Preliminary Application Form: Work Force Investment Act Registrar Program
All men ages 18 - 25 trying to register with Selective Service please click   here.

The purpose of the Act is to consolidate, coordinate, and improve employment, training, literacy, and vocational rehabilitation programs in the United States. A Selective Service System (SSS) Registrar insures that men participating in the program meet the SSS registration requirement. (more)

Must enter or select (*) fields.
Last Name *   First Name *  
M.I. Gender *  
Title Email *    
Business Name*  
Address *  
City*   State*  
ZIP Code *      
Phone (xxx-xxx-xxxx) Fax (xxx-xxx-xxxx)
If you are a male, did you register with Selective Service? *

Are you a U.S. Citizen? *