United States Marine Corps Reserve

Hello:
Thank you for showing interest in the Marine Corps Reserves. It is appreciated. 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 :

Are you on the right path to your career goals?

Yes

No

What educational level did you complete?

High School

2 year degree

4 year degree

Are you a self motivated individual?

Yes

No

Are you looking for educational opportunities?

Yes

No

Do you wish to serve the military and live your day to day life?

Yes

No

Do you currently have or have you ever had any major medical conditions? (for example: asthma, ADD, ADHD, depression, etc.)

Yes

No

Other

Have you ever gotten any tickets/citations from any type of Law Enforcement?

Yes

No

Have you ever used or are you currently using any illegal drugs? If yes, select which ones below. If no select Never.

What is your current height/weight? (example answer: 5'5" and 130 lbs.)