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!
Full Name
*
First Name
Middle Name
Last Name
Gender
*
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
What is your preferred method of contact?
Phone
Text message
Email
Height
*
inches
Weight
*
pounds
What is your US citizenship status?
*
US at birth
Naturalized
Derived US citizen
Permanent Resident
Work permit
Other
What is your marital status?
*
Single
Married
Divorced
Do you have any children/legal dependents?
*
Yes
No
How many children do you have?
Are you expecting a child?
*
Yes
No
Highest education level
*
Please Select
High School Student
High School Graduate
GED
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
What school do you currently attend?
How many college credits do you have?
Have you served in any branch of the military before?
*
Yes
No
Which Branch?
How committed are you to joining the Air Force?
*
1
2
3
4
5
Just looking for info
Ready to get started
1 is Just looking for info, 5 is Ready to get started
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Pre-Qualification Questions
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.
*
Yes
No
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?
*
Yes
No
When was the last time you used it?
Do you have any tattoos?
*
Yes
No
Where are they located?
Have you ever been diagnosed with ADD/ADHD or depression?
Yes
No
When were you diagnosed? Are you currently taking medication to treat it?
Are you currently taking any medication for anything?
Yes
No
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
Yes
No
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?
Yes
No
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)
-
Month
-
Day
Year
Date
Would you prefer a morning, afternoon, or evening appointment for your initial interview?
Morning (10am-12pm)
Afternoon (12pm-2pm)
Evening (2pm-5pm)
Please, briefly explain why you're interested in joining the United States Air Force.
How did you find my contact information?
Facebook
Instagram
Google
Met in person
Reffered by a friend/family
Mail
Podcast/Radio/Streaming Audio
AirForce.com
Other
Who referred you to me?
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Referrals
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.
#1
#2
#3
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