Personal Information

    Positions

     
     

    Locations

     
     
    Are you in a full duty status?
    Are you pending legal or administrative action?
    Please provide information in (RANK LNAME, FNAME) format.
    Please provide information in (RANK LNAME, FNAME) format.
    Have you completed your current rank's required PME?

    Disclaimer

    The II MEF MACE's Combat Boxing Pilot Program is a high-intensity, physically rigorous program. For the safety of program participants, applicants that do not already have a very high (~285+) PFT and CFT and previous combat sports experience WITH a documented record are not likely to be accepted and should not expect to be contacted.

    Authorization

    I hereby certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired.

    I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

    I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

    Digital Signature