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

Education

Are you currently enrolled in school?
Yes No

What is the highest grade you have completed?

High School:		9		10		11		12
College:		1		2		3		4		more than 4

What is your high school graduation date?

High school most recently attended:

Family Status
What is your marital status?
Single Married Divorced
Number of Dependents

Physical Characteristics
What is your height?	feet	inches
What is your weight?	lbs

Ethnicity
What is your ethnic background?

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