TEGL04-89acc.pdf

ETA Advisory File
TEGL04-89acc.pdf (1.37 MB)
ETA Advisory File Text
TRAINING AND EMPLOYMENT GUIDANC LETTER NO. 4-89 ROBERTS T. f Assi stant Se y of Labor U.S. Department of Labor Employment and Training Administration Washington D.C. 2021 0 FROM CLASSIFICATION JTPA SS CORRESPONDENCE SYMBOL TDCP DATE March 19 1990 Application of uelective Service Registration SUBJECT Requirements in Section 504 of the Job Training Partnership Act JTPA 1. Pur ose. To provide States and service delivery areas SDAs with an updated compilation of requirements under JTPA s Section 504 including a minor change in the procedure for obtaining advisory opinions from the Selective Service System SSS and more detailed guidelines for newly legalized and other aliens. 2. References. a. JTPA Section 504 b. National Defense Authorization Act for Fiscal Year 1987 Section 1366 c. September 30 1983 letter from Joyce A. Kaiser to JTPA Liaisons transmitting a technical assistance guide on options to implement Section 504 of the JTPA d. April 24 1984 letter from Patrick J. O Keefe to JTPA Liaisons transmitting a Selective Service System SSS publication which described the Utah JTPA SSS Pilot Program. e. Training and Employment Guidance Letter TEGL No. 2-86 of March 19 1987. 3. Backnround. The Selective Service has asked the Department of Labor to reissue in a consolidated format its earlier guidance on the Section 504 registration requirement of the October 1982 Job Training Partnership Act. Given the turnover in personnel at the State and SDA level in the JTPA RESCISSIONS I EXPIRATION DATE 1 I Continuing DISTRIBUTION I system and the time elapsed since the Department of Labor s earl er issuances consolidation into one TEGL of a1 l material relevant to the Selective Service Registration Program will make it easier for JTPA programs to comply with Section 504 and to train new staff. This guidance has included a September 1983 technical assistance guide TAG describing ways to register individuals and to verify registration under the Military Selective Service Act MSSA a March 1984 TAG on a State of Utah-SSS joint pilot registration program for applicants seeking JTPA services and a March 1987 TEGL sent to States to nform the JTPA system of changes to the MSSA which required that JTPA programs determine the past registration status of male JTPA applicants 26 years of age and older. 4 Review of the Basic Resistration Reauirement under Section 504 of JTPA. a. Section 504 of JTPA requires that all participants under JTPA be in compliance with Selective Service registration under the Military Selective Service Act 50 U.S.Z. App. 451 et seq. as a condition for participating in JTPA if otherwise eligible for the program. Section 3 aj of the MSSA requi rer that male citizens of the United States and other male persons residing in the United States who are between the ages of 18 and 26 present themselves for Selective Service registration at times and places determi ned by the President. The attached Who Must Register chart provides additional information on the registration requi rement. Presidential Proclamation 4771 of July 2 1980 requires that male persons born after December- 31 1959 who have attained their 18th birthday r-egister with Selective Service. The time for registration is within 30 days of a man s 18th birthdsy. Failure to register timely does not relieve a man of his duty to register. The duty to register- even if late remains until age 26. The primary place for registration is any U.S. Post Office. If a male citizen of the United States is residing outside the United States he may register at any U.S. Consulate or Embassy. The reg stration requirement does not apply to any male alien lawfully admitted to the United States as a non-immigrant under Section 101 a 15 of the Immigration and Nationality Act and who lawfully remains in the United States as a non-immigrant. All other aliens including undocumented illegal a1 iens must. register. Male a1 iens born after December 31 1959 who are between the ages of 18 and 26 must register within 30 days after their entry into the United States if they enter the United States after reaching age 18. Any male born after December 31 1959 and who is subject to the Selective Service registration requirement cannot register after he attains age 26. Any male JTPA applicant who has attained age 18 but has not yet attained age 26 can mitigate his failure to register timely by present ng him- self at a U.S. Post Office or before an official SSS registrar and submitt ng the information necessary for Selective Service registration. The Section 504 requirement applies to a1 1 programs under Titles I 11 111 and IV of JTPA. In 20 CFR 629.1 c General Program Requirements JTPA regulations for Titles I 11 and I11 require that recipients ensure all men enrolled in a JTPA program comply with the Selective Service registration requirement. Also Indian and Native American grantees authorized to provide job training and employment by Section 401 of JTPA are required by 20 CFR 632.77 d 3 of the JTPA regulations to show compliance with Section 504. Programs for migrant and seasonal farmworkers authorized by Section 402 of JTPA are similarly directed at 20 CFR 637.107 c of the regulations to meet the requi rements of Section 504. b. Again males over age 18 and under age 26 must register if they had not previously done so within 30 days of reaching age 18 and thus may mitigate their earlier- failure to comply with the MSSA simply by presenting themselves to an official SSS registrar and submitting the necessary information. These men can fill out registration cards at U.S. Post Offices or at other authorized Selective Service registration points. DOL s 1963 TAG copy attached in addition to prov d g guidance on how to verify whether an applicant JTPA had registered with the SSS presented information on how males who had not complied but were under the age of 26 could register and thus correct their compliance 7th the MSSA. Once this was completed and verified JTPA could serve these men if otherwise JTPA el gible . The 1984 DOL TAG copy attached described arrangements whereby JTPA program offices in a State could be certified by the SSS to serve as uncompensated registrars for Selective Service to facilitate registering persons who had not yet done so and were seeking training and employment under JTPA. A number of JTPA program staffs have been certified as SSS registrars. Additional JTPA program offices wishing to be certified by the Selective Service to take registrations should follow the instructions in this TAG. This will enable programs to quickly meet the SSS registration requirement and enroll males in JTPA activities if they are otherwise eligible. The draft registration status of male applicants now 26 years of age or older must be determined by JTPA programs prior to enrolling such applicants into JTPA. In November 1986 the MSSA was amended by a provision contained in the National Defense Authorization Act for Fiscal Year 1987 P.L. 99-661. This amendment added a new subsection g under Section 12 which required that the reg stratian status of all males born after December 31 1959 now be examined and confirmed as follows y 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 if-- I the requirement for the person to so register has terminated or become inapplicable to the person and 2 the person shows by a preponderance of the evidence that the failure of the person to register was not a knowing and willful failure to register. The Conference Report to the amendment clarified that a nonregistrant is not to be denied any Federal benefit if he can demonstrate that his failure to register was not knowing or willful. This provision was added in order not to penalize an individual with an obvious disqualifying handicap such as total paralysis of t.he limbs or an individual who has been honorably discharged from the armed services. Because of this amendment it became necessary to adjust the JTPA procedures for determining the qualifications of otherwise eligible males 26 years of age and older who were born after December 31 1959. d. Guidelines on Alien Male Applicants. Alien males born after December 31 1959 who entered the United States before attaining their 26th birthday are subject to the registration requirements of the MSSA. Those who enter after attaining their 26th birthday are exempt from the registration requirements. INS Form 1-94 Arrival- Departure Record and INS Form 1-551 Alien Registration Receipt Card commonly called the green card held by aliens will show the birth date of the a1 ien. A.lso INS has granted legal status and employment authorization to lawful seasonal agricultural workers SAWS and formerly illegal aliens under the 1986 Immigration Reform and Control Act IRCA . As not.ed earlier in this directive the universal Selective Service registration requirement applies to all immigrant male aliens whether legally admitted to the United States newly legalized persons iNLPs under IRCA or illegal aliens. Male aliens who entered the United States illegally and who have not been granted legal immigrant status or employment authorization by the INS or who are unable to produce INS documentation of their legal status cannot be enrolled into JTPA programs due to the limitation of Section 167 a 5 of JTPA. This requi rement provides Participation . . . under this Act shall be open to c izens and nationals of the United States lawfully admitted permanent resident aliens lawfully admitted refugees and parolees and other individuals authorized by the Attorney General to work in the United States. e. Unallowable Costs. All costs associated with the enrollment of any individual found to have violated the MSSA by failing to register are unallowable costs under a JTPA grant. Please consult part 5 of this directive for information on how unregistered JTPA applicants may be authorized by the SSS to enroll so that the cost of serving them is an allowable cost to JTPA funds. 5. Stem to be followed in determining whether male applicants to JTPA satisfy the Section 504 Selective Service registration reauirement. as a condition for participating --- 1-n JTPA. a. For all males. Determine date of birth. The MSSA is not a licable to males born before January 1 1960. It is also not applicable to males who have not yet reached their 18th birthday. It is applicable to all other male applicants born after December 31 1959. b. For males who have attained age 18 but have not yet attained age 26. Verify whether the applicant has complied with the registration requirement of the MSSA. Verification may be made by inspecting the applicant s SSS Registration Acknowledgment or by calling the Selective Service Registration Information Office 1-800-621-5383 . JTPA programs wishing to maintain documentation for audit purposes should record the applicant s SSS registration number as listed on the Registration Acknowledgment or provided by SSS staff over the 800 line. Selective Service will send a Registration Acknowledgment out for all new registrations it receives. Due to the volume of requests SSS is no longer- able to send out written verification followup acknowledgments to confirm answers provided over the EOO line regarding registrations. The October 1393 and May 1984 TAGS may be consulted for procedural suggestions and additional information. c. For males born after December 31. 1959. who are 26 vearsof-age or older. I Registration with Selective Service should be verified in the manner described in paragraph b. above. This will allow the JTPA program to determine whether a man had complied with registration and now meets the JTPA Section 504 requi rement . If the man had complied with registration no further action is necessary and an otherwise eligible male may participate in JTPA programs. If the man is not registered the following additional determination must be made. 2 Determine whether the applicant has received an honorable discharge from active duty with one of the U.S. military services. Military service must have been on active duty. Reserve duty and National Guard service are not acceptable. If the applicant served on military active duty but did not receive an honorable discharge or a release under honorable conditions a determination must be made in accordance with paragraph d. below. If the applicant served on active duty and received an honorable discharge or release under honorable conditions and is otherwise eligible he may participate in JTPA programs. A copy of the individual s military discharge document DD Form 2141 should be placed in the intake record. 3 Determine whether the applicant has a visible or obvious handicap that would permanently disqualify him from military service. If a man has an obvious physical or mental disability no further action is necessary and an otherwise eligible man may participate in the JTPA program. Appropriate documentation would include a notation of the type of handicap observed by the JTPA program in the individual s intake record. If an applicant does not have a visible or obvious handicap that would permanently disqualify him from military service nor an honorable discharge and has not complied with Selective Service registration the procedures in d. below shall be followed. The above determinations may be made in any order deemed appropriate by the JTPA program. Determination of whether an a olicant knowingly and willfully failed to register. The determination of whether a male applicant knowingly and willfully failed to register as required by the MSSA shall be made by the Selective Service System. Where a JTPA program determines that a male applicant 26 years of age or older who was born on or after January 1 1960 does not meet. any of the qualifications contained in 5.c. above the male should be advised that an advisory opinion is required from the Selective Service before he may be determined eligible to participate in lTPA programs. There are two ways for an applicant to obtain an advisory opinion 1 Call the SSS at 1-800-621-5388 and ask that an advisory opinion request form be sent to him. The applicant then fills out the form according to instructions and returns it to the SSS for a determination. 2 The applicant may send information necessary for an advisory opinion directly to Selective Service System ADV P.O. Box 4638 North Suburban Illinois 60197-4638 Information necessary for an advisory opinion cons sts of 1 the applicant s name 2 the appl cant s current address 3 the applicant s date of birth 4 optional the appl icant s Social Securlty Account Number Applicants may voluntarily prov de th s. Under JTPA the submission of the Soctal Security Account Number cannot be requ red. However the Selective Service has authority under the MSSA to require use of Social Security Account numbers. Inclusion of the SSA number will greatly assist Selective Service in search ng for a man s record. 5 a statement that the applicant is requesting an advisory opinion under Section 3. of the Mi 1 i tar-y Selective Service Act and 6 the applicant s explanation as to why he failed to register with the SSS after reaching age 18 and before reaching age 26. 7 ioptional Aliens should include copies of the INS Form 1-551 or 1-94 or both if available. The SSS will need this informatkn in order to respond with an advisory opinion. SDAs and JTPA program operators should not offer advice or direction to individuals when obtaining a statement from the applicant concerning the reasons why he did not comply with t he Selective Service registration requirement. Simply tell the applicant to state the reason as he be1 ieves it to be true. Selective Ser- ice will generally respond to each adv sory opinion request within 30 days of receipt. Where the Selective Service opinion advises that its evidence indicates that the appl icant knowingly and willfully fa led to register with the SSS as required by law the applicant is ineligible for JTPA services and cannot be enrolled. Where the SSS opinion advises that the male did not knowingly and willfully fail to register the appl icant should promptly return to jTPA with his advisory opinion. Males with such a Selective Service advisory opinion may if otherwise eligible be determined eligible to participate in JTPA programs. e. tern nation whether lawful 1 y admitted al iens have satisfied the Section 504 Selective Service mistration reau7 rement. kliens wno enter- the Un ted States lawfully and have INS documents to show employment authorization can zroxv e their date of birth and age through their INS documents. 4 s no-t.ed in Part 4. d. above a1 1 imm-i grant aliens born after- December 31 1959 who have attained age IS but have not attained age 26 are subject to the r-egistration requirement of the MSSA. As with a1 1 other men subject to registration their registration status is to be chec.ked prior to enrolling them into JTPA programs. Immigrant aliens and refugees parolees asylees SAWS and IRCA-legalized aliens with work permits can be enrolled into JTPA programs once an SSS registration or exemption is established. All immigrant male aliens and refugees parolees asylees SAWS and IRCA-legalized aliens born after December 31 1359 who are able to produce INS documentat ion showing they were in fact 26 years of age or older at the time of entry into the United States are not subject to the MSSA and may be enrolled in JTPA programs if otherwise eligible. Their INS documents should be photocopied and attached to JTPA intake record documenting their age date of entry into the United States and alien status as immigrant refugee parolee asylee seasonal agr.icultural worl er or legalized non-immigrant under the IRCA . Male aliens 26 years of age or older who entered the Un ted States illegally and who were subsequently granted legal status by the INS or who were born after December 31 1959 but who are not registered with the SSS can be enrolled into JTPA only after the advisory opinion procedure outlined above in Part 5.d. of this TEGL has been followed. If Selective Service issues an opinion that it has no evidence that such individuals knowingly and willfully failed to register the individuals can then be enrolled into JTPA. Thus it s possible for political refugees asylees seasonal agricultural wor-k.ers and legalized persons under IRCA to rec eive needed JTPA training and services once INS has granted them legal status and Selective Service procedures have been followed. It is important to remember that Section 167 a 5 of JTPA prohibits participation of an alien without legal status from the INS even if the Selective Service issues an opinion that there is no evidence to show that the applicant knowingly and willfully failed to register with the SSS. 6. State Action. States shall assure that this updated compilation of Selective Service requirements and guidance is provided promptly to all SDAs. 7. Inauiries. Direct questions concerning the guidance letter to Hugh Davies on 202 535-0580 or Christopher C. Richter on 202 535-0533. Attachments A. September 1983 TAG attached to a September 30 1983 letter from Joyce A. Kaiser to State Liaisons B. March 1984 TAG attached to letter from Patrick J. O Keefe to State Liaisons Selective Service Who Must Register chart U.S. Department of Labor Employment and Training Administration 601 D Street N.W. Washington D.C. 20213 80 SEP 1383 Mr. William R. Rushton Office of Governor George C. Wallace State Capitol Montgomery Alabama 36130 Dear Mr. Rushton section 504 of the Job Training Partnership Act JTPA requires that all participants receiving any assistance or benefits under JTPA who are required to register with the Selective Service System pursuant to the requirements of the Military Selective Service Act must be registered. Section 629.1 b of the regulations implementing Titles I I1 and I11 requires recipients to ensure that individuals enrolled in JTPA programs meet the requirements of Section 3 of the Military Selective Service Act. For your information on June 29 1983 the Supreme Court granted an application to stay the order of a U.S. District Court Judge who had held the registration requirement to be unconstitutional. The case before the Supreme Court does not address employment and training programs but is similar because it requires registration as a prerequisite to receiving education loans. Although the Supreme Court s order is not a decision on the merits it has the effect of upholding the validity of the registration requirement until the Court rules on the merits next term. Therefore even though the constitutionality of this provision remains unsettled we believe that there is no legal basis to delay the implementation of Section 504. We have developed the enclosed Technical Assistance Guide with the cooperation of the Selective Service System to assist you in developing procedures to implement this requirement. If you have any questions on this matter please call 202 376-7240. Sincerely pya -a- J CE A. KAISER Associate Assistant Secretary for Employment and Training Enclosure JOB TRAINING PARTNERSHIP ACT SECTION 504 U.S. Department of Labor Employment and Training Administration Off ice of Comprehensive Employment and Training September 1983 Purpose This Technical Assistance Guide TAG is intended to provide information to Governors and Title IV Grantees regarding the Military Selective Service Act MSSA and the mandate of section 504 of the Job raining Partnership Act JTPA . It contains the legislative requirements under both Acts procedures for registration and suggested options for implementing Section 504. These options are suggested ways that the requirement may be implemented primarily through adding one or more steps to application procedures subsequent to eligibility determination. Information for this TAG has been coordinated with the assistance of the Selective Service System with the hope that it will contribute to the expeditious implementation of Section 504 of JTPA. PART ONE Job Training Partnership Act Requirements I. Background Section 3 a of the Military Selective Service Act requires that male citizens of the United States and other male persons residing in the United States who are between the ages of eighteen and twenty-six must present themselves for registration at such time or times and place or places and in such manner as determined by the President. Proclamation 4771 of July 2 1980 provides that male persons born on or after January I 1960 and who have attained their eighteenth birthday without attaining their twenty- sixth birthday shall register. The requirement to register does not apply to any alien lawfully admitted to the U.S. as a nonimmigrant under Section 101 a 15 of the mmigration and Nationality Act as long as he continues to maintain a lawful nonimigrant status in the united States. Section 504 of the Job Training Partnership Act JTPA requires that all participants under JTPA be in compliance with the Nilitary Selective Service Act registration requirement. Governors for Titles I 11 and 111 and grantees for Title IV will need to address this requirement after the determination of eligibility for all male persons entering JTPA programs on or after October 1 1983. Requirements under the Job Training Partnership Act 1. Le islative Section 504 Enforcement of Military hervice Act states that The Secretary shall insure that each individual participating in any program established under this Act or receiving any assistance or benefit under this Act has not violated Section 3 of the Military Selective Service Act 50 U.S.C. App. 453 by not presenting and submitting to registra- tion as required pursuant to such section. The Director of the Selective Service System shall cooperate with the Secretary in carrying out this section. The above requirement applies to all programs under - the Job Training Partnership Act under Titles I 11 111 and IV. Regulatory Implementi under Titles I 11 and March 15 1983. Sectio Requirements requires an individual enrolled requirements of Section Selective Service Act. .ng regulations for programs I11 of JTPA were issued In 629.1 b General Program that recipients ensure that in a JTPA program meets the 3 of the Military section 632.77 d 3 of the implementing regula- tions for Indian and Native American Programs authorized by section 401 of JTPA requires Native American grantees to maintain documentation to insure the credibility of the eligibility determin- ation including compliance with Section 504 of the Act. Section 637.107 c of the regulations governing programs for migrant and seasonal farmworkers authorized by Section 402 of JTPA requires that to be eligible for participation individuals shall meet the requirements of Section 534 of the Act . 4 PART TWO Options for eeting Job Training Partnership Act Requirements Several options are available in carrying out responsibi- lities under Section 504 of the Act and the corresponding sections of the regulations implementing Titles I 11 111 and IV of JTPA. This section is intended to outline these options. Keep in mind however that it is not meant to present a comprehensive inventory of all of the available means of implementing Section 504 and the relevant sections of the regulations. The decision on which option s should be employed will be made at the State or in the case of Title IV at the grantee level. Important factors to keep in mind are that o The Employment and Training Administration does not guarantee the legal adequacy of any of the proposed options discussed in this TAG. The options are merely suggested methods of implementation based on consulta- tions with the Selective Service System. o The Governor Grantee may be held liable subject of course to the forgiveness criteria set forth at 164 e for disallowed costs associated with enrollment of participants who are not in compliance with the requirements of Section 3 of the Military Selective Service Act. As with other JTPA requirements the Governor Grantee is responsible for procedures followed in carrying out requirements related to Selective Service registration. These procedures will be the basis against which compliance with Section 504 of the Act and with the relevant sections of the regulations will be audited. Therefore in order to avoid questioned costs it is recommended that the procedures be o clearly communicated in writing o Simple uncomplicated and easily implemented and o monitored periodically to ensure that they are being implemented properly and consistently. P ocedures for Implementing Section 504 Options for determining compliance with Section 504 range from self-certification after eligibility determination with verification of a sample of participants to requiring verification from the Selective Service System prior to the provision of services. Note that simple self-certification is not presented as an option because the author of Section 504 of the legislation transmitted a letter to the Secretary advising that implementation of this provision should not include simple self-certification. Regardless of the approach chosen in implementing Section 504 standardized forms should probably be designed or application forms revised to record information on registration under the Military Selective Service Act and standardized instructions developed for reviewing and verifying the information provided on these forms. 1. etermining Compliance. he following are three options for determining whether or not participants have complied with Military Selective Service Act requirements o Self-certification With Sample Verification o Verification of Registration Prior to Enrollment o Self-certification Followed by Universal Verification o Self-certification With Sample Verification. Under this option participants would certify in writing that they are not in violation of Section 3 of the ilitary Selective Service Act after being determined eligible for enrollment under JTPA. At some future date program officials will verify registration through a random sample of participants. The Depart- ment of Education DOE is currently using this option with verification over a three year period. his option was chosen because many colleges and schools expressed concerns about the methodology for 100 percent registration verification set forth in the proposed rule published on January 27 1983 48 FR 3920 . The advantages of this option are its simplicity and that it provides additional time for recipients to develop verification systems. The disadvantage of this option is that it leaves the recipient vulnerable because verification may in some instances take place after the participant has left the program. o Verification of Registration Prior to Enrollment. Under this option each participant required to register with the Selective Service System would show his Registration Acknowledgement Letter before receiv- ing services in any JTPA program. The advantage of this option is that program officials are certain at the time of enrollment that the participant has complied with the Military Selective Service Act requirements. The disadvantages of this option ace a it would penalize individuals who turned eigh- teen shortly before applying for JTPA who had registered but had not yet received a Registration Acknowledgement Letter it may take up to 90 days for a registrant to receive an Acknowledgement Letter therefore a system requiring verification prior to the provision of services may delay the participation of otherwise eligible individuals and b it would hamper efficient program operations particularly in the summer youth program because of the limited duration of the program. o Self-certification Followed by Universal Verification. Under this option the participant would self-certify compliance with the Military Selective Service Act and provide a copy of his Registration Acknowledgement Letter subsequent to enrollment. In view of the delays that could be involved through requiring verification prior to provision of services a system combining self- certification with follow-up verification should be considered to avoid this problem. The advantage of this option is that by clearly spelling out the procedure beforehand and promptly terminating participants who do not meet verification requirements audit exceptions can be minimized. The disadvantage of this approach is that it may inflate the program s nonpositive termination rate. 2. Documenting Compliance Suggested Options for document- ing compliance with Section 504 are fairly simple and straightforward. o Include on Regular Intake Form The application form could be designed to include a section dealing with Selective Service Registration information. The specific information that would be required here would depend on the procedures developed to implement Section 504. If the procedures require verification prior to provision of services the intake worker would indicate on the application form the registra- tion number from the participant s Acknowledgement Letter from the Selective Service System or attach a copy. If the procedures require only self- certification the application form might include questions designed to determine whether the individual is required to register with the Selective Service System and whether or not he has in fact registered. Upon signing the form the participant would be certifying that the information provided is correct. o Develop Separate Form A separate form could be developed that would be filled out only by male participants born on or after January 1 1960 who are at least 18 years old. This form could state the requirement of the Military Selective Service Act and follow the same procedures as outlined above. o aintain Acknowledgement Letter A copy of the Registration Acknowledgement Letter could be a part of the official file of a participant required to register with the Selective Service System. This would be an option only if the procedures for enforcing Section 504 included the requirement that participants produce a copy of the Acknowledgement Letter. Where to Obtain Additional Information For additional information on Selective Service Registration contact Selective Service System Registration Information Office P.O. Box 4638 North Suburban Illinois 60198 9 PART THREE Military Selective Service Act Requirements o Who must register -All male citizens of the United States and other male persons residing in the country born on or after January 1 1960 who have attained their eighteenth birthday . -Aliens who are permanent residents -Aliens who are refugees and parolees -Aliens who are undocumented illegal -Civil Air Patrol Members -Discharges Separatees from Active Service Veterans -Dual b a t ionals -Enlistees Delayed Entry Program -Hen Disabled or Handicapped -Men rejected for enlistment -National Guardsmen and rese vists not on Active Duty -ROTC Students -Men who are hospitalized incarcerated or institutionalized within 30 days of release 0 Who is Exempted from Registration -Males born prior to January 1 1960 -Legal oni immigrant aliens -Cadets and midshipmen at the service academies -Men hospitalized incarcerated or institutionalized must register within 30 days of release -Men on active duty in the Armed Forces -Military Officer Procurement Program students at the Citadel North Georgia College Norwich university and the Virginia Military Institute o When to Register -Males must register within 30 days of their eighteenth birthday either before or after -Late registration is accepted by Selective Service o Where to Reqister -Registration can be completed at any classified U.S. Post Office -U.S. Citizens living outside of the U.S. may register at any U.S. Embassy or Consular Office -Registration hours are the business hours during the days of operation of the particular U.S. Post Office or Foreign Post o Procedures for Registration - egistrant obtains blue and white Selective Service System Registration Form SSS Form 1 at any U.S. Post Off ice -Registrant fills in his name current mailing address and permanent address if different telephone number date of birth and Social Security number -The registration form with some identification such as a driver s license or birth certificate is given to a postal clerk who checks it for completeness -The registrant signs and dates the registration form -The postal clerk validates the registration form with the Post Office cancellation stamp and forwards it to. Selective Service -Registrant will not receive a draft card - - elective service will within 90 days of registra- tion send the registrant written confirmation that he has registered. This is called the Registration Acknowledgement Letter SSS Form 3A or 3AS See sample letter in Attachment A -Should the registrant not receive an Acknowledgement Letter within 90 days of registering he should send a letter including his name address date of birth and Social security number to Selective Service System egistratgon Information Office P.O. Box 4638 North Suburban Illinois 60198 A sample letter of request has been provided in Attachment B to facilitate receipt of the Acknowledgement Letter -Should the registrant receive an Acknowledgement Letter that has any incorrect information he must correct the information on the Correction Change Form SSS Form 3B enclosed with the Acknowledgement Letter or fill out a yellow Selective Service System Change of Information Form SSS Form 2 available at any U.S. Post Office and return to Selective Service. Sample copy of SSS Form 3B in Attachment C -Should a registrant lose or not keep his original Acknowledgement Letter he sbould write a letter including his name address date of birth and Social Security number to selective service System Registration Information Office P.O. Box 4638 North Surburban llinois 60198 A sample letter of request has been provided in Attachment D to facilitate receipt of a copy of the Acknowledgement Letter. A copy should be received in 2 to 3 weeks. -Registrant must update the information provided to Selective Service every time he changes his current mailing address or permanent address. his includes informing Selective Service of his current school address even if the home address remains the same. -Registrant must report to Selective Service any legal name change. To update any information the registrant changes in the information on the Correction Change Form SSS Form 3B enclosed with the Acknowledgement Letter or fills out a yellow Selective Service System Change of Information Form SSS Form 2 available at any U.S. Post Office and returns to Selective Service. -When information is updated by the registrant Selec- tive Service will send the registrant a new Acknowledge- ment Letter showing the updated information as proof of registration. -For additional information or questions regarding Selec- tive Service registration contact the Selective Service At Selective Service System Registration Information Office P.O. Box 4638 North Suburban Illinois 60198 telephone 312 689-9022. -For posters explaining the Office of Government Public Affairs Director Service Svstem. Washinat For additional information on Job Training Partnership Act requirements contact Office of Employment and Trainin9 Programs Employment and Training Administration Department of Labor 601 D Street N W Room 6402 Washington D.C. 20213 telephone 202 376-7240. nmr cI . u.T A SELECTIVE SERVICE SYSTEM ACKNOULLDGEJlEnf LllTTER LINDSAY CALVIN JOHNSON RT 1 FALL BRANCH RD BLOUNTVILLE IN 37617 Rail Correct on thange for to Selective Sexvice System Great Lakes. lllinors b0086 Dear Mr. Johnson This letter shout the current infoxtation in your Selective Service record and should be ke t as evidence of your registration. lease read every itet in your record especial1 those uith asterisks fr . If an it is incorrect like year date of birth include the soxrect inlorsation on the aftachec CORREClION CHhhGE FPRH sni return the fo c to Selective Service. It is your lt al tcsponsibilrty to notrfy us of any errors uathrn ten days after receipt of thas lttttr. The 1av repui es you to notify Selective Service of any chances in your current or erz neet c rccs or any lejal ntce chanse vithin ten days of the izte oi the change. The la also re 2ires that yox provide your social security accoent n -e to Selectrve L6rv ce. Fztlure to do so coulc result in lesal sctron. If you do 3ot have a cocrsl stc xity n r.tt you do ot have to get oat fox regrst otion pxzposes. TC HOTIFY SELECTIVE SERVICE OF CHANGES IN YOUR REC09DD YOU RAY USE EITRER THE ATTACHED CO REtTlOU Ck NGE FORK 04 THE CHAKGE OF INFORIIATION FOR f L HlCH ARE AVIILASLE AT ANY U.S. OlT CFFICE OR OVERSEAS AT AN AHERICAN EnBkSSY OR CONSULhTE. If .ye21 reC0rC is cor lete and all itecs shovn are correct please keep this letter a attachre fort for futuze use. Thank go- fo yosr coo e ation. C tcitl noie for His zn c registrants Si usted Cesea que esta carta u otra isfo ttcF6 .Lt sea tnvaain en espafiol rarque el encarilloCo en el forrulario incluido. DOllbf FORCE VOTI r RECEI RATION ...REG ER LOCALLY TO VOTE IN THE NEXT ELECTION 6C-OCCC212-7 StIect e SCI- CC No Or - 3248-osos SS5 Forr 3rtDec81 Keep this copy for your record CURnENT UAILINC ALiDAESS RT 1 F LL mRhNCH RD Numbef an IMI t LOUHTVILLE TH 37617 CIIV State ZID Codr 431-35-6054 SOCIJ Srcuc ly No. PE RUANENT ADDRESS RT 1 FALL BRANCH RD Number end Slrtrl ILCUNTVILLE TH 31617 CI V slate ZIP coo n S I 05-16-6 OaIe 01 n rlh I SOl 423-2484 trltvhone Numbti 01-08-82 Dale 01 Record Send this form to Selective Service System Registration Information Office P.-0. Box 4638 North Suburban Illinois 60198 1 registered with Selective Service about 90 days J O but did not receive my Registration Acknowledqcmcnt I tter. This is the information 1 put on my registration Form ILme last first middle i ztcr of birth mor t11 day year Social Security Number Address Approximate date 1 registered Please send the Acknovlcdgcment Letter to the address below. signature date Send my Ackrrowledgemel t Letter to AT tAC U tl l C SELECTIVE SERVICE SYSTEIiI RAIL CORRECTlON CHAHGE FORn TO Stltctivt Service Systta Great Lakes Illinois 60086 1 This fora try be used to correct infortation on your rtsfstratioa rcknoultdgtntnt or to ake any futuxe changes An your xtsastration record. 2. hake corrrctions on any inforcation show belou that is incortcct. particularly inforrataon u th aster sks fin next to at. 6 3. To cake a c0 rection. cross out the incorrect infortation .ite iO the correct inforratron. sicn ond tail this foxr to Selectivt Service in the urclostd envtlopt. 4. DO tiof tse this forz to s b it attitioaal inSot ation bout yo rself. If such in5o ratxon 2s nttctd ut 111 coctact you. 1f you have guestrons about the Sa1ec rve Service Syste uritt the Regrstration lnfortrtroa LULL U ational naai -a ters Uarhin3to2 D.C. 20435. spcciil note for HiS sniC resistrants fi usted Cesta sue esta earta u otra icio aci6n It sea enviaia tn ts ahol tarqut tstt encasallado. Sisnature of Refistrant ruE LINDSAY CALlllN JOHNSON 0- 00002 12- 7 C CCI. EI WICI NO RT 1 FALL BRANCH RD 431-35-6056 LUCI I L .cuatt NO. JIIRLN I IAIILIH ADDRESS I RT 1 FALL BRMCH RD PERMANtNT ADDRf is Return this for to correct vour record H Str 01-0s-62 Dale 01 Recore 05-16-61 01lr 01 6 fth 501 G23-2684 - T elaphortc Nu nbef RE2UEST FOR A CQI Y OF TllE I EGISTRATIO11 ACKfJoFl.f.DGEMENT LfiTER Send this form to Selective Service System Registration Information Office P. 0. Rox 4638 North Suburban Illinois 60198 1 need c copy of my Hcgistratiorr Acknowlcdgemcnt Letter to prove that I an registered I th Select ivc Service. This is thc information f put on my Registration Fonn Name b last first middle Date of blrth month da Y year Social Security Approximate date I registered JJA SU serld t hr r Ancx.-I cdgcmcnt I ct ter to tile address below. signature date Sa rd the copy of my Ackt owledgcmcnt Letter to Attachment B to TM L 4-89 I. I.S. Dc ilr ii ent of Labor Mr. William R. Rushton Office of Governor George C. Wallace State Capitol Montgomery Alabama 36130 Dear Mr. Rushton On September 30 1983 we issued a Technical Assistance Guide to assist States in developing procedures to implement Section 504 of the Job Training Partnership Act JTPA . One option provided in the guide involved verification of registration prior to enrollment. States implementing this option have encountered some administrative difficulties. Enrollment of some applicants is being delayed because they are unable to provide appropriate documentation substantiating that they have complied with the requirement to register. Some applicants have not registered while others have not received or are unable to locate their egiscration Acknowledgement Letters. The time required to furnish a large number of registrants with additional documentation from the Selective Service System SSS for verification purposes is delaying the enrollment of a substantial number of registration-age men into JTPA. To alleviate the administrative difficulties that have emerged from this process the State of Utah and the SSS developed and implemented a pilot program to facilitate implementation of Section 504 of JTPA. The SSS is making this option available to all States that wish to participate. The SSS will designate JTPA officials as registrars in Staces that wish to participate in the program. Receipt of a pro- perly completed registration card by an SSS-designated official will serve as sufficient evidence of SSS registration to permit an other- wise qualified individual to participate in the JTPA program. Enclosed for your information and use is the SSS publication that describes the Utah JTPA SSS Pilot Program and information guidelines. Also enclosed is a list of Selective Service Regions as contact points for States that wish to pursue this option. Ic has also come to our attention that the U.S. Postal Service has been receiving an increasing number of requests from program operators asking it to verify that applicants for JTPA participation have registered with SSS. The U.S. Postal Service cannot comply with thes-e requests. Rather verification can be obtained by calling the SSS toll-free number 1-800-621-5388 and giving the individual s full name Social Security number and date of birth. If you wish to participate in the optional procedure developed in the Pilot Program please contact the appropriate regional SSS office. Also please advise all local JTPA service delivery areas in your State of the U.S. Postal Service and toll-free number information. Your cooperation is appreciated. Sincerely ATRICK d O KEEFE pb puty Assistant Secretary of Labor Enclosures THE DIRECTOR OF SELECTIVE SEAVICE Washington. D.C. 20636 MAR 2 3 l984 The Honorable Raymond J. Donovan Secretary of Department of Labor Washington D.C. 202 10 Dear Mr. Secretary In recent months the Selective Service System SSS has developed an optional program specifically designed to facilitate the implementation of the registration provision in Section 504 of the Job Training Partnership Act JTPA . Some states are requiring verification of registration prior to enrollment and some administrative difficulties have emerged. The program we have available will be particularly beneficial to these states. The SSS will designate benefit officials as registrars in states wanting to participate in the program. Receipt of a properly completed Registration Card by a designated JTPA official will serve as sufficient evidence of SSS registration to permit an otherwise qualified individual to participate in the JTPA program. Initial coordination with members of your staff has already begun. We are confident that the program offered will alleviate the problems surfacing with verifying that JTPA applicants have met the registration requirement. Sincerely ss Thomas K. Turnage TABLE OF CONTENTS Pr gramBackground ........................................................... 1 ProblemStatement........................................................ ....l Program Objectives ............................................................ Program Description..... ...................................................... 2 Implementation Guidelines ........................................o............2 Attachment A Registration Form .............................................. 5 Attachment B Registration Procedures.. ....................................... .6 JTPA PROGRAM . L Program Background Section 504 of the Sob Training Partnership Act JTPA requires that all persons receiving assistance benefits who are required to register with the Selective Service System SSS must be registered. Section 629.1 b of the Department of Labor DoL regulations implementing Titles I I1 and III requires delivering agents to ensure that persons enrolled in JTPA programs meet the requirements articulated in Section 3 of the Military Selective Service Act. On September 30 1983 the DoL disseminated to respective states technical assistance guidelines that were developed with input from SSS. This guidance was needed because the states were delegated the responsibility to ensure that the registration provision in the JTPA was met. The primary purpose of the guidelines is to assist states in developing procedures to implement Section 504 of the JTPA. One option provided in the guidelines is to require proof of registration when making application for JTPA benefits. In an effort to alleviate registration verification problems encountered in the State of Utah a pilot program was developed and implemented. Evaluation feedback received from this undertaking was very positive. The problems initially faced were eliminated and the intent of the Solomon Amendment included in the JTPA was accomplished. Based on the success experienced in this statewide initiative the decision was made to replicate the program in other states expressing e need to resolve similar problems. Problem Statement Some administrative difficulties that are directly related to verifying a potential JTPA participant has complied with the registration requirement are emerging in several states. Some applicants are being denied participation in the program because they ere unable to provide appropriate documentation substantiating they have complied with the requirement to register. Some of these applicants have not registered and others have not received or are unable to locate their Acknowledgment Letters. If a potential participant in the JTPA program is unable to provide proof of registration he must register and wait for an Acknowledgment Letter or acquire appropriate documentation from SSS. The time required to furnish a large number of registrants with additional documentation from SSS for verification purposes is preventing a substantial number of registration age men from being accepted into the JTPA program. Program Objectives Specific objectives have been developed to provide clear direction in the JTPA program design These objectives are targeted at identified problems presently being experienced by JTPA officials in verifying applicants have registered with SSS. A. To register JTPA applicants at intake centers in service delivery areis. B. To obtain appropriate documentation from STPA applicants that ensures compliance with the registration provision. N. Program Description This program will be conducted in JTPA service delivery are within the states. TheStateDirector R onDirectar willserve as the contact point forSSSandthe T JTPA state liaison of icial will serve in the same capacity for the state. To initiate program activities the State DirectorIRegion Director will meet with the state JTPA liaison official to fully discuss the implementation of the statewide effort and deliver registration materials. Emphasis will be placed on the implementation guidelines set forth in Section V of this program. The state liaison official will redistribute registration materials among the service delivery areas. Materials will be distributed among respective intake centers charged with the responsibility for verifying that an applicant for JTPA assistance is registered with SSS. Persons administering the JTPA at intake centers will be appointed to registrar positions. Such persons will maintain control of all registration materials received and supervise the completion of forms. On a weekly basis completed forms will be forwarded to SSS for processing. Precautionary measures will be taken by those responsible at JTPA intake centers to ensure the program is operated in conformance with established guidelines Registration forms should only be completed after all reasonable efforts to acquire proof have been taken. For example some applicants may have proof but fail to bring it with them when applying for JTPA benefits. Such applicants should be instructed to obtain and provide their proof as soon as possible. Applicants who cannot provide acceptable proof will be permitted to complete and submit registration forms for subsequent processing. All JTPA service delivery areas will request additional registration materials from the state liaison officer. If more materials are needed at the state level the state liaison officer will contact the SSS State Director or Region Headquarters. The SSS will receive completed registration forms from intake centers on a weekly basis for processing. Forms received will be keyed and automatically matched to the registration data base. All forms received will be processed as a registration if not already registered or as an address update if already registered. All registration farms u tilized in this program will be coded and mailed to a designated SSS address to facilitate handling. Forms will be coded prior to forwarding them to the state JTPA liaison officer for distribution to service delivery areas. V. Implementation Guidelines The information presented below sets forth the guidelines established for the JTPA program in various states. A. Program Materials and Supplies 1. Quantities of the Registration Form SSS Form 1 and the information brochure Selective Service and Youn SSS Brochure 10 will be supplied by National Headquarters. These materials will be requested by the Region Director from the Registration Division. 2. All posters pass-outs or other display pieces required must be requested from the Gove nment and Public Affairs Office in National Headquarters. 3. Region Headquarters will provide any other materials required. B. Identification of Registration Forms All registration forms completed as the result of this program will be precoded U T 1 in red. This code will be placed in the upper right hand corner of the Do Not Write Ili The Above Spacen block. See attachment A C. Registration Process JTPA officials should make every effort to obtain proof of registration from applicants. If an applicant is unable to locate proof he should then be asked to complete a registration form for processing. A JTPA official registrm must conduct each registration and validate each form by initialing and dating in the lower right hand corner of the registration form. The appropriate I.D. block must be checked. Each registrant will be given a copy of the publication ttSelective Service and You. All blank registration forms must remain in personal control of the JTPA officials. See attachment B D. Distribution of Completed Forms Completed forms will be forwarded to SSS at the end of each week. All completed forms will be mailed in envelopes to the address below Selective Service System JTP A P.O. Box 4632 North Suburban IL 60198 E. Processing and Reports 1. The SSS Data Management Center will employ appropriate procedures that will prevent duplicate. registrations. Duplicate registrations identified will not be entered into the Master File but will be utilized to update the tegistranfs record 2. The SSS Data Management Center will provide the Registration Division in National Headquarters with a monthly statistical report. This report will indicate the total number of coded registration forms received and the number of duplicate registration forms identified. F. Ordering Materials The JTPA state liaison officer will request registration materials from the SSS State Director or Region Director. The Region Director will request materials from National Headquarters. 0. Questions on Registration All questions regarding registration should be directed to SSS Registration Information Office. This can be accomplished by calling 1-800 621-5388. H. Appointment of Registrars JTPA officials involved in this program will be appointed to uncompensated registrar positions. The Uncompensated Registrar Appointment Form 402 will be utilized in accordance with instruction provided in the procedural directive. The original copy of each SSS Form 402 will be maintained in Region Headquarters. Attachment A SELECTIVE SERVICE SYSTEM Registration Fonn IW PRWACI ZLTEUENT RMUL PLEASE PRW CLEARLY L -- Smm u Fawn Covnty 2s e RESI3EHQ I - mn DL 9 Suu or Fa- cpnrl --- -- ---- I TWE FORECaNG mAt WN7S RE TIM LorV - R.O.M Attachment B REGISTRATION PROCEDURES The registration procedures established for the JTPA program are set forth below 1. Provide the JTPA applicant who does not have proof of registration with SSS a Registration Form SSS Form 1 and the Selective Service and Youm brochure. Direct the applicant to a place where he can fill out the form. Instruct him to follow the completion directions on the back of the form. 2. Tell the applicant to return the completed form to you. 3. Upon receiving the form you should review it for completeness accuracy and le ibilit and ask the registrant to sign date it. If the form returned is the applicant must fill our another form. 4. You should check to see if all blocks on the form are filled in by the applicant. If not the applicant should be asked to provide the missing inform a tion. 5. You should ask the applicant registering to present some identification. If he does not present any identification you should accept the form after making sure the entries are complete and legible and then check the No I.D. block in the lower right hand corner of the form. If the applicant registering presents acceptable identification you should check the 1.D. block. 6. You will then date and initial the form in the box provided in the lower right - - corner. 7. When a handicapped person is not capable of completing the form you may complete the Regispation Form. You will sign the person s name and initial the signature. 8. Registration Forms collected each day are to be stored in a secure drawer or file until they are mailed to SSS on Friday of each week. The following points should be remembered 1. Check birthdate name address ZIP Code and Social Security Number entries for completeness accuracy and legibility. 2. Do not refuse to accept any form from a person obviously required to register. 3. Identification is preferred but need not be presented for a registration to be accepted 4. Give the person registering the eIective Service and Youw brochure. A chart showing men required or not required to register is attached. WHO WST REGISTER Only Hale Persons CATEGORY WST REGISTER NOT REWIRED TO REGISTER All male U.S. citizens born after December 31 1959 who are 18 but not yet 26 years old except as noted below Military-related Members of the Armed Forces on active duty Cadets and Midshipmen at Service Academies or the Coast x Guard Academy Cadets at the Merchant Marine Academy x Students in Officer x Procurement Program National Guardsmen and Reservists not on active duty active x duty for training does not constitute laactive duty1 for registration purposes Delayed Entry Program enlistees x ROTC students x Separatees from Active Military Service X separated for any reason before age 26 Men rejected for enlistment for any reason before age 26 Civil Air Patrol members x Aliens x Lawful nonimnigrants on visas e.g. diplomatic and consular personnel and fami Lies foreign students tourists u unexpired Forms 1-94 I-95A or Border Crossing Docunents 1-185 I-186 I-586 or 1-444 . Permanent resident aliens x Refugee parolee and asylee aliens x Undocumented illegal aliens x Dual national U.S. citizens x Confined x Incarcerated or hospitalized or institutionalized for medical reasons Handicapped physically or mentally x Able to function in public with assistance Not able to function in public with assistance x MUST register within 30 days of release unless already age 26 or already registered when released or unless exempt during entire period age 18 through 25. t Students enrolled at The Citadel North Georgia College Norwich University and Virginia Military Institute. Residents of Puerto Rico Guam Virgin Islands and Northern Mariana Islands are U.S. citizens. Citizens of American Samoa are nationals and mrst register when they are habitual residents in the United States. Habitual residence is presumed whenever a national or a citizen of the Republic of the Marshall Islands or the Federated States of Micronesia resides in the United States for more than one year in any status except as a student or employee of the government of his homeland. AUG 89 SELECTIVE SERVICE SYSTW REGIONS Mailing Addresses and Telephone Numbers Mailing Address Tele hone Number Region Area Selective Service System COM 215-897-6651 Region I Bldg. 75 R-207 USNB Philadelphia PA 19112-5003 Connecticut Delaware District of Columbia Heidelberg FRG . Maine. Maryland Massachusetts New Hampshi re . New Jersey New York Pennsylvania Rhode Island Vermont Region I1 Selective Service System FTS 8-404-429-6664 Alabama Region I1 COM 404-429-6664 Florida 805 Walker Street Room 118A Georgia Marietta GA 30060-2731 Kentucky Mississippi North Carolina Puerto Rico South Carolina Tennessee I Virgin Islands Virginia West Virginia Renion I11 Selective Service System COM 312-688-4540 Region I11 Bldg. 1 Room M-23 Great Lakes IL 60088-5027 Reaion IV Selective Service System FTS 8-214-266-6713 Region IV COM 214-266-6713 Bldg. 1239 West Wing 1st Floor Naval Air Station Dallas TX 75211-9506 Illinois Indiana Michigan Minnesota Ohio Wisconsin Arkansas Louisiana . New Mexico Oklahoma Texas Reaion V Selective Service System Region V Bldg. 7 Room 160 Treasure Island San Francisco CA 94130-5052 FTS 8-556-3411 COM 415-556-3411 . Selective Service System COM 303-361-8155 Region VI Fitzsimons Army Medical Ctr. Bldg. T-318 Aurora CO 80045-5001 Alaska Arizona California Guam Hawaii Idaho Nevada Northern Mariana Is1 Oregon Washington Colorado Iowa Kansas Missouri Montana Nebraska North Dakota South Dakota Utah Wyoming BUSINESS ADORESS NO.. STREET. CllY. STATE OR FOREIGN COUNTRY ZIP CODE SEtECTlVE SERVICE SYSTEM JTPA UNCOMPENSATED REGISTRAR APPOINTMENT MPPM PRIVACY ACT NOTICE The authority for requesting the informatibn in this form is the Military Selective Service Act 50 U.S.C. App 451 et seq. . The purpose is to establish written authority for you to act officially and perform as a Selective Service System Registrar. This information may be used to verify your official status and performance of duty to Federal state and local governmental agencies and the public. Disclosure is voluntary but failure to provide the requested information will preclude your appointment.. USE TYPCNRmR OR BAU POINT PEN I U.S. UTIZEN YES NO I AGE 18 OROMR7 YES 0 NO 0 NAME Last ht mdM 0 MLSS 0 MRS US 0 MR OATH OF OFFICE I do solemiy swear or affirm that as a Registrar under the Military Selective Service Act. I will support and defend the Constitution of the United States against all enemies foreign and domestic that I will bear true faith and allegiance to the same that I take this obligation freely without any mental reservation or purpose of evasion and that I will well and faithfully discharge the duties of the office on which I am about to enter SO HELP ME GOD. HOME PHONE 0- I I BUSINESS PHONE 7- Arr Gods I WAIVER OF PAY AND TRAVEL REIMBURSEMENT I understand that I am a Volunteer and that I will not receive any pay travel reimbursement or compensation in any form for my services as a Volunteer Registrar. I hOME AOORESS NO STREEI. CllY. STATE OR FOREIGN COUNTRY. ZIP CODE CERTIFICATION I I certify that the information I have provided on this form is true. I SIGNATURE MTE I FOR APPOINTING OFFICIAL S USE ONLY l3e above named person is appointed a volunteer registrar for Me area shown during the period indicated. .- -. -. d DATE REGISTRATION AREA 1 Sss mu a2 GPO 1980 0 - 319-511 MAY 1940 PERIOO OF APPOINTUEHT