Cap Form 11 - Civil Air Patrol Senior Member Professional Development Program Director'S Report

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CIVIL AIR PATROL
SENIOR MEMBER PROFESSIONAL DEVELOPMENT PROGRAM DIRECTOR’S REPORT
Submit this form immediately after completion of the school or course in accordance with reporting instructions in
CAPR 50-17, CAP Senior Member Professional Development Program. This form provides information for
training record updates and for training awards and promotions. Forward this form through the wing commander
for signature (see NOTE 1) or mail or fax the completed form directly to:
NHQ CAP/DP
E-mail: LMMEFORMS@CAPNHQ.GOV
105 South Hansell Street, Building 714
Maxwell AFB AL 36112-6332
Phone: Toll free 877-227-9142, ext 210
Fax: 334-953-4262
Check the course that applies. NHQ CAP/DP will only credit students with the course(s) checked on this form.
Foundations Course and Cadet Protection
CLC
Foundations Course Only
RSC
Cadet Protection Only
NSC
SLS
Other
Date(s) of Training:
Wing:
Location:
PLEASE TYPE/PRINT CLEARLY. CAPID NUMBER AND MEMBER’S SIGNATURE ARE ESSENTIAL IN ORDER
FOR NHQ CAP/DP TO ENSURE MEMBERS RECEIVE PROPER CREDIT FOR THE COURSE.
NAME
CAPID
CHARTER NO.
SIGNATURE
1.
2.
3.
4.
5.
6.
7.
8
9.
10
DIRECTOR’S SIGNATURE
WING COMMANDER’S SIGNATURE
NOTE 1: Wing commander’s (or designee’s) signature is required for processing SLS and CLC completion and credit.
NOTE 2: For all courses, send a copy of the CAPF 11 to the wing/region professional development officer (if required by
wing/region policy).
Local reproduction of this form is authorized.
CAP FORM 11, JUL 09
PREVIOUS EDITIONS WILL NOT BE USED AFTER 31 AUG 09
OPR/ROUTING: PD
(If needed, continue on reverse.)

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