Pre-Qualification Application
Thank you for your interest in the United States Air Force. Please take a few minutes to fill out this survey. This information is used in determining your eligibility for service in the Air Force. Once your information is reviewed, I will call you as soon as possible. Thank you!
Name
First Name
Middle Name
Last Name
Are you currently COVID vaccinated?
Yes
No
If not vaccinated, are you willing to get vaccinated?
Yes
No
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
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31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
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1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
What is your current Age?
If 17, are both parents willing to give/sign consent for enlistment?
Yes
No
N/A
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Home Number
Format: (000) 000-0000.
Cell Phone Number
Format: (000) 000-0000.
Can you receive text messages at this number?
Yes
No
Who is your cell phone carrier?
What is the best time to reach you?
Hour Minutes
AM
PM
AM/PM Option
Have you ever served in the Military before?
Please Select
Active Duty
Air National Guard
Air Force Reserve
Are you looking for Enlisted or Officer? (Officer requires a Bachelor’s Degree)
Please Select
Enlisted
Officer
What is your current height in inches?
What is your current weight in pounds?
What is your current education level?
Please Select
High School Junior
High School Senior
High School Graduate
GED
Some College
College Graduate
Other
What is you Citizenship Status?
Please Select
U.S. Citizen
Green Card
Are you a dual Citizen?
Yes
No
What is your current Marital Status?
Please Select
Single
Married
Divorced
Widowed
Other
If married, are you married to another military member?
Yes
No
Do you have any children/dependents?
Yes
No
If you have dependents/children, how many?
Please Select
1
2
3
3+
Are you a registered Voter?
Yes
No
Do you have a Social Security Card?
Yes
No
Have you ever been a part of the JROTC?
Yes
No
Have you ever been a part of the Boy Scouts?
Yes
No
Have you ever been a part of the Eagle Scouts?
Yes
No
Were you a Gold Award?
Yes
No
CONSCIENTIOUS OBJECTOR is an individual with a firm, fixed, or sincere objection to the participation in war of any form, or to the performance of Armed Forces service because of any religious training or beliefs. Does this describe you?
Yes
No
Have you ever used, possessed, sold, or transported any illegal drugs to include marijuana?
Yes
No
Explain:
Do you have any Tattoos?
Yes
No
Explain:
Do you have any Body Branding/Modifications or Ear Gauges?
Yes
No
Explain:
Do you have a driver’s license?
Yes
No
Learner's Permit
What is Your current occupation?
What Career Fields are you interested in?
Mechanical/Maintenance
Electrical/Computers
Law Enforcement/Security Forces
Intelligence
Special Warfare
Linguist
Air Traffic Control
Air Force in General
Other
Do you have any professional degrees or certifications?
Yes
No
If Yes, what are they?
Have you ever taken an ASVAB? If so, what was your score and where did you take it?
Have you worked with another military recruiter before? If so, what Branch and Service?
Who/what is your motivation for joining the Air Force?
How did you learn about the Air Force?
Internet/Social Media
Friend/Family
School Visit/Career Fair
Other
Which Air Force benefit(s) would you like to learn more about?
If qualified, are you ready to begin your career and leave for Basic Training within the next 3 months?
Only looking for info
1
2
3
4
Ready to start application process now!
5
1 is Only looking for info, 5 is Ready to start application process now!
Additional Comments
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