Special Forces Assessment and Selection Medical Waiver Form
Special Forces Assessment and Selection Medical Waiver Form. Please complete this form to acknowledge your understanding of the waiver and respond to the assessment items below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you currently experiencing any symptoms that could impact your participation?
*
No symptoms
Mild symptoms (not affecting performance)
Moderate symptoms (may affect performance)
Severe symptoms (unable to participate)
How would you rate your current physical readiness for assessment activities?
*
1
2
3
4
5
Please indicate your agreement with the following statements regarding your participation:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I understand the physical demands of the assessment.
1
2
3
4
5
I have disclosed any relevant health concerns to the appropriate personnel.
6
7
8
9
10
I accept responsibility for my participation.
11
12
13
14
15
I acknowledge that participation is voluntary.
16
17
18
19
20
Do you have any restrictions or accommodations needed for participation?
Submit Waiver
Should be Empty: