Career Opportunities with Coley

Navy Employment Questionnaire

Petty Officer Coley 828C Spring Lake Plaza Winter Haven, FL 33881
Contact me directly:

Email: OS1COLEY88@GMAIL.COM or HAYWOOD.L.COLEY.MIL@US.NAVY.MIL Phone: 954-644-3386
Name*

First NameLast Name
Birthday*
YYYY/MM/DD
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Height / Weight*
Yes, born in the United StatesYes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern MarianasYes, U.S citizen by NaturalizationNo. I have a green card / I-551I am not a citizen or permanent resident
Do you have a valid social security card?*
Do you have a valid driver’s license or state ID?*
Do you have either a high school diploma or GED?*
Hobbies / interests What do you do for fun?
Have you ever taken the ASVAB exam?
Have you ever spoken to another recruiter? If so, which branch?
Have you ever broken a bone or been hospitalized?
Are you currently taking medication prescribed by a doctor?
Do you currently have asthma?
Do you have any tattoos or skin brands?
Have you used any drugs in the past year to include marijuana?
Do you have any police involvement?
Do you have a religious preference?
Are there any specific Navy programs you would like to know more about?
If you could change one thing about your current life situation, what would it be?*
How do you think the Navy could benefit you?
Choose an appointment date and time below. Keep in mind we are not open on weekends or Federal holidays.*
Will you need a ride to your appointment?*
Please feel free to call or text me directly for any other questions or concerns. Information shared here stays between me, you, and the US Navy. Feel free to bring any interested parties with you to our appointment or give them my information. Looking forward to meeting with you and seeing how the Navy can get you to your goals.
Should be Empty:

Navy Employment Questionnaire

Contact me directly: