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QE Session Request form

Enter your information and general QE session details. Enter information about each member striking during this session.
If you have more than (15) candidates striking during this session, submit this form with all requested information then fill out this form again* with the remaining candidates.
* In filling out the second form, in the Proposed QE Session Details Session Comments box type "see previously submitted form; more than 15 members" and enter the remaining candidates in the Candidates Striking—Member Names section. You do not need to re-enter the QE Requestor, Unit, and Proposed QE Session details on the second form.



Division where session will occur. Usually your own. This also notifies the appropriate Area QE Coodinator (AQEC).		 Date Request Submitted

Read only: today's date but based on East Coast time.

QE Requestor Details

Office

 FC, FSO-MT, etc.		 Name

First and last name
Phone number

Preferred contact phone 		Unit Number

District-Division-Flotilla 		Email

Preferred contact email

Unit Details

Unit In-Charge

Unit making the session request. Usually the same as the requestor. 		Other Unit(s) Involved

If applicable, enter any other units involved in this session.
Session Coordinator Name

First and Last name.  		Session Coordinator phone #

Session coordinator preferred contact phone number (usually cell)

Proposed QE Session Details

  Session Type(s)
  Shore  On-the-Water  Other (enter details in Session Comments)
Shore Date

Land based session activities 		Shore Location

Land based session activities
OTW Date

OTW session activities 		OTW Location

OTW session activities
# of Facilities

Number of facilities under training orders available for OTW exams 		Session Comments

Any additional session, check ride or facility information the AQEC should know.
Alternate Date(s)

Backup date(s) for OTW and shore based sessions. 		Alternate Location(s)

Backup location(s) for OTW and shore based sessions.
Out-of-Season Session Justification

Do your dates fall between Sept 30 and April 1st? Enter the reason(s) for this session between these dates.

Candidates Striking—Member Names

Enter information on members striking during this QE session. If you know a member is in REYR status, please check "Yes" as a heads-up to your AQEC.
Please enter the member name as it appears in AuxDirectory/AuxOfficer rather than using a nickname.

1. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
2. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
3. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
4. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
5. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
6. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
7. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
8. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
9. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
10. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
11. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
12. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
13. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
14. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes
15. Name

Use AuxDirectory name: First Middle Last 		Mem ID #

Member # 		Striking for:

Reason for member session 		REYR?
Yes