Air National Guard Recruiting Active Duty Member Exit Questionnaire

Air National Guard Recruiting Active Duty Member Exit Questionnaire
Dear Active Duty Separatee, Congratulations on completing your active duty service commitment, and thanks for your service to the Air Force and our country. The purpose of this questionnaire is to help you and I determine if becoming a member of the Air National Guard is an option you’d like to learn about and pursue. The Air National Guard strongly believes in helping people like you to get what they want most from a part-time military career. Therefore, by answering the questions below, you can save time and allow me to assist you in making an important career choice. Thank you!
Rank/Name
Cell Phone Number
Format: (000) 000-0000.
Personal Email
example@example.com
AFSC
Separation Date

MonthDayYear
Date
Terminal Leave Date

MonthDayYear
Date
Base Assigned
1. Where do you plan to live after you separate (City, State)?
2. Have you already secured a civilian job?
If so, what will you be doing?
3. Have you researched your medical and dental insurance options outside the military?
4. Are you planning to attend a technical training or college after separation?
5. Which features of being in the Air Force have you enjoyed the most? (Check all that apply)

Others
6. Which feature(s) of Air Force life have you least enjoyed? (Please explain briefly)
7. Why are you separating (end of contract, HYT, medical, etc.)?
8. What is the date of your last fitness Test?
What did you score on that fitness Test?
Did you have any Exemptions?
9. Are you on a Medical Profile?
Do you intend to file a claim with the VA?
10. Are you on a Control Roster/UIF?
11. Are you joining another service?
If so, what branch?
How interested are you to discussing opportunities and benefits offered by the Air National Guard? 12.
***Submitting this form will send the PDF version directly to the Air Guard In-Service Recruiter***
TSgt Jeremiah Hust ANG In-Service Recruiter
Work Cell: (803) 216-4196 Email: Jeremiah.hust.2@us.af.mil
Should be Empty:

Air National Guard Recruiting Active Duty Member Exit Questionnaire

TSgt Jeremiah Hust ANG In-Service Recruiter