US Air Force/Space Force Pre-Qualification Form
Thank you for your interest in the World's Greatest Air Force and Space Force! My name is Staff Sergeant Triston Roland and I am the enlisted recruiter in the Port Arthur, TX area. Customer service is extremely important to me and I want to ensure all of your questions are answered. My job is to find highly motivated and qualified individuals to join our team. Below you will see a questionnaire. Please fill it out and be as detailed as you possibly can and I will be in touch with you soon. Thank you!
Full Name
*
First Name
Middle Name
Last Name
Birth Date
*
/
Month
/
Day
Year
Date Picker Icon
Age
*
Gender
*
Male
Female
N/A
City of Birth
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Height
*
Inches
Weight
*
Pounds
Do you have a VALID driver's license or State ID?
*
Yes
No
What is your US citizenship status?
*
US At Birth
Naturalized
Derived US Citizen
Permanent Resident
Work Permit
Other
If other, please annotate on the additional comments
Citizenship Additional Comments
What is your marital status?
*
Single
Married
Divorced
Do you have any children or LEGAL dependents?
*
Yes
No
Highest Level of Education
*
High School Student
High School Graduate
GED
Some College
College Graduate
Have you served in any branch of the military before?
*
Yes
No
Have you ever taken the Armed Services Vocational Aptitude Battery (ASVAB) Test?
*
Yes
No
If yes, when was it taken? What was the overall score?
Do you have any religious or moral beliefs that would prevent you from taking up arms for your country?
*
Yes
No
Have you EVER been charged, arrested, cited, held or questioned by any law enforcement agency to include minor traffic or juvenile offenses, regardless of the disposition/outcome (charges were dropped, dismissed, found not guilty)
*
Yes
No
Type a Have you ever been medically diagnosed or treated with the following: (Check if it applies to you)
*
Asthma
COVID-19
Broken Bones, Fractures, Hairline Fractures
Scars that required stitches
ANY Surgeries (wisdom teeth,etc.)
ANY Allergies
ACNE Issues/taken medication
ADD/ADHD
Any Skin Conditions (eczema, atopic dermatitis, etc.)
Wears Glasses/Contacts
Braces or Permanent Retainer
Cut, Burned or Injured self on purpose
None
Do you have any tattoos? If so, please describe what it is, where its located and meaning
*
Have you EVER used, possessed, sold or transported any illegal drugs to include marijuana?
*
Yes
No
Credit History (Please check if anything applies to you)
*
Had anything turned to collections
Been 90 days overdue on any payments
Had any charge offs/repossessions
Filed for bankruptcy
N/A
Additional Comments /How did you hear about the Air Force?
*
Submit
Should be Empty: