Air Force Qualification Questionnaire

Full Legal Name*

First Name (do not include your middle or last name)Last Name (do not include your first or middle name )

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email Address*

example@example.com

Phone Number*

Date Of Birth*

Date

Gender*

MaleFemaleOther

How old are you?*

Height *

Inches

Weight

Pounds

Which of the following documents do you have in your possession? They must be original documents.*

High School Name / Graduation Date*

Olympian High School / MMM YYYY

College Name / Graduation Date

Community College of the Air Force / MMM YYYY

What was your College Major/Minor and GPA

Business / Information Technology / 3.8

Marital Status*

How many kids do you have?*

Have you ever Used, Possessed, Sold or Transported any illegal drugs to include Marijuana?*

MarijuanaAbused Prescription DrugsNoneOther

When was the last time you used any illegal drugs to include Marijuana?

Date

Have you ever been Charged, Arrested, Cited, Held or questioned by any law enforcement agency, to include minor traffic violations such as parking or speeding, juvenile violations, or a crime of domestic violence regardless of the disposition?*

YesNoOther

Law Violation: please explain the violation/charge, place/city that occurred, fine amount, community service hours, date occurred, court date, and final disposition.

Have you ever filed or been declared bankrupt, bills turned over to a collection agency, repossession, foreclosure, defaulted on any loans, credit cards suspended, charge offs, been more than 60 days delinquent on any debt?*

YesNoOther

Financial History Explanation:

Include in your correspondence the last time you pulled your credit report.

Have you ever completed a practice or real ASVAB/AFOQT? Sister Services include the Army, Navy, Marines, and Coast Guard*

Sister Service Practice Test at Recruiting Office or HomeSister Service ASVAB Test at MEPSSister Service AFOQT at MEPSHigh School ASVABAir Force ASVAB Test at MEPSAir Force Practice Test at Recruiting Office or HomeNone of the above

Please explain your scores and dates taken if you have completed a practice or actual ASVAB/AFOQT?

Have you worked with another Air Force or Sister Service Recruiter?*

Please explain if you have worked with another recruiter. Why did you stop the process with them? Did they send you to MEPS for your physical? What was the result of the physical? Did you swear into their DEP?

Have you ever served in the Armed Forces before? You must select yes if you have ever received a DD 214.*

NeverYes

We are hiring for the following job fields. Which fields would you consider learning more about?*

What is your dream job? Those of you that are unsure that is completely okay. You will have an opportunity to schedule a job counseling session with your recruiter, once you have fully qualified through MEPS. *

Say the Air Force does not work out for you. What is your next step?*

Why do you want to become an Airmen?*

Where would you like to be in your career five years from now?*

What are your strengths and weaknesses?*

Tell us about yourself?*

What component are you interested in?*

Active DutyPart Time ReservesPart Time State Guardsmen ANGUnsure

Do you now or have you ever had any of the following

Medical Condition Explanation: please provide dates and a clear explanation if you selected any radio button in the previous question.

Do you have any retained hardware such as pins, plates or screws? Are you missing any appendages? (Fingers, toes, or organs)Are you currently taking or have you ever taken any prescribed medication? Anything physically preventing you from participating in any sports?*

Have you ever been to an urgent care or hospital, if so for what reason?*

Do you have any tattoos or piercings? Please list what and the location. *

Have you ever been diagnosed with any sort of skin condition? (Eczema, Acne, Psoriasis, Hives, Warts, Shingles, Ringworm, Athlete’s foot, Cold Sores)*

Do you have any friends or family members who might also be interested in becoming an Airmen?*

Name and Phone Number

Please rate our service

Air Force Pre Qualification Questionnaire