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U.S. NAVAL SEA CADET CORPS

AMPHIBIOUS OPERATIONS TRAINING

APPLICATION
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INSTRUCTIONS: 1. COMPLETELY FILL OUT THIS FORM 2. SEND THIS FORM AS WELL AS ALL REQUIRED SUPPLIMENTARY DOCUMENTATION TO COTC FILE A COPY TO SERVICE RECORD

APPLICATIONS WILL NOT BE PROCESSED IF ALL INFORMATION ON THIS FORM IS NOT COMPLETED.

SECTION 1 – CADET PERSONAL INFORMATION

1a. Date (DD MMM YY)

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1b. Unit Name

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1c. Region

1d. Last Name / 1e. First Name / 1f. MI / 1g. Rate / 1h. Social Security Number
1i. Home Address / 1j. City / 1k. State / 1l. Zip Code +4
1m. Exp. Date / 1n. Date of Birth / 1o. Sex
o Male o Female / 1p. Home Phone / 1q. E-Mail Address
1r. Height (inches) / 1s. Weight / 1t. Hair Color / 1u. Eye Color / 1v. T-Shirt Size
o S o M o L o XL o XXL

SECTION 2 – COMMANDING OFFICER INFORMATION

2a Last Name / 2b. First Name / 2c. Rank
2d.Home Address / 2e. City / 2f. State / 2g. Zip Code +4
2h. Daytime Phone / 2i. Evening Phone / 2j. E-Mail Address
4. ENDORSEMENTS / THIS FORM WILL NOT BE PROCESSED WITHOUT REQUIRED ENDORSEMENTS
By endorsing this form you affirm that the cadet, parents/guardians and the Commanding Officer are fully aware of the physical, academic and uniform requirements for this TWT as put forth in the Warning Order, located at www.Phibops.org. You further affirm that the cadet is physically and mentally qualified to attend the requested training and that all information provided, to the best of your knowledge, is truthful and accurate; and you consent to the above listed NSCC/NLCC training and all terms and conditions of the preceding paragraphs. Finally, you affirm that you have read the website, www.PHIBOPS.org, in its entirety, and agree to the terms and conditions set forth therein. NOTE: DEPOSITS ARE NON-REFUNDABLE.
Applicant (Print or Type) / Signature / Date (DD MMM YY)
Parent (Print or Type) / Signature / Date (DD MMM YY)
Commanding Officer (Print of Type) / Signature / Date (DD MMM YY)
PHIBOPS 001A (REV 02/06) Previous versions are obsolete.