Selective Service
Professional Judgment Request
2016–2017
The Free Application for Federal Student Aid (FAFSA) does not provide a place for students and/or their families to
explain special circumstances. A Professional Judgment refers to the school’s authority to administer and adjust the
data elements on the FAFSA and override a student’s status in some circumstances. The decision of the financial aid
administrator is final. There is no appeal. Please allow 2-3 weeks to review.
STUDENT INFORMATION
Student Name
Student ID#
Phone
Selective Service
Section 12(g) of the Military Selective Service Act {50 App.U.S.C. 462(g)} reads as follows: “(g) A person may not be
denied a right, privilege or benefit under Federal law by reason of failure to present himself for and submit to registration
under section 3 (of the Military Selective Service Act) if (1) the requirement for the person to so register has terminated or
become in applicable to the person: and evidence that the failure to register was not a knowing and willful failure to
register.”
I,
, did not knowingly or willingly fail to register for
Selective Service during the required time of age, 18 to 26 years of age.
*Please attach a summary of your special circumstance including the following:
• Provide letter from selective service
• Provide supporting documentation on why you were not able to register for selective service
CERTIFICATION
I certify that the information provided herein is true and correct to the best of my knowledge. I also understand that if I
purposely give false or misleading information in connection with my application for federal aid, I may be subject to a
fine up to $20,000, sent to prison, or both.
Student Signature:
Date:
FOR OFFICE USE ONLY
Comments:
Approved
Denied
Financial Aid Designee Signature:
Date: