Form
Requesting information about the Army or Army reserves
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Staff Sergeant Gregory Ching
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
US Citizen to include Green Card?
Yes
No
Married
Yes
No
High school diploma or GED?
Yes
No
How tall are you?
How much do you weigh?
Any law violations? To include speeding tickets, suspended from school, and minor/ juvenile actions? It yes, what year and what for?
Any medical history? surgeries? Diagnosis? Emergency visits? If so, what for and year?
What are you education goals?
What are your career goals?
Should be Empty: