Military Questionnaire

Military Qualification Questionnaire

Completion of the questionnaire DOES NOT abligate you to enlist into the Miliary.
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
Format: (000) 000-0000.
High School
Select your level of education.
Height
select your height in inches
Weight
type you weight in pounds
Where were you born?
Country
State
State
County
County
City
City
Citizenship Status:
Do any of the following items pertain to you? (Select all that apply)
What career fields interest you?
Select the employment benefits that interest you (select all that apply)
Would you consider receiving more information regarding the U.S. Army?
What questions do you have regarding the U.S. Army?
Should be Empty:

Military Qualification Questionnaire