Army Interview Questionnaire
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Birth
Medical History (i.e. Broken bones, Asthma, ADD, ADHD, Counseling, Medications, etc..)
Tattoos and Locations
Height/Weight
Glasses / Contacts / None
Talked to or processed with another branch
Highest Education Level / Institution / Year of Graduation
Ever Been Cited/Ticketed/Arrested for any reason?
Yes
No
Please explain the reason
Marital Status
Married
Never Married
Divorced
Number of Children
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What career path are you interested in? What are your hobbies? What should I know about you?
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