Sign Up

For additional information about PART TIME opportunities with the Air Force Reserve, please complete the convenient form below.

Areas marked with an asterisk (*) and in bold type are required to process your request.

Prefix:

* First Name:	M.I.	* Last Name:

* Address:

* City:	* State or Country:	* Zip Code

Home Phone:	- -
Work Phone:	- -

Email Address:

Gender
Male Female

U.S. Citizen
Yes No

Have you ever had any prior military service (any branch, past or present)?
Yes No

Date of Birth

* Current Status (Please Select One (1), Two (2), or Three (3) below)
1.Active Duty USAF

* Current Base

ETS Date

AFSC (i.e. 3P051)

2.Healthcare Professional
(minimum 4 year college degree in a medical specialty)

3.Other

Voluntary information shared with the U.S. Air Force Reserve will not be shared with any other party and will be used for recruiting purposes only.