- U.S. Air Force Qualification Form -
Welcome! Please fill out the following information so that we may reach out to you as fast as possible!
Name
*
First Name
Middle Name
Last Name
Age
*
If you're under the age of 18, do your Parents/Guardians consent to you joining the Air Force?
Yes
No
Date of Birth
*
-
Month
-
Day
Year
Date
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Can you receive text messages at this number?
Yes
No
Have you been served in the military before? If so, what branch?
Prior Service / Branch
Have you ever been turned away for military service by ANY branch?
Yes
No
If you have been turned away, please explain. (Branch and Reason for disapproval)
*
Are you looking for Air Force Active Duty, Air Force Reserves, or Air National Guard?
Air Force Active Duty
Air Force Reserve
Air National Guard
Please select from the drop down box above
Are you attempting to go Enlisted, or Officer? (Officer requires Bachelors degree)
Enlisted
Officer
Please select from the drop down box above
If approved, how soon would you prefer to ship to basic training?
-
Month
-
Day
Year
How early can you go to basic training in San Antonio, TX?
On a scale of 1-10, how sure are you that you want the Air Force?
1
2
3
4
5
6
7
8
9
10
I'm doing this because I'm bored!
Ready to be an Air Force Airman today!
1 is I'm doing this because I'm bored!, 10 is Ready to be an Air Force Airman today!
What type of careers are you interested in doing for the Air Force? Select all that apply.
Mechanical/Maintenance
Security Forces
Special Warfare
Intelligence
Linguist
Air Traffic Control
Computers/Technical
Other
What is your primary reason for desiring entry into the Air Force?
How did you learn about the Air Force? What drove you to fill out this application today?
Back
Next
- Background Information -
Please answer the following background questions to help determine your qualifications for entry into the U.S. Air Force.
Are you a U.S. Citizen?
Yes
No
Highest Level of Education?
9th or 10th Grade
11th Grade (Junior)
12th Grade (Senior)
High School Grad
Some College
Associates Degree
Bachelors Degree
Masters Degree
Doctorate
Please select an option from the drop down box
If currently in High School, what High School do you attend?
Name of High School
Single, Married, or Divorced?
Single
Married
Divorced
Single / Married / Divorced
Do you have children? If so, how many?
None
1 Child
2 Children
More than 2 Children
Current Height in inches
Inches
Current Weight in pounds
Do you have any negative remarks on your credit history? (Late payments >30 days overdue, collection items, repossessions, deliquent items, etc.)
Financial History
Back
Next
- Medical Qualifications -
Please answer the following medical questions to help determine your qualifications for entry into the U.S. Air Force.
Have you EVER been diagnosed with ADD, ADHD, Asthma, Eczema, Acne, Depression, or any other medical condition?
Yes
No
If you answered "yes" to the question above, please explain. (What is the condition, how long ago, did you/do you take medication for this condition, etc.)
Are you allergic to anything? (Seasonal, medications, foods, drugs, etc.)
Yes
No
If you answered "yes" to the question above, please explain. (Type of allergy, severity, etc.)
Have ever had any surgeries in your past? (This includes wisdom teeth, tonsillectomy, etc.)
Yes
No
If you answered "yes" to the question above, please explain. (Types of surgery plus dates)
Have you ever used any illegal drugs?
Yes
No
If you answered "yes" to the question above, please explain. (Type and last time used)
Do you have any tattoos?
Yes
No
If you answered "yes" to the question above, please explain. (Location of tattoo)
Have you ever received ANY law violations, regardless of how old you were? (To include traffic tickets such as speeding)
Yes
No
If you answered "yes" to the question above, please explain. (What was the violation, when did it occur?)
Is there any other pertinent information about your medical history that hasn't been discussed? Please explain.
Submit
Should be Empty: