Marine Officer Programs Survey

Contact Information
The next few questions help us get in contact with you.
Name*
First NameLast Name
Address at College*
Street Address
Street Address Line 2
CityState
Zip Code
Home Address
Street Address
Street Address Line 2
CityState
Zip Code
Academic Information
Graduation Date/Projected Graduation Date*
YearMonthDay
Date
Are You Enrolled Full Time*
YesNoI Have Graduated
Demographics
Date of Birth*
YearMonthDay
Date
What is Your Race/Ethnicity?*
CaucasianAfrican AmericanHispanic/LatinoAsianOther
Health
Please Note All Information Will Remain Confidential
Have Ever Had Any Surgery or Operation?*
Do You Have Any Pins, Plates, or Screws in Your Body?*
Have You Ever Seen a Psychiatrist/Psychologist and Received a Diagnosis?*
Describe Any Tattoos, Brands, or Scarification?
Physical Activity
Almost Done!
Prior Service Information
How Did You Hear About Us?*
The Marine Corps Offers Several Guaranteed Programs. Which Are You Most Interested In?*
Active Duty Ground JobsReserve Ground JobsGuaranteed Flight ContractGuaranteed Law ContractGuaranteed Cyber Contract
What Interests You About Becoming A Marine Officer?*
ChallengeProfessional Development and Personal GrowthSelf-Discipline, Self-Responsibility, Self-ReliancePatriotismPride and Honor of a Marine CommissionPost Graduate EducationTravel and AdventureNo Obligation Until GraduationEqual OpportunityCareer VarietyPhysical FitnessLeadership Management and Training ExperienceTuition AssistanceFinancial Security and BenefitsOther
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