...are you currently 17 years of age or older?

Yes No

...are you currently younger than 45 years of age?

Yes No

...are you male or female?

Male Female

...are you, or have you made a declaration of intention to become, a citizen of the United States?

Yes No

...are you a member of the National Guard?

Yes No

...are you a member of the Naval Militia?

Yes No

...are you the Vice President?

Yes No

...are you a judicial or executive officer of the United States, the several States and Territories, or Puerto Rico?

Yes No

...are you a member of the armed forces on active duty?

Yes No

...are you a customhouse clerk?

Yes No

...are you employed by the United States in the transmission of mail?

Yes No

...are you a workman employed in armories, arsenals or naval shipyards of the United States?

Yes No

...are you a pilot on navigable waters?

Yes No

...are you a mariner in the sea service of a citizen of, or merchant in, the United States?

Yes No

...are you a conscientious objector?

Yes No