SkillBridge Service Member Inquiry

SkillBridge Service Member Inquiry

Thank you for your interest in the Arizona SkillBridge/Career Skills Program. SkillBridge is a Department of Defense authorized program for active duty service members who are within 6 months of separation from the military. With command approval you may be able to be placed with a civilian employer to gain work experience before leaving the military.
Please complete this brief inquiry form and a member of our team will follow up with you.
Name *

First Last
Phone Number *
Email *
example@example.com
Branch of Service: *
Component *
Rank *
Transition Assistance Program (TAP) Military Occupational Code *
Unit *
Current Duty Station *
If outside AZ, what state/country?
Dates & location of deployments (if any):
Will you be a military retiree: *

Yes No
Have you began your service connected disability claim? *

Yes No
What is your desired occupation? (EX: Program Management, Medical Technician, Cyber Analyst, Electrician) *
Has your commanding officer approved you for the SkillBridge program? *

Yes No In process Unsure
Date entered the military: *

Month Day Year
Date
What is your anticipated separation date? *

Month Day Year
Date
Where would you like to do your SkillBridge? (County) *
Have you attended a transition assistance program? *

Yes No
Is your spouse/partner or family member interested in career navigation resources? *

Yes No Unsure
Please share their email so we can send them the career navigation form: *
example@example.com
After attending our orientation, you can upload your resume for review by a member of our team.

The orientation takes place every Tuesday at 10:00 am - 11:00 am MST (Arizona Time) on a Zoom video conference. You will be provided the details to this conference in an email after you submit this application.
Will you be attending our orientation? *

Yes No
If not, please let us know why: *
Who were you referred by? *
If other, who were you referred by? *
Thank you and we look forward to working with you on your career navigation goals!