Military Questionnaire

Military Qualification Questionnaire

Completion of the questionnaire DOES NOT obligate you to enlist into the Military.
Name*

First NameLast Name
What month were you born?*
What year were you born?*
What country were you born in?*
Gender*
Address

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
Mobile Number*
High School Attended
Select your highest level of education.

9th10th11thHigh School graduate
College Attended
Select your highest level of education.

Associate'sBachelor'sN/A
Height
select your height in inches
Weight
type you weight in pounds
Citizenship Status *
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 or 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, exercise-induced asthma, bronchitis, reactive airway disease, etc.)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?
What career fields interest you?
Select the employment benefits that interest you (select all that apply)

Free Tuition30 Days Paid VacationProfessional DevelopmentJob SecurityEarly RetirementAnnual Pay RaisesSelf-DisciplineFree Medical/DentalLeadership Training and ExperienceTravel and AdventureFinancial SecuritySelf-DirectionSelf-Reliance
What questions do you have regarding the Air Force?
Should be Empty:

Military Qualification Questionnaire