Basic Qualification (MARINES)

Are you basically qualified?
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School Year Currently In
Are you a high school graduate?
Current Age
Any Interest in the military?
Height
Weight (Approximate)
Any drug use? (e.g. marijuana, cocaine, etc.)
Any medication? (e.g. ADHD, anti-depressants, anxiety, etc.)
Have you ever broken a bone?
Have you ever had asthma or been prescribed an inhaler?
Do you have any allergies that require an EpiPen? (e.g. shellfish, bees, etc.)
Do you have any tattoos, brandings, or piercings?
Do you wear glasses or contacts?
Have you ever any kind of police involvement, including traffic violations?
Should be Empty: