OTS.pdf - UNITED STATES AIR FORCE OFFICER TRAINING SCHOOL...

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UNITED STATES AIR FORCE- OFFICER TRAINING SCHOOL QUALIFICATION WORKSHEET NOTE: All provided information is protected under the Privacy Act of 1974 IAW DoD 5400.11R and is used to determine your qualifications. 1. Full Name: 2. Mailing Address (no P.O. Boxes): 3. Best Contact Number (including area code): 4. E-Mail Address: 5. Age: DOB: Place of Birth (City/State/Country): 6. If born outside the US, how did you acquire US citizenship: 7. Social Security Number: 8. Height: 9. Weight: 10. Hair Color: 11. Eye Color: 12. Marital Status: 13. Number of Children (include step): 14. Degree(s) (AS, BS, MS, etc): 15. Major: 16. College/University graduated from/will graduate from: 17. Graduation Date: 18. Cumulative GPA: 19. Have you taken the AFOQT? If yes, where? Scores: Pilot: Nav: Verbal: Apt: QT: 20. Have you EVER had any of the following medical conditions in your lifetime: ADD/ADHD Allergic reaction to anything (food, drugs, animals, insects, etc) Asthma Broken/fractured bones Bronchitis Mole/cyst/wart removed Pins/screws/plates inserted Periods of unconsciousness Hernia Counseling (not including educational)?
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  • Spring '14
  • Parker,Fortin

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