USMEPCOM 680-3 - Request for Examination

Oct 4, 2026

Uploaded by Jasmine

USMEPCOM Form 680-3 collects applicant identity, contact, service eligibility, and administrative information through structured fields. The form includes sections for prior service, selective service classification and registration, personal identifiers such as Social Security number, citizenship and demographic data, education, language proficiency, and driver’s license details. It also captures aptitude/test requirements, recruiter and station identifiers, medical testing and dates, applicant signatures, and certifications in the presence of test administrators and recruiting personnel, with thumbprint placement instructions.

LanguageEnglish

CategoryExam

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Request for Examination

Service processing and prior service

Selective service and personal identifiers

Aptitude, testing, and prior test information

Medical and exam details

Applicant certification and thumbprint

| FOR USE OF THIS FORM,
SEE USMEPCOM REG 680-3
FOR OFFICIAL USE ONLY | | | REQUEST FOR EXAMINATION
THE INFORMATION PROVIDED CONSTITUTESAN OFFICIAL STATEMENT. | | | | | | | | | | | | | | | | | OMB No.07040173
OMB approval expires | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | The public reporting burden for this collection of information is esttimated to average 22 minutes per response,including the time for reviewing instructions,searching existing data sources,gatherng and
maintaining the data needed,and completing and reviewing the collection of information.Send comments regarding this burden estimate or any other aspect of this collection of information,including suggestions
for reducing the burden,to Headquarters,US.MitayEntrance Processing Command,Operations Directorate,2834 Green Bay Road,Nort Chicago,L60064-3094. | | | | | | | | | | | | | | | | | | | | | | | | | Read Privacy Act Statement on back before completing form. | | | | | | | | | | | | | | | | | | | | | | | | | A.SERVICE PROCESSING FOR | | | B.PRIOR SERVICE
Yes
]No
NUMBER OF DAYS | | | | | | C.SELECTIVE SERVICE CLASSIFICATION | | | | | | | | | D.SELECTIVE SERVICE REGISTRATION NUMBER | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 1.SOCIAL SECURITYNUMBER | | | | 2 NAME (Last,First,Middle Name (and Maiden,f any),Jr.,Sr.,et.) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 3.CURRENTADDRESS | | | | | | | | | | | | 4.HOME OF RECORD ADDRESS
(Street,City,County,State,Country,ZIP Code) | | | | | | | | | | | | | (Street,City,County,State,Country,ZIPCode) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 5.CITIZENSHIP(X one) | | | | | | | | | | | 6SEX (Xone) | | | | | 7.a.ETHNIC CATEGORY (Xone)
(1)HISPANIC OR LATINO
(2)NOT HISPANIC OR LATINO | | | | | | | | | | aU.S.AT BIRTH(If this box is marked,alsoX(1)or(2))
(1)NATIVE BORN
(2)BORN ABROAD OF U.S.PARENT(S) | | | | | | | | | | a.MALE
b.FEMALE | | | | | | | | | | | | | | | | | | | | | | | | | 8.MARITAL STATUS
(Speciy) | | | | | 7.b | .RACIAL CATEGORY (Xall that apply) | | | | | | | | | c.U.S.NON-CITIZEN NATIONAL
bU.S.NATURALIZED | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | (1)AMERICAN INDIAN/ALASKA NATIVE
(2)ASIAN
(3)BLACKOR AFRICAN AMERICAN
(4)NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER
(5)WHITE | | | | | | | | | d.IMMIGRANTALIEN (Specify)
e.NON-IMMIGRANT FOREIGN NATIONAL(Specify)_ | | | | | | | | | | 9.NUMBER OF
DEPENDENTS | | | | | | | | | | | | | | t.ALIEN REGISTRATION NUMBER (As applicable) | | | | | | | | | | | | | | | | | | | | | | | | | 10. | DATE OF BIRTH (YYYYMMDD) | | 11.RELIGIOUS PREFERENCE (Optiona) | | | | 12.EDUCATION(Yrs/Highest Ed Gr com | | | | | | | | pleted) | | 13.PROFICIENT INFOREIGNLANGUAGE (Xone) | | | | | 1st | 2nd | | | | | | | | | | | | | | | | | | | Yes
No
(If Yes,specify) | | | | | | | | (Xone)(If Yes,list Statenumber,and expiration date)
14.VALID DRIVER'S LICENSE
No
Yes | | | | | | | | | | | | | | | 15.PLACE OF BIRTH (Cty,State,and Country) | | | | | | | | | | 16.APTITUDE: | | a ASVAB REQUIRED TOENLIST?
(Xone)
No
Yes | | | C.T | EST TYPE
INITIAL
SPECIAL
CONFIRM

FAQs

What information does the USMEPCOM 680-3 form request from an applicant?

It requests personal identity details, contact addresses, citizenship and demographic information, education and language proficiency, driver’s license information, and administrative data such as recruiter and station identifiers.

How does the form address selective service requirements?

It includes fields for prior service (yes/no), selective service classification, and selective service registration number, along with related eligibility indicators.

What certifications and physical identification steps are required?

The form requires applicant certification in the presence of the test administrator and recruiting personnel, including photo ID confirmation if applicable, and instructions for affixing the right thumbprint (with a separate procedure if a second attempt is required).

Oct 4, 2026

Uploaded by Jasmine