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  5. General Marine Corps Survey

General Marine Corps Survey

United States Marine Corps Active
0%
Exit Survey
 
 
Hello: Thank you for showing interest in the United States Marine Corps. It is appreciated. it is important for you to know that any information gathered in this survey will only be used to best assist you and nothing more than that. In this survey you will be ask some basic questions to get to know you a little better. Please be 100% honest because that's what you can expect from me.  Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* Zip : 
* Cell Phone : 
 
 
It is important to know here you what High School you graduated/graduate from along with what year. Please find your High School and graduation year then find the intersection box and check that one. 
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
COLUMBUS HIGH SCHOOL
DODGELAND HIGH SCHOOL
HUSTISFORD HIGH SCHOOL
KETTLE MORAINE HIGH SCHOOL
LAKE MILLS HIGH SCHOOL
LAKESIDE LUTHERAN HIGH SCHOOL
OCONOMOWOC HIGH SCHOOL
WATERLOO HIGH SCHOOL
WATERTOWN LHIGH SCHOOL
NOT LISTED
DID NOT GRADUATE
 
 
 
* If is important to know answers to some medical questions so that we know if you are healthy enough to look at this as an optioni for you. The next couple questions will be just some common questions we need to now. Have you ever been told you have asthma or ever need to use and inhaler? If yes, please give a brief description as to when the lst time you needed the inhaler was and what it was for. 
 
No
 
Yes
 
 
 
* Have you eer been prescribed medications for ADD/ADHD, Anti-depressants, or any other medications that you need to take daily. If yes, please give a brief description as to what it is and what it is for as well as how long you have been on the medications. if you have stopped taking the medications, then how long you have been off of them for. 
 
No
 
Yes
 
 
 
* Are you currently or have you ever been allergic to anything such as medication or food? If yes, please decribe what you are allergic to and its reaction. 
 
No
 
Yes
 
 
 
* It is also important to know the type of police involement that you have so we can identify if you are qualified to look at this as an option.
Have you ever gotten any tickets/citations from any type of Law Enforcement even before the age of 18? If yes, please describe what they were as well as when you got them. List all that apply!
 
No
 
Yes
 
 
 
* It is also important to know if you have partaken in any type of illegal drugs/substance EVER in your life. 
Have you ever used or are you currently using any illegal drugs? If yes, please provide an explination as to what drug , the last time you used it, and when you first tried it.
 
No
 
Yes

 
 
 
* Which of the following would you like to learn more about? SELECT ALL THAT APPLY! If you have something else that you would like to learn more about please feel free to type it in the other Section as well. 
 
Pride of Belonging
 
Courage, Poise, and Self-confidence
 
Self-Reliance, Self-discipline, and Self-direction
 
Finacial Securtiy Advancement, and Benefits
 
Educational Opportunities
 
Travel and Adventure
 
Technical Skills
 
Challenge
 
Physical Fitness
 
Professional Developement and Opportunities
 
Leadership and Management skills
 
Other

 
Sergeant Vorpahl
Email: [email protected]
Instagram: michael_vorpahl
Snapchat: michaelvorpahl
You can also find me on facebook
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