AIR FORCE & SPACE FORCE PRE-QUALIFICATION QUESTIONNAIRE

AIR FORCE & SPACE FORCE PRE-QUALIFICATION QUESTIONNAIRE

*Information protected by the Privacy Act Statement of 1974 for your protection*
***I'm the Active Duty ENLISTED recruiter only***

If you'd like to speak with a Reserves, Air National Guard, or Officer recruiter, please click the link below.

Air Force Recruiter Locator
Service Component?
Jobs in the Air Force click link to see jobs
Job/Career Interest? *

Other
Are you willing to do jobs that the Air Force has a high need for? (e.g., Aircraft Maintenance/Fuels Systems, Avionics, Language Analyst, and Military Police)
Do you have an industry level certification? (e.g., HVAC, EMT, LPN, RN, Police, etc.

Other
After what date would you feel comfortable going to basic training?

MonthDayYear
Date
DEMOGRAPHIC INFO
NAME: (First and Last)
SEX: Male or Female
Date of Birth

MonthDayYear
Date
City & State of Birth
AGE
Ages 17-41
Height/Weight
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
License or I.D. State
If you don't have a driver's license, type "N/A"
Expiration

MonthDayYear
Date
Driver’s License or State I.D. Number
If you don't have a driver's license, type "N/A
Real I.D.? (star in the upper right corner of I.D. or License)
CITIZENSHIP
U.S citizen by birth?

Other
Permanent Resident? If you DO NOT have U.S. citizenship
CONSCENTIOUS OBJECTOR
Do you have any religious or moral beliefs that would prevent you from taking up arms for your country?
Are there any religious practices which would preclude you from performing military duties or participating in military activities whenever necessary (i.e., personal restrictions, religious observances) or uniform accommodations needed based on religious practices (ie., head covering or facial hair)?
LAW VIOLATIONS

***If "YES", please provide expanation***
Have you EVER been charged, arrested, cited, held or questioned by any law enforcement agency to include minor traffic or juvenile offenses (traffic tickets, etc.)? Including DROPPED, DISMISSED OR EXPUNGED charges.
List violation(s)/offense(s)
PHYSICAL

***If "YES", please provide expanation***
Do you have ANY Allergies?
Types of allergies
Do you have or have you ever had asthma/ bronchitis/inhaler use?
Any DIAGNOSED mental health conditions?

Other
Are you currently taking ANY medication? How long?
Type of medication
Have you had any warts, moles, or cysts removed from your body?
Have you or do you have any DIAGNOSED skin conditions? Acne, eczema, etc.
*IF "YES", PROVIDE DETAILS*
Have you had any broken bones or fractures?
*IF "YES", PROVIDE DETAILS*
Have you ever had any surgeries/procedures?
*IF "YES", PROVIDE DETAILS*
Have you ever been hospitalized? i.e., Overnight, few days or weeks in a hospital
*IF "YES", PROVIDE DETAILS*
Have you had any counseling or therapy sessions? Reason?
*IF "YES", PROVIDE DETAILS*
Do you have any tattoos or brandings? Where and how big?
***Include tattoos on neck and/or hands***
Have you ever or do you now wear braces? Permanent retainer?
*IF "YES", PROVIDE DETAILS*
Have you ever cut, burned, or injured yourself on purpose? Cut wrists/legs, etc.?
If yes, provide details
Do you wear glasses or contact lenses?
PRIOR SERVICE
Have you ever been enlisted in any branch of the military? Reason for discharge?
Branch served
Have you ever taken an ASVAB/PiCAT test? If so, what did you score?
Have you ever taken a physical for any branch of the Armed Forces?
EDUCATION
High school attended/attending and year graduated/graduating?
Name of school
Have you attended college/How many semester/quarter/clock hrs.?
Name of college
Do you have a GED? (must have 15 college credits to qualify)
DEPENDENTS
Are you single/married/divorced/separated?
Do you have any children or other dependents?
Any children on the way?
Do you plan on getting married or having kids within the next year?
DRUGS

***BE HONEST*** Federal law provides severe penalties (up to 5 years confinement or a $10,000 fine or both), to anyone making a false statement.
Have you EVER used, possessed, sold, or transported any illegal drugs or marijuana?
Type of drug used
Last time used?
Total number of times used
Estimate total number of times used
SOURCE DOCUMENTS
Do you have the following items readily available?
CREDIT HISTORY

***If "YES", please provide expanation***
Have you ever had anything turned over to collections?
Have you ever been 90 days overdue on any payments?
Have you ever had any charge offs or filed for bankruptcy?
Please Answer the Questions Below to Determine Available Opportunities Within the Air Force or Space Force
What's makes you want to join the Air Force or Space Force?
What are some things you're hoping to improve on in life?
Besides joining the Air Force or Space Force, what are some future goals you have?
***Once you click submit, the pre-qualification form will be sent directly to my email. I typically review pre-qualifications on Fridays, though sometimes sooner. Please be patient as I review them in the order they are received. Thank you!***

- Staff Sergeant Johnson
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AIR FORCE & SPACE FORCE PRE-QUALIFICATION QUESTIONNAIRE

DEMOGRAPHIC INFO

CITIZENSHIP

CONSCENTIOUS OBJECTOR

LAW VIOLATIONS

PHYSICAL

PRIOR SERVICE

EDUCATION

DEPENDENTS

DRUGS

SOURCE DOCUMENTS

CREDIT HISTORY

Please Answer the Questions Below to Determine Available Opportunities Within the Air Force or Space Force

***Once you click submit, the pre-qualification form will be sent directly to my email. I typically review pre-qualifications on Fridays, though sometimes sooner. Please be patient as I review them in the order they are received. Thank you!***

Once you click submit, the pre-qualification form will be sent directly to my email. I typically review pre-qualifications on Fridays, though sometimes sooner. Please be patient as I review them in the order they are received. Thank you!