Contact a Recruiter

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 are required unless marked "optional".

Name
optional
optional
Contact
Please provide a 10-digit telephone number, digits only. No extensions. Phone numbers should not begin with a 0 or 1.
Address
optional
required if U.S.
required if U.S.
How did you find the U.S. Coast Guard Recruiting web address?
Area of Interest
Optional


in lbs
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
What is your Education Level?
Citizenship
Are you a U.S. Citizen?
If U.S. Citizen required for U.S. citizens
required if Naturalized U.S. citizen
If Not U.S. Citizen required for non-U.S. citizens
Prior Service
Do you have Prior Military Service?
required if Prior Service
required if Prior Service
required if Discharged from Military
required if Discharged from Military
Have you ever taken the ASVAB?

MEPS Physical
Have you ever taken a MEPS Physical?

Race/Ethnicity
Ethnicity
Are you now or have you ever been a conscientious objector? (A conscientious objector is a person with reservations about military service for religious, moral or ethical reasons or beliefs that conflict with the principle of unrestricted service on a 24-hour/7 days per week basis, or objects to bearing arms in the enforcement of federal law.)
Have you ever been rejected for enlistment/commission into a branch of the Armed Services for a reason that still remains?
Have you filed for bankruptcy in the last ten years?
Do you have a civil action or criminal charge pending, or have you ever been convicted of a felony?
Have you ever used any illegal drugs (including Marijuana) or intentionally misused a prescription drug?
Medical Conditions
Have you ever had or do you now have: Cataracts or surgery for cataracts
Have you ever had or do you now have: Color Blindness
Have you ever had or do you now have: Detached retina or surgery for a detached retina
Have you ever had or do you now have: Absence or disturbance of the sense of smell
Have you ever had or do you now have: Psoriasis
Have you ever had or do you now have: Allergy to latex
Have you ever had or do you now have: High Blood Pressure
Have you ever had or do you now have: Crohn's Disease
Have you ever had or do you now have: Surgery to remove a portion of the intestine (other than the appendix)
Have you ever had or do you now have: Missing a kidney
Have you ever had or do you now have: Sugar, protein, or blood in urine
Have you ever had or do you now have: Bed wetting, since age 12
Have you ever had or do you now have: Sleepwalking
Have you ever had or do you now have: Evaluation, treatment, or hospitalization related to alcohol, drug, or controlled substance use or abuse; for addiction or dependence on alcohol or drugs; for drug or alcohol rehabilitation
Have you ever had or do you now have: Anorexia or other eating disorder
Have you ever had or do you now have: Been permanently rejected for military service for medical reasons
Have you ever had or do you now have: Tattoos or Body Piercings
I hereby certify that the information I have provided is truthful and accurate to the best of my knowledge and I understand that any false information that I provide may be the grounds for termination of any future enlistment/commissioning contracts with the United States Coast Guard.