Concientious Objector Application Form

SSS Form 150
SELECTIVE SERVICE SYSTEM
SPECIAL FORM FOR CONSCIENTIOUS OBJECTOR
Series I.—CLAIM FOR EXEMPTION
  1. I am, by reason of my religious training and belief, conscientiously opposed to participation in war in any form. I, therefore, claim exemption from combatant training and service in the Armed Forces, but am prepared to serve in a noncombatant capacity if called. (Registrants granted this status are classified I-A-O.)

    ............................................................................
    (Signature of registrant)

  2. I am, by reason of my religious training and belief, conscientiously opposed to participation in war in any form and I am further conscientiously opposed to participation in noncombatant training and service in the Armed Forces. I, therefore, claim exemption from both combatant and noncombatant training and service in the Armed Forces, but am prepared to perform civilian alternative service if called. (Registrants granted this status are classified I-O.)

    ............................................................................
    (Signature of registrant)

Series II.—RELIGIOUS TRAINING AND BELIEF
  1. Describe the nature of your belief which is the basis of your claim and state why you consider it to be based on religious training and belief.

  2. Explain how, when and from whom or from what source you received the religious training and acquired the religious belief which is the basis of your claim.

  3. To what extent does your religious training and belief restrict you from ministering to the sick and injured, either civilian or military, or from serving in the Armed Forces as a noncombatant without weapons?

  4. Have you ever given expression publicly or privately, written or oral, to the views herein expressed as the basis for your claim? Give examples.
    (This was the only question I could answer.)