Pre-Qualification Form

Pre-Qualification Form

Thank you for your interest in the World's Greatest Army! My name is Sergeant Noriel Saria and I am the recruiter in Fairfield, CA. 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 NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Height
inches
Weight
pounds
Do you have a VALID driver's license or Stated ID?
What is your US citizenship status?
What is your marital status?
Do you have any children? legal dependents?
Highest Education Level?
Have you served in any branch of the military before?
Have you ever taken the Armed Services Vocational Aptitude Battery ( ASVAB ) Test?
If yes, when and where?
Have you ever been charged, arrested, cited, held or questioned by an law enforcement agency to include minor traffic, juvenile offenses, regardless of the disposition/outcome ( charges were dropped, dismissed, found not guilty)
Have you ever been medically diagnosed or treated by the doctor?
Do you have any tattoos or scars?
Have you EVER used, possessed, sold or transported any illegal drugs to include marijuana?
Additional Comments / How did you hear about the local recruiter or the US Army?
Should be Empty: