US Air Force Contact Request Form
Do you have what it takes to serve in the World's Greatest Air Force? I'm Master Sergeant Morgan Rasco, the local Air Force recruiter for Bedford, Texas. Please, answer the following questions and I will be in touch with you soon!
Date of Birth
Street Address Line 2
State / Province
Postal / Zip Code
What is your preferred method of contact?
What is your US citizenship status?
US at birth
Derived US citizen
What is your marital status?
Do you have any children/legal dependents?
How many children do you have?
Are you expecting a child?
Highest education level
High School Student
High School Graduate
What school do you currently attend?
How many college credits do you have?
Have you served in any branch of the military before?
How committed are you to joining the Air Force?
Just looking for info
Ready to get started
1 is Just looking for info, 5 is Ready to get started
Please answer the following questions as honestly as possible so I can best determine your eligibility for the Air Force.
Do you have any history of law violations? This includes juvenile offenses and traffic tickets.
Please explain. (What was the offense, what was the outcome, when did it occur, etc.)
Do you have any history of illegal drug use, to include marijuana?
When was the last time you used it?
Do you have any tattoos?
Where are they located?
Have you ever been diagnosed with ADD/ADHD or depression?
When were you diagnosed? Are you currently taking medication to treat it?
Are you currently taking any medication for anything?
Please explain (what does it treat, when were you diagnosed, etc).
Do you have anything considerable in your medical history that has been diagnosed by a medical professional that was not mentioned above? include any procedure/surgery
What were you diagnosed with? How long has it affected you?
Do you have any negative credit issues? Like, accounts in collection, or debts unpaid?
Please, explain how many accounts, and total amount owed.
If you qualify for the Air Force, when is the best day for you to come into my office for an interview? (Regular business hours are Monday-Friday 10am-6pm)
Would you prefer a morning, afternoon, or evening appointment for your initial interview?
Please, briefly explain why you're interested in joining the United States Air Force.
How did you find my contact information?
Met in person
Reffered by a friend/family
Who referred you to me?
Please submit the contact info for a friend or family member that would also be interested in learning more about the benefits of becoming a member of the Air Force.
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