US NAVY PRESCREENING
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the preferred method of contact?
Phone
Text
Email
IG
What is your weight?
What is your height?
Are you a U.S citizen?
Yes
No
What is your current education status?
HS Junior
HS Senior
HS Graduate
GED
Some College
College Degree
Other
Current marital status
Single
Married
Divorced
Have you ever been arrested, or had any encounter with law enforcement in your life?
Do you have any tattoos?
Have you ever been diagnosed with Asthma, Childhood Asthma, ADD/ADHD, Depression, or Anxiety?
Yes
No
Have you ever used any illegal drugs, including Marijuana in the past?
Yes
No
Have you ever taken the ASVAB before?
Yes
No
Have you ever served in the military before?
Yes
No
Which career field(s) are you interested in?
Administration
Aviation
Communication
Construction
Intelligence
Electrical
Electronics
Mechanical
Medical
Nuclear Engineering
Special Warfare
Why do you want to join the Navy?
Submit
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