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
City
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Postal / Zip Code
Phone Number
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E-mail
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example@example.com
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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DD/MM/YYYY
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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High School Senior
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Associates Degree
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Marital Status
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Dependents
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0
1
2
3
How did you hear about us?
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National Guard Website
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Comments
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