PRE QUALIFICATION FORM
Completion of the questionnaire DOES NOT obligate you to enlist into the USAF.
Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Mobile Number
*
Select your level of education.
9th
10th
11th
High School graduate
Associate's
Bachelor's
Weight
type you weight in pounds
Height
Please Select
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
select your height in inches
Where were you born?
*
Please Select
United States
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Austrian Empire
Azerbaijan
Baden*
Bahamas, The
Bahrain
Bangladesh
Barbados
Bavaria*
Belarus
Belgium
Belize
Benin (Dahomey)
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Brunswick and Lüneburg
Bulgaria
Burkina Faso (Upper Volta)
Burma
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands, The
Central African Republic
Central American Federation*
Chad
Chile
China
Colombia
Comoros
Congo Free State, The
Costa Rica
Cote d’Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czechia
Czechoslovakia
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Duchy of Parma, The*
East Germany (German Democratic Republic)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Federal Government of Germany (1848-49)*
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Grand Duchy of Tuscany, The*
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Hanover*
Hanseatic Republics*
Hawaii*
Hesse*
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kingdom of Serbia/Yugoslavia*
Kiribati
Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Lew Chew (Loochoo)*
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mecklenburg-Schwerin*
Mecklenburg-Strelitz*
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nassau*
Nauru
Nepal
Netherlands, The
New Zealand
Nicaragua
Niger
Nigeria
North German Confederation*
North German Union*
North Macedonia
Norway
Oldenburg*
Oman
Orange Free State*
Pakistan
Palau
Panama
Papal States*
Papua New Guinea
Paraguay
Peru
Philippines
Piedmont-Sardinia*
Poland
Portugal
Qatar
Republic of Genoa*
Republic of Korea (South Korea)
Republic of the Congo
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Schaumburg-Lippe*
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands, The
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Texas*
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Two Sicilies*
Uganda
Ukraine
Union of Soviet Socialist Republics*
United Arab Emirates, The
United Kingdom, The
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Württemberg*
Yemen
Zambia
Zimbabwe
Country
State
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Country
County
City
City
Citizenship Status:
U.S. Citizen
Permanent Resident
Other
Do you have a drivers license?
Yes
No
Learner's permit
What is your marital status?
Single
Married
Divorced
Do you have any children/dependents?
Yes
No
Have you ever served in any branch of the military before?
Yes
No
Do any of the following items pertain to you? (Select all that apply)
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.)
Have you ever been diagnosed with COVID 19?
If any above pertain, draft a short paragraph of: WHO/WHAT/WHERE/WHY/WHEN
What type of Physical shape are you in?
8+ Pull Ups / 40+ Push Ups / 50+ Sit Ups / 1.5M Run in under 10:20
5+ Pull Ups / 30+ Push Ups / 40+ Sit Ups / 1.5M Run in under 11:00
500M SWIM in under 12:00
500M SWIM in under 15:00
What Special Warfare Career Field Interests you?
Pararescue ( PJ )
Combat Control ( CCT )
Tactical Air Control Party ( TACP )
Special Reconnaissance ( SR )
What Combat Enabler Career Field Interests you?
Explosive Ordnance Disposal ( E.O.D )
Survival Evasion Resistance Escape ( S.E.R.E )
Select the SW benefits that interest you (select all that apply)
Free Tuition
A Strong Foundation for you, your family and your country.
Job Security
Early Retirement
Annual Pay Raises
Pride of Belonging
Self-Discipline
Free Medical/Dental
Leadership Training and Experience
The ability to look at something and say, Yes I can do that.
$90-100k Bonuses
Travel The World
Adventurous Lifestyle (Skydiving, Rock Climbing, Scuba Diving, etc.)
Would you consider receiving more information regarding Special Warfare?
Yes
No
Do not contact list
What questions do you have regarding the USAF and Special Warfare?
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