Military Questionnaire

ABOUT ME

Thank you for your interest in the United States Army. I am Sergeant First Class Darrin Burnett-Smith. I serve as an Army Recruiter in Fairfield-Suisun, CA. 🌴🌤 My job is to find highly motivated & qualified individuals to join the world's greatest organization. As your Recruiter, you are my #1 priority, and I will ensure all your questions & concerns are answered. 💯 Below is a pre-qualification form to schedule an appointment with me. Please be detailed and fill the form out to the best of your knowledge. 💭 I will be in contact with you soon, thank you! 🇺🇸
U.S. Army Pre-Qualification Form
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
Mobile Number

Area CodePhone Number
Height
select your height in inches
Weight
type your weight in pounds
Highest Education Level?
Citizenship Status?

Other
Marital Status?

Other
Do you have a valid State ID or Driver's License?
Do you have any Children or Legal Dependents?
Have you ever taken the Armed Services Vocational Aptitude Battery (ASVAB) test?
Have you served in any other branch of the Armed Forces?
Do you have any Tattoos?
Have you EVER used, possessed, sold, or transported any illegal drugs to include marijuana?
Have you ever been charged, arrested, cited, held, or questioned by a law enforcement agency to include minor traffic, juvenile offenses, regardless of the disposition/outcome (charges were dropped, dismissed, found not guilty)?
Please select any of the following items that pertain to you? (Select all that apply)
What career fields interest you?
Select the employment benefits that interest you the most? (select all that apply)
Additional Comments | How did you hear about the Army and local recruiter?
Should be Empty:

ABOUT ME

U.S. Army Pre-Qualification Form