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Surveys
2014
December
G
Gain Information About The Marines
Gain Information About The Marines
The Few. The Proud. The Marines.
0%
Exit Survey
Hello: This is Sgt Vorpahl your local Marine Corps Recruiter. I would first like to thank you for showing interest in the Marines and becoming one of The Few and The Proud. Your interest is of extreme importance to me as well as you because The Marines can give you a spring board into your future giving you the tools of success. It is paramount that the information you provide is 100% accurate ensuring a smooth line of communication while exploring this invaluable opportunity before you. Thank you.
*
First Name
:
*
Last Name
:
*
Address 1
:
Address 2
:
*
City
:
*
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
*
Zip
:
*
Phone
:
Email Address
:
Are you a male or female?
Male
Female
What is your current age?
-- Select --
17
18
19
20
21
22
23
24
25
26
27
Other
What is your current height?
-- Select --
5' 0"
5' 1"
5' 2"
5' 3"
5' 4"
5' 5"
5' 6"
5' 7"
5' 8"
5' 9"
5' 10"
5' 11"
6' 0"
Other
What is your current weight? (For example if you weight 145 pounds, put 145 lbs.)
What is your highest level of education?
High School Junior
High School Senior
High School Graduate
College Student
College Graduate
In pocesion of GED or Equivalent
Other
Have you ever had/have and sever medical condition(s)?
Yes
No
Have you ever done any illegal drugs?
Yes
No
Have you ever or currently are involved with any police involvement? (This includes things such as parking ticket, speeding tickets, rolling stop, underage offenses, etc.)
Yes
No
ONE STEP CLOSER TO ACHIEVING YOUR SUCCESS!
Thank you for your time and interest. I look forward to working with you.
Have a wonderful rest of your day.
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