AIR FORCE SPECIAL WARFARE PRE QUALIFICATION FORM

PRE QUALIFICATION FORM

Completion of the questionnaire DOES NOT obligate you to enlist into the USAF.
Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
Format: (000) 000-0000.
E-mail
example@example.com
9th10th11th12thHigh school/Home School graduateGEDAssociates degreeBachelors degreeMasters degree
Height
Height in inches
Weight
Weight in pounds
U.S. CitizenNaturalizedPermanent residentOther
YesNoLearner's Permit
SingleMarriedDivorcedEngaged
YesNo
Any arrests or had any encounters with law enforcement to include tickets?Used illegal drugs or abused prescription drugs?Any metal implants? (i.e. pins, screws, plates, etc.)Wear contacts or glasses?Had any operations or surgeries?Currently prescribed medication?Any History of Asthma/inhaler usage?Have tattoos, branding, piercing, or body modifications?Any vision impairments? (i.e. color blindness, astigmatisms, lazy eye, etc)Received any type of counseling? (i.e. therapist, physiologist, etc_Diagnosed with ADD, ADHD, Depression, Anxiety, or attempted Suicided?Are you allergic to anything (i.e. food, drugs , animals, insects, or medications, etc)
8+ Pull Ups / 40+ Push Ups / 50+ Sit Ups / 1.5 Mile Run in 10:20 min or less5+ Pull Ups / 30+ Push Ups / 40+ Sit Ups / 1.5 Mile Run in 11:00 min or less500 meter swim in 12:00 min or less500 meter swim in 15:00 min or lessNone of the above
Pararescue ( PJ )Combat Controller ( CCT )Special Reconnaissance ( SR )Tactical Air Control Party ( TACP )
Explosive Ordnance Disposal ( EOD)Survival Evasion Resistance Escape Instructors ( S.E.R.E )
What questions do you have about Air Force Special Warfare? Please list availability for me to contact you about setting up appointment.
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