Training Request (Sttr) Form - Department Of Transporation Us Coast Guard Cg-5223 Page 2
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2Revised
Auxiliary Applicant
Short Term Resident Training Request (CG-5223)
Block 1
Enter date request prepared.
Block 2
Check appropriate request status box.
Block 3
Utilize Social Security Numbers; Privacy Act statement applies.
Block 4
Complete as indicated; request must specify a specific person, not office held.
Block 5
Pre-filled in.
Block 6
Not applicable.
Block 7
Provide course title number: example AUX-01 Career Counselor School.
Block 8
Enter unit title as listed in AUX
: example Flotilla
,
.
Block 9
Enter Auxiliary member number: example
Block 10
Enter name of staff office position of individual to contact for follow up. Typically, this is the
FSO-MT.
Block 11
Insert telephone number with area code for FSO-MT listed in Block 10.
Block 12
Enter command location where training is desired.
Block 13
Not applicable.
Block 14
Not applicable.
Block 15
Use priority codes 1, 2, or 3 as defined below.
1. Essential to mission accomplishment or program objectives (example: All CC officers are
priority 1 for AUX-01 training).
2. Directly relates to mission accomplishment or program objectives and should result in
improved performance (example: members who assist in AIM candidate selection, but are
not appointed officers).
3. Indirectly relates to mission accomplishment.
Block 16
List duration of course.
Block 17
Complete choice as indicated. List any amplifying remarks regarding preference in Block 22.
Block 18
List all current staff officer positions held.
Block 19
Complete as indicated.
Block 20
Length of Auxiliary service (# of years).
Block 21
Not applicable.
Block 22
This block should be used to provide any pertinent information affecting the training request,
for example, if early notification (greater than 4 to 6 weeks before convening) is essential,
provide reason. Auxiliarist must provide mailing address for orders, additional telephone
numbers for notification. Email address is required for AUX-04 (Distance Learning Educa-
tion- Basic), AUX-05 (Virutal Instructor Training, formerly Instructor Training Course), and AUX-
08 (Distance Learning Technology Education- Advanced), and would be helpful for other
classes, such as AUX-03 (Accessions Recruiting Training- formerly Career Counselor Train-
ing). Indicate any physical disabilities that may require special equipment or special dietary
considerations. Due to command policy there are no cohabitation berthing facilities. Indicate
gender (male/female) for berthing purposes at training centers.
Block 23
For command endorsement block, Flotilla Commander should sign and forward applicable
forms to the Director of Auxiliary by mail or fax.
Block 24
Not applicable.
Block 25
Not applicable.
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