Air Force Pre-qual form
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
What is your current Age?
What is your current Height?
What is your current weight?
Highest level of education?
HS Junior
HS Senior
HS Graduate
GED
Some College
College Graduate
Are you a US Citizen
Yes
No
Current Marital Status
Single
Married
Divorced
Do you have any Children/Dependents? If yes, How many?
Have you ever used any illegal drugs, to include Marijuana? If yes, when was the last time used?
Are you currently on or using any kind of medication?
Have you ever been diagnosed with asthma, depression, anxiety, or ADD/ADHD?
Have you ever had any encounters with Law-Enforcement regardless of the outcome in the past? (Including juvinille, adult, traffic violations)
What is your motivating you to look into information concerning Air Force opportunities?
If qualified, how likely are you to start the application process for the Air Force?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How would you like to be contacted?
Phone call
Text
Email
Submit
Should be Empty: