Form

The Privacy Act Statement (PAS) was provided on the MyMCX.com site prior to the registration option.

The completed form is not encrypted on transfer to MCCS. Once received by MCCS, it will be protected according to DoD Privacy Program/Privacy Act requirements.

Are you interested in participating in the Market Assessment?

Required.

What is your Military Affiliation?

What rank category are you?

If Active Duty, are you in an Aviation or Infantry MOS?

Required.

Do you live On or Off base?

On Base

Off Base

Please provide your email to be contacted if you are selected to participate in the Marketing Assessment:

Please provide your phone number to be contacted if you are selected to participate in the Marketing Assessment:

What time of day works best for the interview? (Select all that apply)

0900-1000

1000-1100

1100-1200

1300-1400

1400-1500

1500-1600

1600-1700