Delaware Army Recruiting Information Card
ARMY OPPORTUNITIES
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Phone Number *
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Email / SM Profile
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Gender *
Marital Status *
Children *
Current Education Level *
Street Address *
Your answer
City *
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State *
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Zip Code *
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Current of Last High School Attended
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Interest *
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Would you like us to contact you to set up a NO OBLIGATION appointment for more information? *
Recruiter *
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