• United States Marine Corps Officer Screening Form

    This online screening form sends your results directly to Captain Krygier's Selection Team.  After receiving the submission we will take up to 72 hours to review the results and determine if you meet the basic qualifications to become an Officer of Marines.  If, you don't hear from us within 72 hours, please call our office to verify we received your submission. Whether you just want to learn more information or already know this is the career you want, please fill out this form completely and honestly.

  • I understand that my responses to the below questions are purely voluntary and that I may omit responses to any and all questions. However, I also understand that such omissions may impact my eligibility to become a Marine Officer. For responses that involve my medical history, I authorize release of such information to those individuals in or who work for the Department of Defense. The Selection Team handles all information in accordance with the Privacy Act, 5 U.S.C.552a.

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  • What is the best way to contact you?*

  • Are you a US citizen?*
  • Are you a full time student (12 credit hours or more)?*

  • Medical History

    For the below questions, if you answer yes to a response or do not have 20/20 vision - please elaborate.

  • I was born a...*
  • My perferred gender is...*
  • What race/ethnicity do you identify with? Please check all that apply. Many people identify with multiple categories.*

  • Do you have 20/20 vision?*
  • Do you wear contacts and/or glasses?*
  • Do you have any vision related problems or have you had eye surgery?*
  • Are you color blind?*
  • Do you have any allergies to foods, medications, or wool?*
  • Have you ever used an inhaler or been diagnosed with asthma?*
  • Have you ever dislocated or separated a shoulder?*
  • Have you ever broken a bone that required medical care, plates, pins, screws, or implants?*
  • Have you ever "blown out", torn, or strained a ligament or tendon?*
  • Have you ever seen a psychiatrist, psychologist, or mental health professional?*
  • Have you ever been diagnosed with ADD, ADHD, or any learning disorder?*

  • Personal History

    Please be as detailed and honest as possible.

  • Do you have any tattoos, piercings, brands, or implanted materials?*
  • Have you ever been convicted of a felony?*
  • Have you ever received a traffic ticket? (regardless if it was dissmissed, expunged, or already "closed out")*
  • Have you ever been arrested or in handcuffs for any reason? This includes records that have been expunged.*
  • Have you ever been arrested for a DUI/DWI or any alcohol related offense?*
  • Have you ever been cited for any other non-traffic violation?*
  • Have you ever used any illegal or non-prescribed drugs?*
  • Have you ever been married and/or have children?*

  • Are you a prior service member in any branch of service?*
  • Have you ever tested or been to a MEPS facility before?*
  • Are you physically active?*
  • Select the Marine Officer Program options interest you the most? (Check all that apply)*
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