USS MOUNT WHITNEY (LCC 20)

Sailor Information:

Name: ______Age: ____ Sex: M / F Last First Middle Rate/Rank: ______NECs: ______ADSD:______Phone: ______Leave Phone: ______Leave Address: ______Civilian Email Address: ______Expected Arrival Date to Mount Whitney: ______*Do you have a Tourist Passport? Yes / No *Highly recommended to acquire before leaving states.* *Do you have a No-Fee Passport? Yes / No *No-Fee passport required for dependents ONLY* Dependent Information: Do you have dependents?: Yes / No Spouse’s Name: ______Children’s Name/Age: ______Would your spouse like to be contacted by the Commanding Officer's Wife to be welcomed and introduction to Gaeta/Naples family living information and resources? Yes / No

Please fill in preferred method of contact email:______phone: ______

Will dependants be arriving with you or at a later date? Yes / No *Do you have a Tourist Passport? Yes / No *Highly recommended to acquire before leaving states.* *Do your dependents have No-Fee Passports? Yes / No ***Required for dependants to enter Italy*** *Do your dependents have Visas? Yes / No ***Required for dependants to enter Italy*** *Have you applied for Dependent Entry Approval? Yes / No ***Required for dependants to enter Italy*** Are you planning on shipping a POV? Yes / No Are you planning on shipping any pets? Yes / No Housing Preferences - Circle Preference: Government Quarters (Support Site Local Gaeta Economy Naples) No DODDs school 50miles/1.5hrs from Gaeta No Gov’t child care available Pets allowed Very limited services available at DODDs School Commissary/NEX Fleet Landing

Updated: 11Oct2015