Report Medical Reruiter's Information Current Report Recruiter Contact Info Complete Directions for Civilian / NG / Reserve prospective applicants: After connecting with a Medical Recruiter, you need to report their contact information to Baylor/USAGPAN. This is essential in order for you and your Medical Recruiter, Baylor and the Army leadership at USAGPAN to work as a team in support of both your Active Duty Army and Baylor University applications. Note: Please ensure the information your provide is for an Active Duty Army Medical Recruiter and not a customer service representative or contract work. Your Information First name Last name Sex - Select - Male Female Email Email Confirm email Phone (xxx) xxx-xxxx City State - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Medical Recruiter Information Medical recruiter's military rank - Select - Sergeant, SGT Staff Sergeant, SSG Sergeant First Class, SFC Master Sergeant, MSG Other Medical recruiter's military rank (other) Recruiter's last name Recruiter's first name Recruiter's email Recruiter's email Confirm email Recruiter's phone