SSG CHRISTIAN EUGENIO
ARMY NATIONAL GUARD RECRUITER
Full Name
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First Name
Last Name
Physical Address
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Street Address
Street Address Line 2
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Phone Number
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Format: (000) 000-0000.
E-mail
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Date of Birth
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Age
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Driver License Number
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Drivers License Expiration Date
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Are you a US Citizen
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Do you have any Medical / Physical Conditions that may disqualify you?
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Height
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Weight
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Have you ever been Convicted or currently have any criminal Charges pending against you?
Education
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Marital Status
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Dependents
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1
2
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How did you hear about us?
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