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General Information

First Name, required

Last Name, required

Email, required

Zip Code, required

Phone, required

Birth Month, required

Birth Year, required

Service options are determined by the amount and type of education obtained (i.e. high school vs. college)

Education Level

School City, required

School State, required

I attended school outside the U.S. or the U.S. territories (Optional)

School Name

Please select if any of these apply to you so that we can route your request to the right Marines. These options do not apply to most people.

I am a Prior Service Marine

Rank, required

Your MOS during active duty?*

Musician Enlistment Option (MEOP)

Naval Reserve Officer Training Corps (NROTC)

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This form does not imply an obligation to serve

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