Looking for a Army Forms And Templates? Download it for free!

Form Nscadm 039 - Request For Office Of Naval Research Award - U.s. Navy League Cadet Corps

REQUEST FOR OFFICE OF

U.S. NAVAL SEA CADET CORPS

U.S. NAVY LEAGUE CADET CORPS

NAVAL RESEARCH AWARD

INSTRUCTIONS: Criteria for awards are contained in the NSCC Awards Manual and on the reverse side of this form. Complete all blocks, providing all necessary

information and documentation. Once form is properly endorsed, forward it to NHQ for consideration by the Executive Director.

1. AWARD APPLYING FOR:

Certificate of Participation

Science Achievement Certificate

Science Achievement Ribbon/Certificate

2. CADET INFORMATION

2a. Last Name

2b. First Name

2c. MI

2d. Social Security Number

2e. Unit

2f. Region

2g. Home Address

2h. City

2i. State

2j. Zip Code +4

2k. Home Phone

2l. E-Mail Address

3. SCHOOL INFORMATION

3a. School Name

3b. School Phone

3c. School Address, City, Zip

3d. Name of Teacher/Advisor for Science Project

3e. Teacher/Advisor Signature

3f. Date (DD MMM YY)

4. COMPETITION INFORMATION

4a. Name of Science Competition

4b. Date(s) of Competition

4c. Location of Competition

4d. Placement/Type of Award Received (Copies of appropriate documentation must accompany request)

5. PROJECT INFORMATION

5a. Summarize in abstract form (short summary) your science project, explaining its objectives, procedures, and results obtained. Include a brief description of why this

subject interests you. You may use the reverse of this form or attach additional pages if more room is needed.

6. CADET CERTIFICATION

6a. Cadet Signature "By signing, I certify that the information contained herein is true and correct"

6b. Date (DD MMM YY)

7. COMMANDING OFFICER'S ENDORSEMENT

7a. Commanding Officer’s Name / Rank

7b. Signature

7c. Date (DD MMM YY)

NSCADM 039 (01/02)