United States Marine Corps Questionnaire
First Name
*
Middle Name
Last Name
*
Phone Number
*
Street Address
City / State / Zip
Email Address
*
Date of Birth
*
Place of Birth
Height and Weight
*
Gender
*
Male
Female
Racial Catagory
American Native / Alaskan Native
Asian
Black / African American
Native Hawaiian / Pacific Islander
White
Ethnic Catagory
Hispanic or Latino
Not Hispanic or Latino
How did you find this form?
School
Instagram
Facebook
Family or Friend
Google
Community Event
Other
Do you have original or certified copies of the below documents?
U.S. Passport
Drivers License
Learners Permit
Green Card
Birth Certificate
Social Security Card
High School Diploma
College Transcripts
Marital Status
Please Select
Single
Married
Divorced
Other
Children?
No
Expecting
1
2
Citizenship Status
U. S. Citizen
Permanent Resident
Other
Education Level
GED
High School Junior
High School Senior
Some College
Associates
Bachelors
Other
Name of High School / Graduation Year
Name of College / Graduation Year
Prior Mititary? Which Branch? RE Code?
Career Interests
Reserves
Mechanical
Electrical
Construction
Trade Careers
Computers / IT
First Responders
Administration
Accounting
Aviation
Medical
Special Operations
Intelligence
Cyber Security
Linguist
Embassy Guard
Military Police
Other
Features / Benefits Interests
Challenge
Courage / Poise
Self Confidence
Paid College Tuition
Financial Security
Advancement
Leadership
Management Skills
Physical Fitness
Pride of Belonging
Professional Development
Technical Skills
Travel and Adventure
Self Discipline / Self Reliance
30 Days Vacation per Year
Career / Early Retirement
Free Medical / Dental
How would you rate your Interest level?
*
Please Select
1
2
3
4
5
6
7
8
9
10
Would you like a recruiter to contact you?
Please Select
Yes
No
Submit
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