United States Marine Corps, Officer Selection Team
  • United States Marine Corps, Officer Selection Team

    Contact/Screening Form
  • Thank you for taking the time to complete our contact/screening form. Your results will be sent directly to our Officer Selection Team for review. Once received, the team may take up to 72 hours to review and make a determination on whether or not you meet the basic qualifications to become a Marine Officer. If you meet the basic qualifications, a team member will contact you within 72 hours to schedule an interview. If you are not contacted, please feel free to call our office during normal business hours (509-353-2953) to verify that your submission was received. Whether you are just seeking more information or already know this is the career for you, please fill out this form completely and honestly.

  • Personal Information

  • Format: (000) 000-0000.
  • Are you a US Citizen?*
  • Education Information

  • Are you currently involved in any sports, activities, organizations, etc?
  • Medical History

  • Vision (check all that apply)*

  • Are you Color Blind?*
  • Have you ever had asthma or used an inhaler?*
  • Have you ever taken or are you curently on any prescribed medication? (excluding birth control)*
  • Have you ever been diagnosed with ADD, ADHD, or any learning disorder?*
  • Do you have any prolonged medical conditions or diseases?*
  • Have you ever been hospitalized or had any surgeries?*
  • Have you ever broken any bones?*
  • Have you ever dislocated or separated a joint?*
  • Have you ever "blown out", torn a ligament or tendon?*
  • Have you had any head injuries, concussions, or lost consciousness?*
  • Have you ever received psychiatric treatment or counseling?*
  • Are you COVID-19 vaccinated?*
  • Personal History

  • Do you exercise/workout?*
  • Do you have any tattoos?*
  • Do you have any body piercings?*
  • Have you ever been arrested?*
  • Have you ever been convicted of a felony?*
  • Have you ever received any type of traffic tickets?*
  • Have you ever used illegal drugs?*
  • Family Status*

  • Do you have any children?*
  • Have you ever served in the Armed Forces?*
  • Have you ever spoken with a military recruiter before to include a Marine Corps Recruiter?*
  • Select the Marine Officer Program options interest you the most? (Check all that apply)*
  • Below are 13 benefits that you will recieve while serving as a Marine Corps Officer. Please select FIVE benefits that are most important to you.
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