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Contact Information
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Last Name
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Zip
Email
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What type of service are you interested in?
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Reserve (part-time)
Active Duty (full-time)
Are you a U.S. citizen or permanent resident?
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Yes
No
Are you currently in high school?
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Yes
No
Highest education level completed
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High School Freshman
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What is the name of your school?
What is your high school graduation date? (mm/dd/yyyy)
What was your GPA?
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