NAVAL NUCLEAR PROPULSION PROGRAM · 4/4/2020 · Nuclear Propulsion Program may result in my removal from the program, recoupment of any bonus received, an unfavorable discharge

NAVAL NUCLEAR PROPULSION PROGRAM APPLICATION TEMPLATE 1. TODAY’S DATE 2. REGION 3. NAVY RECRUITING DISTRICT 4. SSN

5. LAST NAME, FIRST NAME, MIDDLE NAME (OR NMN)

6. DATE OF BIRTH 7. TELEPHONE NUMBER 8. EMAIL ADDRESS

9. PROGRAM APPLYING FOR

NPS SURFACE OR SUBMARINES

INSTRUCTOR NR DUTY

10. I AM AVAILABLE TO REPORT TO OCS/ODS ON:

11. US CITIZEN

YES NO

12. HAVE YOU BEEN ACITIZEN OF ANOTHERCOUNTRY?

YES NO

13. BORN IN THE US

NATURALIZED

BORN ABROAD TO US CITIZENS

DUAL CITIZEN

14. SATM 15. SATV 16. ACTM 17. ACTV

18. UNIVERSITY 19. GRAD DATE

20. DEGREE 21. MAJOR

23. NAVCRUITDIST PROCESSOR 24. OFFICER RECRUITER NAME

DESIGNATOR FOR CHECKLIST

Surface Warfare Nuclear 116010 Naval Reactors Engineer 122010 Submarine Warfare 117010NPS/NPTU Instructor 121010/121020

For Official Use Only – Privacy Sensitive: Any misuse or unauthorized disclosure may result in both civil and criminal penalties.

INSTRUCTIONS FOR COMPLETING ACADEMIC HISTORY

(Do Not Submit This Instruction Page) Please use the following example when completing enclosure (3).

1. List all colleges and universities you have attended (including the state in which the school is located if it is notapparent from the school's name). The school from which you will be obtaining your degree should be listed last.Below the name of each school list all of the following statements that apply:

a. (no math or technical courses taken)b. (while in high school)c. (prior to entering the Navy)d. (while in the Navy)e. (prior to entering NROTC)f. (prior to entering ECP)g. (as an NROTC MIDN)h. (as an ECP student)i. ( # summers)j. ( # years)

2. List only your technical courses (engineering, math, physics and chemistry courses). Use the full name of thecourse; do not abbreviate. Include lab courses only if they are stand alone, for example, Measurement andInstrumentation is typically a stand alone lab. Do not include lab courses that are taken in conjunction with alecture course, list only the lecture portion.

EXAMPLE OF ACADEMIC HISTORY: Northern Community College, New York (while in high school) (no math or technical courses taken) Smith University, California (2 summers) Tulane University, Louisiana (4½ years)

Year Semester/Quarter School Course Title Grade(s) 1 1st Semester Tulane Chemistry I & II B,F

Calculus B,B Physics C,B

Summer 2nd Semester Smith Linear Algebra B

2 Tulane Dynamics C Statics B Chemistry II (repeat of "F" above) B

Summer Smith Differential Equations B

3 Tulane Thermodynamics I & II C,C Mechanics of Machines B Mechanical Engineering Design I B Etc.

4 Mechanical Engineering Design II B Vibrations B Introduction to Electrical Engineering B Etc.

5 If this student has attended 4½ years, that means he has started on a fifth year.

(Do Not Submit This Instruction Page)


ACADEMIC HISTORY NAME (LAST, FIRST MI):

Year Semester/Quarter School Course Title Grade(s)

ENCLOSURE (3)


INSTRUCTIONS FOR COMPLETING ACTIVE DUTY HISTORY (DO NOT SUBMIT THIS INSTRUCTION PAGE)

If you have prior active duty military service, you must submit a duty history in the exact format described below.

From (mm/yy)

To (mm/yy)

Duty Station Complete name and location, the only acronyms you can use in

your duty history are NPS, NPTU, EWS, EDPO, EOOW, & EDO.) Underneath duty station, list any quals first, then duties. List at least one duty, even if it was a collateral duty.

GPA & Class Rank

For example: 9/90 11/90 Naval Training Center, Orlando

Recruit Training Student, Machinist's Mate Class "A" School GPA: 3.39

2/10 (standing) Temporary Duty Awaiting Class Convening Date

12/90 6/91 NPS, Orlando Student GPA: 3.60

50/70 (overall) 12/20 (in-rate)

6/91 1/92 NPTU, Charleston Student GPA: 3.84

10/30 (overall) 1/7 (in-rate)

Temporary Duty Awaiting Orders 1/92 2/92 Leave & Transit 2/92 3/96 USS Greeneville (SSN 772)

EWS, EDPO, Machinery Division Leading Petty Officer, Quality Assurance Inspector

3/96 Pres NPTU, West Milton EOOW, EDO, Staff Instructor

Etc.

USE THE NEXT PAGE AS A TEMPLATE. MAKE COPIES IF YOU WILL NEED MORE THAN ONE PAGE.

(DO NOT SUBMIT THIS INSTRUCTION PAGE)


NAME (LAST, FIRST MI):

ACTIVE DUTY HISTORY

From (mm/yy)

To (mm/yy)

Duty Station Complete name and location, the only acronyms you can use in

your duty history are NPS, NPTU, EWS, EDPO, EOOW, & EDO.) Underneath duty station, list any quals first, then duties. List at least one duty, even if it was a collateral duty.

GPA & Class Rank

NAVCRUIT 1131/4 (Rev 10-2014) Page 1 of 3

From:

Total Quarter/Semester Hours:

Date(Academic Advisor for Applicant)

To: Commander, Navy Recruiting Command (Code _____) Commander, Naval Education and Training Command (Code ______)

Via: Commanding Officer, Navy Recruiting District

Subj: OFFICER ACADEMIC DEGREE PLAN FOR

(APPLICANT NAME ONLY)

Course Previously Earned/Transferred From Another Institution


TitleHoursCourse NumberCourse


Year: 20Quarter/Semester:

OFFICER ACADEMIC DEGREE PLAN Governing Authority: COMNAVCRUITCOMINST 1131.2E Chapter 8


Hours TitleCourse NumberCourse


Quarter/Semester: Year: 20




Course Number TitleHoursCourse




TitleAcademic Advisor SignatureAcademic Advisor Name (Print)

credit hours is required for full-time status during #(School) Quarter(s)/Semester(s).

1. Each quarter/semester must be listed in succession. All electives must be noted and must be degree-specific If the elective is a required technical elective, it must be specified as such. Other technical electives and all humanities electives need only be listed as "____# hours, humanities/other techical elective.".

2. Based on my knowledge of present course scheduling, the above courses will be offered when indicated. Completion of this plan will meet the requirement for a (BA/BS)___________degree in (major) __________________________ to be issued in (Mo/Yr)________ from (school)__________________________




For Official Use Only - Privacy Sensitive

NAVCRUIT 1131/8 (Rev 10-2014) FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE Page 1 of 2

NUCLEAR PROPULSION PROGRAM PRE-SERVICE DRUG ABUSE STATEMENT

Directive: COMNAVCRUITCOMINST 1131.2E PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. 133, 275, 503, 504, 508, 510, 672, 1071-1087, 1168, 1169, 1475-1480, 1553, 5013; and E.O. 9397 (SSN).

PRINCIPAL PURPOSES: To provide recruiters with information concerning personal history, education, professional qualifications, mental aptitude, and other individualized items which may influence the decision to select or non-select an individual for enlistment or commission in the U.S. Navy, to provide historical data for comparison of current applicants with those selected in the past, and to provide delayed entry personnel with training modules and allow DON officials to use the Navy Applicant Management Information System (NAMIS) to conduct surveys and administer on-line screening tool that identify whether the delayed entry personnel qualify for special operations programs and other high-priority programs.

ROUTINE USES: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows: To officials and employees of other departments and agencies of the Executive Branch of government, upon request, in the performance of their official duties related to the management of quality military recruitment and the recruitment of Merchant Marine personnel, and to other departments and agencies of the Executive Branch of government in the performance of their official duties related to the management of quality military recruitment as published in the Federal Register.

DISCLOSURE: Disclosure is voluntary; however, failure to provide the requested information prevent eligibility for U.S. Navy enlistment in the Nuclear Propulsion Program.

1. I understand that I will be subject to further background investigation and that false statements made during my application forNuclear Propulsion Program may result in my removal from the program, recoupment of any bonus received, an unfavorabledischarge or reduction in rate to E3 with the requirement to attend Recruit Training Command (enlisted boot camp) and serve inan enlisted status for at least two years, and punishment per the Uniform Code of Military Justice.

__________ I have never used any illicit drugs. (Submit page 2 blank) (Initial)

__________ I have used illicit drugs. (Complete page 2 and sign) (Initial)

*If drug use is admitted, complete the following blocks.

Type of Drug:

Number of times used:

Period(s) over which taken:

Last involvement:

No Yes

Civil involvement: If yes, explain:

2. I certify that I understand the above warnings and consequences for providing false statements, and that my drug abuse, ifany, was experimental in nature and I reject future use of illicit drugs.Typed Name of Member

Typed Name of Witness

Signature of Member

Signature of Witness

Date

Date

NAVCRUIT 1131/8 (Rev 10-2014) FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE Page 2 of 2

From:

To: PERS 42/N133 Via: NAVCRUITCOM N33

Subj: WAIVER REQUEST ICO

1. An interview was conducted with the following comments/results.

2. Waiver request is forwarded, recommending approval.

_____________________________________________________ Signature of CO, XO or R-OPS

UNITED STATES NAVY TATTOO SCREENING CERTIFICATE COMNAVCRUITCOMINST 1130.8 and 1131.2

NAME (Last, First, Middle, Jr., etc.) Date:

YES NO

Any "Yes" response to items 4, 5, 7, or 8 above is disqualifying, not authorized for Enlistment. Any "No" response to Item 6 is disqualifying, not authorized for Enlistment.

NOTE: All questionable body markings, due to content, size, number, and/or location, shall be forwarded to NAVCRUITCOM for eligibility determination.

Applicant Signature Date DateRecruiter Signature

Describe all tattoos, brands, and/or body ornamentation (if applicable) on following page.

Explain tattoo, brand, and/or body ornamentation removal process, if applicable.

CO/XO/R-OPS/CMC/CR/EPDS Reviewing Comments:

NAVCRUIT 1130/104 (Rev 05-2016) For Official Use Only - Privacy Sensitive Page 1 0f 2

CO/XO/R-OPS/CMC/CR/EPDS Signature Typed Name/Title: Date:

N/A

1. Does the applicant/candidate have any tattoos/body art/branding?

2. Does the applicant/candidate have any tattoo/body art/brand visible behind the ears or on the neck

3. Has the applicant/candidate ever had any tattoo, body art or brand removed or covered?

N/A NO YES

4. Are any of the tattoos/body art/brands on the face (excluding cosmetic tattoos) or scalp?

5. Is there one or more tattoos larger than one inch on the neck or behind the ears, visible above the collar of aproperly fitted crew neck t-shirt? (Excluding cosmetic tattoos)

6. If applicable, are cosmetic tattoos applied in good taste with natural color enhancement and of aconservative nature?

7. Are any of the tattoos/body art/branding representative of gang membership, advocate racial, ethnic,racial discrimination, sexism (including expressions of nudity), drug related, obscene, or are prejudicial togood order, discipline, and morale, or are of a nature to bring discredit upon the Navy?8. Are any of the tattoos a result of a specific activity? (i.e., specifically an illegal activity or as a result of anyviolation of law (s))

Any "Yes" response above requires an enlistment eligibility determination by the NAVCRUITDIST CO (May be delegated to XO, R-OPS, CMC, CR, or EPDS when authorized "by direction" authority by the CO).

APPROVED DISAPPROVED

Documentation. The following depicts the location and description of the applicant's

body markings. Place number on body location and describe in corresponding blocks below

indicating content and size in inches (not required if no Tattoos):

FRONT VIEW BACK VIEW

1. 1.

2. 2.

3. 3.

4. 4.

5. 5.

6. 6.

7. 7.

8. 8.

9. 9.

10. 10.

Part V. Certification. I certify above body marking information is accurate.

(Name of Applicant) (Signature of Applicant) (Date)

(Name of Recruiting Rep) (Signature of Recruiting Rep) (Date)

UNITED STATES NAVY TATTOO SCREENING CERTIFICATE

NAVCRUIT 1130/104 (Rev 05/2016) Page 2 of 2

NAVCRUIT 1133/78 (Rev 11-2016) FOR OFFICIAL USE ONLY WHEN FILLED IN

APPLICANT'S PERSONAL STATEMENT (This form may be typewritten or handwritten)

PRIVACY ACT STATEMENT AUTHORITY AND PURPOSE: 5 U.S.C. 301, Departmental Regulations; and E.O. 9397 (SSN). Provided information is used to assist officials and employees of the Navy in the management, supervision and administration of Navy personnel (officer and enlisted) and the operations of related personnel affairs and functions. ROUTINE USES: Information will be utilized by Department of the Navy officials in verifying qualifications and suitability for enlistment. DISCLOSURE: Disclosure is voluntary; however, failure to provide the requested information as well as the social security number may result in denial of enlistment into the United States Navy.

Requiring Directive: COMNAVCRUITCOMINST 1130.8

OFFENSE #1: COMPLETE DISPOSITION:

COMPLETE DISPOSITION:OFFENSE #2:

COMPLETE DISPOSITION:OFFENSE #3:

Describe in your own words: Who, What, Where, When and Why (Be very specific)

I (Name)

Honor, Courage, Commitment: I affirm that the above statement is true in all respects and the words contained herein are my own, and my statement has not been edited.

Applicant's Signature Date

do honestly declare that:

Witness' Signature Date

DISCLOSURE OF SOCIAL SECURITY NUMBER

Privacy Act Statement

1. Disclosure of your social security number is necessary indetermining your eligibility for enlistment in the Armed Forces of theUnited States. This number is required on all application forms,where indicated.

2. The authority for requesting your social security number iscontained in Section 301, Title 5, United States Code/Bureau of NavalPersonnel Manual, Article 1000-060, which established departmentalregulations for personnel administration.

3. Your social security number will be used as a unique identifierfor all documents which are part of your application file. The numberwill be used for purposes of record checks with local, state andfederal law enforcement agencies, for investigatory purposes indetermining eligibility for security clearance, and for verificationof status with the Selective Service Commission. If your applicationis accepted and you are enlisted or appointed in the United StatesNavy or Naval Reserve, your social security number will become yourservice number for all record purposes.

4. Your social security number is FOR OFFICIAL USE ONLY and will beused in strict confidence in accordance with Federal law andregulations.

I have read and understand the foregoing statement.

Typed Name of Applicant Signature of Applicant Date Signed

Typed Name of Witness Signature of Witness Date Signed

FOR OFFICIAL USE ONLY

NAVCRUIT 5211/1 (Rev 10-2010)

BRANCH AND CLASS: SOCIAL SECURITY NUMBER:NAME (LAST, FIRST MIDDLE):

PERMANENT TEMPORARY

SIGNATURE OF VERIFYING OFFICIAL:DATE:VERIFYING OFFICIAL RANK OR GRADE/TITLE:

ENTERED AND VERIFIED IN ELECTRONIC SERVICE RECORD:

USN

PRIVACY ACT NOTIFICATION

This document contains information covered under the Privacy Act of 1974, 5 USC 552a and its various implementing regulations and must be protected in accordance with those provisions. You, the recipient/user, are obliged to maintain it in a safe, secure and confidential manner. Re-disclosure without consent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality subjects you to application of appropriate sanctions. If you have received this correspondence in error, please notify the sender immediately and destroy any copies you have made.

SHIP OR STATION:

AUTHORITY (IF PERMANENT) BUPERSINST 1730.11, COMNAVCRUITCOMINST 1131.2 and 1130.8 Series

Accommodation of Religious Practices

___________________: I understand that Department of the Navy policy is to accommodate religious practices whenever possible, unless doing so would have an adverse impact on mission accomplishment, including military readiness, unit cohesion, good order, discipline or health and safety.

I understand accommodation of my religious practices cannot be guaranteed at all times. I understand that determination of military necessity rests entirely with my Navy chain of command, and that I will be expected to comply with the Navy's policy, practice or duty from which I am requesting accommodation unless and until approved by the designated authority.

I do NOT desire to request a religious accommodation at this time ______________________________

I DO desire to request a religious accommodation for _____________________________ ______________________ (Type of Request) (Applicant Signature)

Applicants requesting religious accommodation may not enlist or commission until they receive a final approval in writing. Accession commands must immediately process the request in line with BUPERSINST 1730.11 (Standards and Procedures Governing the Accommodation of Religious Practices).

_______________________________________________ _____________________________________

(Typed or Printed Name of Witnessing Recruiting Representative) (Signature of Witnessing Recruiting Representative)

ADMINISTRATIVE REMARKS

USN

_____________: I hereby acknowledge that I have been counseled concerning the Navy's Physical Readiness Program as set forth in OPNAVINST 6110.1. I understand that all members of the Navy, except those excused for medical reasons, shall attain and maintain a condition of health and physical readiness consistent with their duties. I also understand that remedial training will be required for those who fall below prescribed standards of physical fitness and body fat. Continued failure over a reasonable period of time to show progress in meeting minimum Navy Standards, when there are no medically limiting circumstances, shall result in consideration for an administrative separation. Member's initials:______

_____________: I understand that Department of the Navy's policy is to accommodate the doctrinal or traditional observances of the religious faith practiced by individual members when they will not have an adverse impact on military readiness. I understand accommodations of a member's religious practices cannot be guaranteed at all times but must depend on military necessity. I understand that determination of military necessity rests entirely with my commanding officer. Member's initials: ______

_____________: If selected, I understand that my appointment as a commissioned officer in the U.S. Navy/ Navy Reserve is being accomplished prior to completion of a required security investigation and issuance of a Top Secret/Secret security clearance. I further understand that if as a result of the post-commissioning investigative process, I am determined to be unacceptable for appointment as a commissioned officer, I will be subject to discharge from the U.S. Navy/Navy Reserve. Member's initials:______

_____________: I understand the Navy's policy on tattoo, body art, body mutilation and body markings. I further understand that I am not to obtain or have any additional tattoos, body art, body mutilation, body or body markings applied to my body while in school or awaiting commissioning. Failure to comply with this warning could result in my release from all commissioning programs. Member's initials:______

___________________________________________ (Applicant Signature)

____________________________________________ _________________________________________________ (Typed or Printed Name of Witnessing Officer) (Signature of Witnessing Officer)

PRIVACY ACT NOTIFICATION

This document contains information covered under the Privacy Act of 1974, 5 USC 552a and its various implementing regulations and must be protected in accordance with those provisions. You, the recipient/user, are obliged to maintain it in a safe, secure and confidential manner. Re-disclosure without consent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality subjects you to application of appropriate sanctions. If you have received this correspondence in error, please notify the sender immediately and destroy any copies you have made.

COMNAVCRUITTCOMINST 1131.2

Navy Physical Readiness Program Observances of the Religious Faith Practiced Statement of Understanding for Security Investigation Tattoo/Body Art/Body Mutilation/Body Marking Warning

ADMINISTRATIVE REMARKS

ADMINISTRATIVE REMARKS NAVPERS 1070/613 (REV. 08-2012) PREVIOUS EDITIONS ARE OBSOLETE SUPPORTING DIRECTIVE MILPERSMAN 1070-320

FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE

SHIP OR STATION

SUBJECT

FRATERNIZATION POLICY ACKNOWLEDGEMENT

PERMANENT TEMPORARY

AUTHORITY (IF PERMANENT)

COMNAVCRUITCOMINST 1131.2 SERIES

I hereby acknowledge the following information concerning the Navy’s fraternization policy (Initial each line item): (____) I understand Navy Recruiting Command’s Fraternization Policy promulgated in Commander Navy Recruiting Command Instruction 5370.1F (COMNAVCRUTCOMINST 5370.1F) as reflected in the following requirements: (____) I understand that I (or my family members) cannot fraternize with my Navy Recruiter or any other personnel associated

with Navy Recruiting. I understand that there is a zero tolerance policy on fraternization because an unduly familiar relationship

between Recruiters and me undermines the recruiting mission and may have an adverse impact on my Navy career. (____) I understand that I may not form, or attempt to form, a dating or private social relationship including recruiter attendance at graduation parties, family picnics/events, etc. Mutual attendance at previously planned, command authorized DEP functions or similar recruiting environment events is not prohibited. (____) I understand that I may not be in any recruiting office except for official business only. (____) I understand that I may not ride in any government vehicle except for official purposes. Recruiting personnel shall not ride in my personal vehicle (POV) nor will I ride in their POV. (____) I understand that I may not engage in a consensual sexual act or have any physical contact with recruiting personnel. Prohibited physical contact includes, but is not limited to, caressing, massaging, hugging, kissing, fondling, and holding hands. Authorized physical contact includes, but is not limited to, shaking hands or performing required body fat measurements on a member of the same gender. (____) I understand that I may not enter into a private financial/business contract to provide any benefit, financial or otherwise, for myself or recruiting personnel. (____) I understand that I may not gamble with recruiting personnel including playing any game of skill with money or other things of value at stake. (____) I understand that I may not borrow/lend money from/to recruiting personnel. (____) I understand that I may not provide my photograph/digital images of myself to recruiting personnel except as required for official purposes. (____) I understand that I may not spend the night in the same home, apartment, or hotel room with recruiting personnel. (____) I understand that I shall maintain a professional relationship and professional communications with recruiting personnel regardless of the means of communications, including government/personal cell phones, Facebook, other social media, etc. (____) I acknowledge that recruiting personnel are prohibited from coercing/compelling me to participate in any activity (or other similar activity) listed above. I have the right to refuse any of the listed activities without any impact on my enlistment/commissioning in the Navy. I acknowledge that I have the responsibility to report any request to fraternize by recruiting personnel to Navy Recruiting Command (901) 874-9003. I acknowledge that all allegations of fraternization will be investigated.

TRAINING CONDUCTED AT TIME OF CONTRACT (ENLISTED) / ENLISTMENT (COLLEGIATE)

____________________________________ ____________________________________________________ (Signature of Member/Date) (Signature of Division Officer or Officer Recruiter)

TRAINING CONDUCTED AT TIME OF 72 HOUR INDOCTRINATION

____________________________________ _______________ ____________________________________________________ (Signature of Member/Date) Parents Initial (if (Signature of Division Officer or Officer Recruiter if Officer Applicant)

17 years old)

PRIVACY ACT NOTIFICATION This document may contain information covered under the Privacy Act of 1974, 5 USC 552a and its various implementing regulations and must be protected in accordance with those provisions. You, the recipient/user, are obliged to maintain it in a safe, secure and confidential manner. Re-disclosure without consent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality subjects you to application of appropriate sanctions. If you have received this correspondence in error, please notify the sender immediately and destroy any copies you have made. (Rev 05-2013)

NAME (LAST, FIRST, MIDDLE) SOCIAL SECURITY NUMBER BRANCH AND CLASS

USN

COMMITMENT TO SUCCESSNAVCRUIT 1131/15 (05-2019) Supporting Directive COMNAVCRUITCOMINST 1131.2

FOR OFFICIAL USE ONLY Page 1 of 1

Per COMNAVCRUITCOMINST 1131.2, Section 3, the contact is required to complete this form during initial processing. Then, if applicable in Section 4, have the Enlistee/Officer complete this form during the 72 Hour Indoctrination. Once the form is completed during the 72 Hour Indoctrination, upload a signed copy into PRIDE MOD II and retain the original in the collegiate/officer candidate's residual folder.

SECTION I (Must be completed by all applicants.)

SECTION II (Must be completed by OCS candidates only.)

Physical FitnessThe Navy considers a physically fit body as important as a sound mind. The objective of the physical training classes atOfficer Training Command Newport (OTCN) is to develop strength, endurance and to improve your overall physical condition so you can meet demanding physical fitness requirements. Physical training instruction begins immediately upon arrival. You are required to be within navy body fat standards per OPNAVINST 6110.1 upon arrival. Within the first two days of training, you will be weighed and measured and you must pass a Physical Fitness Assessment (PFA) with a minimum score ofSatisfactory Medium per the Navy Physical Readiness Program Instruction (OPNAVINST 6110.1). You should complete the Navy Pre-Entry Physical Training Program at http://www.navy-prt.com/trainingplan.html or an equivalent program prior to reporting.

Navy's "Zero Tolerance" Drug Policy I have been informed about the Navy's "Zero Tolerance" drug policy. If I am an active duty collegiate, I also understand I willbe required to participate in the Navy Recruiting District's Command Urinalysis Program.

Naval Officer Delayed Entry Program (DEP) Guide to Success I have received and reviewed the Naval Officer Delayed Entry Program Guide to Success. I have been encouraged to reviewthe Personnel Qualification Standards (PQS) to help me prepare for my transition to Officer Candidate School (OCS) or Officer Development School (ODS).

OCS Physical FitnessPhysical training at OCS includes strength and conditioning exercises to include push-ups, curl-ups, running, and various other conditioning exercises. You must be able to perform aerobic activity, muscular strength exercises and endurance exercises at a high and sustained level. You will be required to complete three Physical Readiness Tests (PRTs) and one PFA while assigned to OCS. I have been informed that I must obtain a minimum score of Satisfactory Medium on all three events of the Initial Strength Test (push-ups, curl-ups, 1.5 mile run) during the first week at OCS or risk being dropped from the program.

Navy Recruiting Command Fitness and Nutrition GuideI have received a copy of the Navy Recruiting Command Fitness and Nutrition Guide and was informed of the physical fitness requirements listed in OPNAVINST 6110.1 series. I understand that I will have to pass the third class swim test before the 9th week of training or risk being dropped from the program.

OCS Website I have accessed the OCS website at http://www.netc.navy.mil/nstc/otcn/index.html and reviewed its contents.

"Faces of OCS" video I have viewed the video "Faces of OCS." I understand that Officer Candidate School is a physically and mentally challengingprogram and I am prepared for the rigors of this training. The "Faces of OCS" video is available for viewing at http://www.public.navy.mil/netc/nstc/otcn/ocs_selected_officer_candidates.aspx

ODS Physical FitnessYou are required to be within the U.S. Navy body fat standards per OPNAVINST 6110.1 upon arrival. Physical training instruction begins immediately upon arrival. Physical training will consist of strength and conditioning exercises to include push-ups, sit-ups, running, and various other conditioning exercises. Aerobic activity will include, but is not limited to, running and swimming. You will be required to complete two PRTs while assigned to ODS and are required to pass a 3rd class swim qualification per MILPERSMAN 1414-010.

SECTION III (Must be completed by ODS candidates only.)

Signature of Applicant / Date (Required at 72 Hour Indoctrination)

Signature of Witness / Date Typed or Printed Name of Witness

Typed or Printed Name of WitnessSignature of Witness / DateSignature of Applicant / Date (Required at time of initial processing)

Typed or Printed Name of Applicant

ODS Website I have accessed the OCS website at http://www.netc.navy.mil/nstc/otcn/index.html and reviewed its contents.

From: (Applicant Name and last four of SSN) To: Commander, Navy Recruiting Command (N313)

Subj: LETTER OF INTENT TO ENLIST

Ref: (a) Program Authorization 100A (NUPOC)

(b) Program Authorization 100B (Naval Reactors Engineer,or Nuclear Power School Instructor)

1. I hereby apply for either the nuclear propulsion officercandidate (NUPOC), naval reactors engineer, or nuclear powerinstructor programs.

2. If selected by the Director, Navy Nuclear Propulsion Program forone of the above programs, I agree to enlist and be placed in anactive or inactive status as an OC1 (E6) in the United StatesNavy Reserve in accordance with reference (a) or (b) asappropriate. Such enlistment will be executed followinginterview and prior to departing Washington, DC.

3. I further understand that I will serve in accordance with therequirements set forth in references (a) and (b).

____________________________________

Signature of Applicant

Documents

NAVAL NUCLEAR PROPULSION PROGRAM · 4/4/2020 · Nuclear Propulsion Program may result in my removal from the program, recoupment of any bonus received, an unfavorable discharge