Officer and Enlisted Survey Examples.pdf

COAST GUARD OFFICER APPLICANT SURVEY

DATE:NAME:

PLEASE TELL US ABOUT YOURSELF

Which Recruiting Office/Military Unit did you work with? Are you:

ReserveRegular (Active Duty)

Date of Birth?What is your gender? What is your Marital Status? Have you previously served in the Armed Services?

MALE FEMALE Married DivorcedMonth Single NOYESYear Branch?

What is your highest education level? (mark one)

Hispanic?

Bachelors Degree

Masters Degree

NOYES

Law Degree PhD

Race (mark one)

Caucasian Native American OtherAsian Pacific IslanderAfrican American Multi Racial

(mark one)Which describes your education/employment status, immediately prior to visiting a Coast Guard Recruiter?

Working/CollegeCollege Working Full-Time Working Part -Time Unemployed

PLEASE TELL US HOW YOU LEARNED ABOUT US

In the year prior to you contacting a Recruiter , did you see or hear following sources? (more than one item maybe selected)

Radio Commercial Career FairTV Commercial Regatta

Direct Mail Brochure Boat ShowTheater/Movie Trailers ASVAB Testing

Parade Air ShowOutdoor Ad Telemarketing

NASCARTransit Ad NASCAR RaceCivic Event

Newspaper Classified Ad Other EventTV Documentary Guest Speaker

Internet Banner/Ad School Visit No exposureOther Advertising Source

Didn't see or hear anythingMagazine Ad .

. I 11

About how much time elapsed between hearing about, the Coast Guard and your decision to request information or contact a Recruiter?

Less than a Day Within 3 Days < 1 Week < I Month 1-2 Months 3-6 Months More than 6 Months N/A

Which of the following had an influence on your decision to contact a Recruiter? (more than one item may be selected)

Parent Active Coast Guard Member Member of Another Military ServiceSpouse

Other Family Member Friend Other Military RecruiterReserve Coast Guard Member

Guidance / Career Counselor Teacher Military OrganizationFormer Coast Guard MemberCoach Clergy or Church

No Organization or Individual Influenced My Decision COMPASS TeamCoast Guard Auxiliarist

Did you log on to the CG recruiting web page GOCOASTGUARD.COM for information? NOYES

NOYESDid you call 1-877-NOW-USCG?

Thank you and good luck with your application process.

Vocational Training

(or were made aware of) the Coast Guard through any of the In the year prior to you contacting a Recruiter , did you see (or events? (more than one item maybe selected) were you exposed to) the Coast Guard at any of the following

Associates Degree

Program Applying for: (mark one)

AVCAD Blue 21 CMAPP CSPI DCA DCE

DCIO DCL MARGRAD OCS PPEP SRDC

Version: 04/07

RECRUIT PRE-TRAINING SURVEY Date: ________________

PLEASE TELL US ABOUT YOURSELF (all fields must be completed!)

Which Recruiting Office did you work with?

Are you:

Regular (Active Duty) Reserve

What is your gender?

MALE FEMALE

Date of Birth?

Month__________ Year___________

What is your Marital Status?

Single Married Divorced

Have you previously served in the Armed Services?

YES NO

Branch?

What is your highest education level? (circle one)

GED H.S. Diploma 1 year college 2 years college

Associate Degree Bachelors Degree Masters Degree

Please estimate your monthly household gross income (or your family’s if living at home) BEFORE enlistment: (circle one)

<$1,000 $1,000-$2,000 $2,000-$3,000

$3,000-$4,000 >$5,000

Hispanic?

YES NO

Race: (circle one)

African American Caucasian Native American

Asian-Pacific Islander Multi-Racial Other

Which describes your education/employment status immediately prior to visiting a Coast Guard Recruiter? (circle one)

High School College Vocational Training Working Full-Time Working Part-Time Working/College Unemployed/No School

PLEASE TELL US HOW YOU LEARNED ABOUT US (all fields must be completed!)

In the year prior to you contacting a Recruiter, did you see or hear (or were made aware of) the Coast Guard through any of the following sources? (more than one item may be selected)

In the year prior to you contacting a Recruiter, did you see (or were you exposed to) the Coast Guard at any of the following events? (more than one item may be selected)

Radio Commercial

Direct Mail Brochure

Outdoor Ad

Transit Ad

Newspaper Classified Ad

Internet Banner/Ad

Magazine Ad

TV Commercial

Theater/Movie Trailers

Telemarketing

NASCAR

TV Documentary

Other Advertising Source

Didn’t see or hear anything

Regatta

Boat Show

Parade

Civic Event

Guest Speaker

School Visit

Career Fair

ASVAB Testing

Air Show

NASCAR Race

Other Event

No exposure

About how much time elapsed between hearing about the Coast Guard and your decision to request information or contact a Recruiter?

Less than a Day Within 3 Days < 1 Week < 1 Month 1-2 Months 3-6 Months More than 6 Months N/A

Which of the following had an influence on your decision to contact a Recruiter? (more than one item may be selected)

Parent

Spouse

Other Family Member

Friend

Guidance / Career Counselor

Teacher

Coach

Clergy or Church

Active Coast Guard Member

Reserve Coast Guard Member

Former Coast Guard Member

Coast Guard Auxiliarist

Member of Another Military Service

Former Member of Another Military Service

Other Military Recruiter

Military Organization

No Organization or Individual Influenced My Decision COMPASS Team

Did you log on to the CG recruiting web page GOCOASTGUARD.COM for information? YES NO

Did you call 1-877-NOW-USCG? YES NO

Did you call 1-800-GET-USCG? YES NO

Thank you and good luck with your training.

Welcome to the United States Coast Guard!