:
Address:

Daytime Phone:
City, State, ZIP:

Selective Service Verification

We have been asked by the U.S. Department of Education to confirm your selective service registration status. Please read and
complete this form, then sign and return it with any additional documentation required. Your completed form must be
received in our office at least 30 days prior to your last date of enrollment for the academic year you are requesting
financial aid.

_____I am a female.

_____I am currently in the armed services on active duty. Note: This does not apply to members of the Reserve and National
Guard who are not on active duty.
_____I had not reached my 18th birthday at the time I filed the FAFSA application.
_____I was born before 1960.

_____I am a citizen of the Republic of Palau, the Republic of the Marshall Islands, or the Federated States of Micronesia.

_____I am not yet registered, recently registered, or have been released from registering. Please submit supporting
documentation, which may include: a copy of your registration acknowledgement card (NOT your application), or your
Web certification or Status Information letter from the Selective Service releasing you from your obligation to register.
To register or request a Status Information letter, go to www.sss.gov and select Registration Info.

_____ ** I entered the United States after my 26th birthday. Please submit supporting documentation, which may include: Date of
entry stamp on your passport or I-94 form, or a letter from the U.S. Citizenship and Immigration Services (USCIS)
indicating the date you entered the U.S. Or, if you are here on a valid visa and are at least 18 but less than 26 years old,
your student visa form (I-20), a letter from school indicating full-time attendance, or other valid U.S. passport stamped
with the expiration date. (Dates must be from entry until age 26). (**If you check this box, please go to Bronco Express or
make an appointment with a Financial Services Specialist. You must present original documents in person.)
I hereby certify that all of the above information is complete and correct.

Student Signature:

Date:

Original document reviewed by:

Date:
To be entered by WMU Official. Your original documents will be photocopied for federal financial aid purposes only.

We cannot proceed with your application for financial aid until your selective service verification is complete.
Delays in processing your financial aid may result in a reduction or loss of potential financial aid awards. Be sure to
include your name and WIN on any documents you submit. If you have any questions or need assistance, please
contact Bronco Express at (269) 387-6000.
Return your completed form to Bronco Express on the lower level of the Bernhard Center. Be sure to include your
name and WIN on all pages. Missing information may delay the processing of your financial aid.

WMU Student Financial Aid | 1903 W. Michigan Ave., Kalamazoo, MI 49008-5337 | (269) 387-6000