Specialty Course Registration

Fall 2007 Specialty Course Weekend
Registration Form
Tracen Yorktown October 12-14

Application Deadline - 30 September

Contact Information

Course Assignment Preference

Courses previously taken and passed

Unit No.
Empl ID
Name
Address:

City
State:		Zip:
Telephone:
Email:

	List the courses you would like to take in priority order.
	First:
	Second:
	Third:
	Forth:
	Fifth:

	Check all that apply.
	AUXCOM
	AUXNAV-A
	AUXNAV-B
	AUXPAT
	AUXSAR
	AUXSEA
	AUXWEA
	AUX-EK
	AUXMEES
	IMSEP
	IIMS

Accomodations, if selected (Select one):

Need Berthing
Will Commute (no Berthing needed)
Other Arrangements

Meal Preferences (Select all that apply):
Friday	Saturday	Sunday
Dinner	Breakfast	Brunch
	Lunch
	Dinner

APPLICATIONS WILL BE ACKNOWLEDGED BY EMAIL. IF AN ACKNOWLEDGEMENT IS NOT RECEIVED WITHIN 2 WEEKS, PLEASE CONTACT DSO-MT.

NOTE: In order for text, student guide, and other materials to be acquired by the students in time for them to be studied and understood, APPLICATIONS MUST BE RECEIVED BY DSO-MT NOT LATER THAN 30 September, 2007. It is not fair to the instructor or the other students for members to come to the course unprepared. Please note that for this reason, THIS DEADLINE IS FIRM, THERE WILL BE NO EXCEPTIONS!