EmailMeForm
FLORIDA ARMY NATIONAL GUARD PREQUALIFICATION FORM
The information on this form allows me to prequalify you.
Feel free to contact me with any questions you have.
(352)644-3716 - Sergeant First Class Kris Clere
***THIS DOES NOT OBLIGATE YOU TO JOIN!***
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Current Legal Name
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First
Middle
Last
Have you ever served in the U.S. Military?
*
NEVER SERVED
PRIOR SERVICE
*PRIOR SERVICE, AND I HAVE A CURRENT VA DISABILITY RATING
*PRIOR SERVICE, BUT DISCHARGED BEFORE MY CONTRACT WAS OVER
*CURRENTLY SERVING
Current Age
*
Date of Birth
*
MM
/
DD
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YYYY
Gender
*
Must select
Male
Female
Phone
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###
-
###
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Current Address
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Street Address
City
State / Province / Region
Postal / Zip Code
Email
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Citizenship
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US Citizen Born Here
US Citizen Born Abroad
Naturalized (Certificate of Naturalization OR Derived Naturalization)
Permanent Resident Alien (I-551/GREEN CARD)
*I'm not sure, but I do have a US Passport.
None of the Above
Where were you born? (City/State)
*
Highest Education Level Completed
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Current HS Junior
Current HS Senior
HS Graduate/Diploma
GED/Adult GED Diploma
Associates Degree
Bachelors Degree or Higher
None Apply
High School Attending/Graduated From
College Attending/Graduated From
Current Marital Status
*
Please select
Single, Never Married
Married
Divorced
Widowed
Do you have any children?
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NO
YES
Current Height
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Please select closest height
5'1" or below
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'0"
6'1"
6'2"
6'3" or above
Please select you closest actual height - DO NOT ROUND UP
Current Weight (LBS)
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Please list your current actual weight. It is necessary to determine qualifications, as they change often.
Physical Attribute(s) *check all that apply
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I have a tattoo(s)
*I have tattoo(s) ON my face, head, neck, and/or hand(s)...this may be disqualifying depending on location and size. I will ask what they are or possibly for a picture.
I have a piercing(s)
I have a gauge(s)
I have a branding(s)
I have NONE of the above
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