South Georgia Technical College



[pic]

|State Law requires all selected male applicants between the ages of 18 and 26 to present proof of having registered with the Selective Service|

|System or to present proof of being exempt from registration prior to beginning State employment. |

|In accordance with State Law, I have verified that | |

| |[Name of Applicant] |

| |

|[ Check One ] |

| |

| |Has registered with the Selective Service System (attach a copy of the registration card or screen print from the Selective Service |

| |System Internet Web Site: ) |

|OR | |

| |Is exempt from registration with the Selective Service System (attach verifying documentation). |

| |

| | | |

|[ Name of Official - please print ] | |[ Title ] |

| |

| | | |

|[ Signature of Official ] | |[ Date ] |

-----------------------

SELECTIVE SERVICE VERIFICATION

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download