Yes, I want more information!
Here's how to contact me.
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
Current Height
Current Weight
Highest Level of Education Completed
HS Junior
HS Senior
HS Graduate
GED
Some College
College Grad
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?
Yes
No
Have you EVER used marijuana?
Yes
No
If yes, how long has it been since last use?
Are you currently using or being prescribed any medication?
Have you ever been diagnosed with asthma, depression, anxiety, or ADHD/ADD?
Have you EVER had any encounters with Law-Enforcement regardless of the outcome in the past? (including, juvenile, adult, traffic violations, etc)
What is motivating you to look into the Air Force as a potential opportunity for you?
How did you hear about our office?
Current Age
If qualified, how likely are you to start the application process for the Air Force?
1
2
3
4
5
Unlikely
Likely
1 is Unlikely, 5 is Likely
How would you prefer to be contacted?
Phone Call
Text Message
Email
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