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Thank you for your interest in the United States Coast Guard.

Please complete the application form below to begin the screening and qualification process. This information will only be used by a Coast Guard recruiter and does not obligate you to join. If you only wish to ask a question or get more information, Find a Recruiter to call or email a recruiter. If you decide to correspond using email, do not send Personally Identifiable Information (PII) or any health related issues/concerns through the email option. Chat Now if you would like to chat with a recruiter during chat hours.

Please note: all fields with * are required.

Name
Contact
Please provide a 10-digit telephone number, digits only. No extensions. Phone numbers should not begin with a 0 or a 1.
Address
required if U.S.
required if U.S.
Interest
required if married female
How many people do you have a custodial or financial responsibility for (such as Spouse, Children, Parents, Siblings), regardless of whether they are considered dependents by the IRS. Enter 0 for none.
Education/Employment
Citizenship
required for U.S. citizens
required if Naturalized U.S. citizen
Prior Service
required if Prior Service
required if Prior Service
required if Discharged from Military
required if Discharged from Military
ASVAB
MEPS Physical
Race/Ethnicity
Have you ever had or do you have:
Medical
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