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Military Interest Survey
Please fill this form out if you wish to be connected to a military recruiter.
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* Indicates required question
Email
*
Your email
FIRST NAME
*
Your answer
LAST NAME
*
Your answer
STUDENT ID
*
Your answer
WHICH BRANCH ARE YOU INTERESTED IN?
*
ARMY
NAVY
MARINES
AIR FORCE
NATIONAL GUARD
COAST GUARD
Required
PLEASE INDICATE IF YOU ARE INTERESTED IN FULL TIME OR RESERVES (PART-TIME).
*
FULL TIME
RESERVES
Required
HAVE YOU TAKEN THE ASVAB?
*
YES
NO
Required
PLEASE FILL OUT YOUR PARENT/GUARDIAN NAME (REQUIRED IF UNDER 18; ENCOURAGED FOR ALL).
Your answer
PLEASE FILL OUT YOUR PARENT/GUARDIAN EMAIL OR PHONE NUMBER (REQUIRED IF UNDER 18; ENCOURAGED FOR ALL).
Your answer
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