US Marine Corps
RSS Gotham
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
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Month
-
Day
Year
Date
Height
*
Weight
*
Cell Phone Number
*
Email
*
example@example.com
Instagram Handle
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Why are you interested in coming in?
*
Which of these are the most important to you? (Pick 3)
*
Travel and Adventure
Physical Fitness
Courage, Poise, and Self Confidence
Challenge
Technical Skills
Pride of Belonging
Educational Opportunities
Professional Development and Opportunities
Leadership and Management Skills
Self Reliance, Self Direction, Self Discipline
Financial Security, Advancement, and Benefits
When would you like to come in?
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