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  Flotilla 05S-01-06 - Annapolis, MD

U.S. Coast Guard Auxilliary - America's Volunteer Lifesavers

Flotilla 05S-01-06, Annapolis, MD

05SR Division 01 BCQ Program

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1)  First Name:
 
 
2)  Middle Initial (Name):
 
 
3)  Last Name:
 
 
4)  Street Address 1:
 
 
5)  Street Address 2:
 
 
6)  City:
 
 
7)  State:
 
 
8)  Zip Code ( - Plus 4, If Known):
 
 
9)  E-Mail Address:
 
 
10)  Phone Number:
 
 
11)  Fax Number (Optional):
 
 
12)  Contact Method:
 
No Preference  E-Mail  Phone  Surface Mail  Fax 
 
13)  CG Auxiliary Member ID Number:
 
 
14)  Division:
 
01  07 
15  Other (Please Specify In Comments Area) 
 
15)  Flotilla:
 
 
16)  BCQ Program:
 
Crew  Coxswain 
 
17)  Activities In Which You Wish To Participate:
 
Classes  Swim Test - Demonstration and Sign-off 
PWO / PWC Training  On The Water (OTW) Training/Mentoring 
OTW QE Review, Evaluation & Sign-off 
 
18)  Mentors Name:
 
 
19)  Boating Course Completed:
 
Boating Skills & Seamanship  Sailing & Seamanship 
Sailing Fundamentals  Boating Safety 
Boat Maryland  Other (Please Specify In Comments Area) 
 
20)  Manuals In My Possession Or Available For My Use:
 
Boat Crew Training Manual 2018 - COMDTINST M16794.51 
Crew Manual 2018A - COMDTINST M16794.52 
Coxswain Manual 2018B - COMDTINST M16794.53 
Auxiliary Boat Crew Qualification Guide  
Boat Seamanship Manual - COMDTINST M16114.5B 
 
21)  Comments:
 
 

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