Contact the Army > Send for Information

Want more information mailed to you about becoming a Soldier in the U.S. Army? Fill out the form below (some fields are optional) and you will receive a brochure within one to two weeks. Voluntary information shared with the U.S. Army will not be shared with any other party and will be used for recruiting purposes only. For more information, please read our Privacy & Security Notice.

Please fill out all required information, noted with an asterisk (*)

Personal Information
* First Name:
Middle Initial:
* Last Name:
Suffix:
* Date of Birth:
* Gender:	Male Female

Current Address
* Street Address:
Street Address 2:
* City:
* State:
* ZIP Code:

Contact Information
Area Code:
Phone Number:	eg. 555-5445
Type of Phone:
Best Time to Call:
May we contact you via E-Mail? Yes
E-mail Address:
	* Either phone or email is required

Citizenship
* What is your U.S. citizenship status?
U.S Citizen Legal Resident Neither

Military History

* In what component of the military did you previously serve?

What was your Military Occupational Specialty?

* What is your End Term of Service (ETS) date, meaning date of separation from Active Service?

* How many years of Active Service have you served to date?
years

What will be or was your rank/grade category at time of separation?

Ethnicity
What is your ethnic background?

		Asian		Native American
		Black/African American		White/Caucasian
		Latino/Hispanic		Other
				Used for statistical purposes only