Clone of SPECIAL WARFARE PRE QUALIFICATION

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
E-mail*
example@example.com
Mobile Number*
9th10th11thHigh School graduateAssociate'sBachelor's
Weight
type you weight in pounds
Height
select your height in inches
Where were you born? *
Country
State
State
Country
County
City
City
U.S. CitizenPermanent ResidentOther
YesNoLearner's permit
SingleMarriedDivorced
YesNo
YesNo
Any arrests or had any encounters with law enforcement to include tickets?Used any illegal drugs for abused prescription drugs?Any metal implants? (i.e. Pins plates or screws etc.)Wear contacts or glasses?Had or recommended to have any operations or surgeries?Medications prescribed by a Doctor?Broken/ fractured any bones?Any breathing problems? (i.e. Asthma)Had tattoos, branding or piercings?Any vision problems? (i.e. Color blind, stigmatisms, lazy eye, etc.)Received any type of counseling/psychiatric care?Prescribed medications for ADD, ADHD, Depression, or Anxiety?Are you allergic to anything? (i.e. Foods, Bee Stings, Medications etc.)
If any above pertain, draft a short paragraph of: WHO/WHAT/WHERE/WHY/WHEN
8+ Pull Ups / 40+ Push Ups / 50+ Sit Ups / 1.5M Run in under 10:205+ Pull Ups / 30+ Push Ups / 40+ Sit Ups / 1.5M Run in under 11:00500M SWIM in under 12:00500M SWIM in under 15:00
Pararescue ( PJ )Combat Control ( CCT )Tactical Air Control Party ( TACP )Special Reconnaissance ( SR )
Explosive Ordnance Disposal ( E.O.D )Survival Evasion Resistance Escape ( S.E.R.E )
Free TuitionA Strong Foundation for you, your family and your country.Job SecurityEarly RetirementAnnual Pay RaisesPride of BelongingSelf-DisciplineFree Medical/DentalLeadership Training and ExperienceThe ability to look at something and say, Yes I can do that.$90-100k BonusesTravel The WorldAdventurous Lifestyle (Skydiving, Rock Climbing, Scuba Diving, etc.)
YesNoDo not contact list
What questions do you have regarding the USAF and Special Warfare?
Should be Empty:

PRE QUALIFICATION FORM