US Air Force / Space Force Pre-qualification form

Pre-qualification Form

Thank you for your interest in the United States Air Force and/or Space Force. Please take a few minutes to fill out this application. This information is used in determining your eligibility for service in the U.S. Air Force & Space Force. Once your information is reviewed, I will contact you as soon as possible to continue the process. Thank you.
Name*

First NameMiddle NameLast Name
Phone Number*
Please enter a valid phone number.
Can you receive text messages at this number?*

YesNo
Who is your cell phone carrier/company?*
Best time to reach you*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth*

MonthDayYear
Date
What is your current age? *
If 17 years old, are both parents willing to give/sing consent for enlistment?*

YesNoNot applicable
Gender*
Are you a US Citizen?*

YesNo
If you're Non-US citizen, which one applies to you?*

I have a USCIS Form I-551 with permanent resident statusI have INS Form I-551 with 10 year expiration date on it from the date of issue and no restrictions, and with more than 2 years before expiresI have a USCIS Form 7-845 with no restrictions, proof that a "permanent" card was ordered, and proof of permanent alien status.Not applicable
Are you currently COVID-19 vaccinated?*

YesNo
If not vaccinated, are you willing to get vaccinated?*

YesNo
What is your current Marital status? *
Have or ever had any children?*

YesNo
If you have dependents or children, how many?
Is anyone financially dependent on you mandated by court?*

YesNo
Do you have a valid driver's license?*

YesNoProvisional licenseBeginner's/learner's permit
What is your current height in inches? *
What is your current weight? *
What is your highest grade completed? *
Have you ever been in or completed JROTC?

YesNo
Are you looking for Enlisted or Officer? (Officer requires a Bachelor's Degree)
Have you ever served in the military before?
Have you ever served in the US Military or other foreign countries before?*

YesNo
Have you ever taken the ASVAB test (Armed Services Vocational Aptitude Battery)?*

YesNo
Did you take the ASVAB in High School or with a recruiter?*

High SchoolRecruiterNot applicable
If yes, what was your ASVAB score and test date?
Do you have any tattoos?*

YesNo
Explain tattoos art and location.
Do you have any body branding/modifications or ear gauges?*

YesNo
Explain body branding/modifications or ear gauges.
Have you ever used, possessed, sold or transported any illegal drugs to include marijuana?*

YesNo
Explain drug involvement
Have you ever been diagnosed by a doctor with any of the following? (Mark all that apply to you)*

AsthmaRespiratory problemsAllergiesInhalerADD/ADHDDepressionAnxietyAttempted suicideNot applicable
Explain your medical history from condition(s) selected above
Are you currently or have been any type of medication?*

YesNo
Explain medication
FULL DISCLOSURE REQUIRED - FEDERAL BACKGROUND CHECK - Have you ever been charged, arrested, cited, held, or questioned by any law enforcement agency, to include minor traffic or juvenile violations, regardless of the disposition?*

YesNo
Explain law violations
FULL DISCLOSURE REQUIRED - Is there anything else I should know about your medical history? (Examples - Concussions, broken bones, ER visits, surgeries, cyst/tumor removed)*

YesNo
Explain
Have you ever filed for bankruptcy, had any delinquent accounts, or accounts which went to a collection agency?*

YesNo
What career fields are you interested in?

Mechanical / MaintenanceElectrical / ComputersLaw Enforcement / Security ForcesIntelligenceSpecial Warfare/OperationsLinguistAir Traffic ControlOther
What is your current occupation?
What is your motivation for joining the U.S. Air Force?
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?

1

2

3

4

5

1 is Only looking for information , 5 is Ready to start application process now!
Additional Comments
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Pre-qualification Form