NCPACE INSTRUCTOR LED (IL) COURSE REQUEST Required information is highlighted in gray; click in the highlighted area and type in info requested

DATE: "[DD MMM YYYY]"

FROM: "[COMMAND NAME]" "[HULL # IF APPLICABLE]" UIC: [UIC] SEA DUTY TYPE: "[TYPE 2 OR 4]"

TO: [email protected]; [email protected] CC: "[YOUR COMMAND CO'S EMAIL ADDRESS]" "[YOUR COMMAND XO'S EMAIL ADDRESS]" "[YOUR COMMAND CMC'S OR COB'S EMAIL ADDRESS]"

Subj: NCPACE INSTRUCTOR DELIVERED COURSE REQUEST

Ref: (A) NCPACE CONTRACT #N00189-14-D-Z038//(NOTAL)

INFORMATION CONTAINED HEREIN IS "PRIVACY ACT PROTECTED - FOIA".

1. IAW REF (A), REQUEST THE FOLLOWING COURSES FOR TERM: "[TERM I, II, III OR IV]"

A. ACADEMIC SKILLS COURSES (ENGLISH, MATH OR READING): COURSE NAME: "TYPE COURSE NAME HERE" START DATE: [YYYY/MM/DD] END DATE: [YYYY/MM/DD] # OF ENROLLMENTS: "[TOTAL # OF STUDENTS FOR THIS COURSE]" # OF SECTIONS: "[1, 2, 3, ETC.]" CLASSROOM CAPACITY: "[# OF AVAILABLE SEATS IN THE CLASSROOM]"

(TO ADD MORE STUDENTS SIMPLY HIT TAB KEY WITH CURSOR IN LAST “PRE-REQ” BOX) STUDENT’S FULL NAME RATE/RANK LIST HOW PRE-REQ MET

B. COLLEGE COURSES: COURSE NAME: "TYPE COURSE NAME HERE" START DATE: [YYYY/MM/DD] END DATE: [YYYY/MM/DD] # OF ENROLLMENTS: "[TOTAL # OF STUDENTS FOR THIS COURSE]" # OF SECTIONS: "[1, 2, 3, ETC.]" CLASSROOM CAPACITY: "[# OF AVAILABLE SEATS IN THE CLASSROOM]"

(TO ADD MORE STUDENTS SIMPLY HIT TAB KEY WITH CURSOR IN LAST “PRE-REQ” BOX) STUDENT’S FULL NAME RATE/RANK LIST HOW PRE-REQ MET

2. FOR ADDITIONAL TERMS, COPY/PASTE THE FORMAT FROM SECTION 1 ABOVE.

1 OCT 17 TERMS II & III NEED TO BE CONFIRMED 30 DAYS PRIOR TO THE START OF CLASS. 3. THE NCPACE COMMAND COORDINATOR HAS VERIFIED THAT THE SAILORS LISTED ON THIS REQUEST:

1. HAVE BEEN ONBOARD ONE YEAR AT THE FIRST PERMANENT DUTY STATION OR GRANTED A WAIVER BY THE CO OR OIC BEFORE USING NCPACE (NAVADMIN 190/14). 2. ARE SERVING AT YOUR NCPACE ELIGIBLE COMMAND ON ACTIVE DUTY THROUGH THE LAST DAY OF THE COURSE TERM. 3. HAVE PASSED THE MOST RECENT PHYSICAL FITNESS ASSESSMENT (PFA) OR RECEIVED A WAIVER. 4. HAVE PASSED THE MOST RECENT ADVANCEMENT EXAM, IF APPLICABLE, AND ARE RECOMMENDED FOR ADVANCEMENT OR PROMOTION. 5. HAVE NOT RECEIVED A NON-JUDICIAL PUNISHMENT (NJP) WITHIN SIX MONTHS OR ARE NOT PENDING ADMINISTRATIVE SEPARATION. 6. ARE NOT UNDER INSTRUCTION IN INITIAL SKILLS TRAINING OR IN A DUTY UNDER INSTRUCTION (DUINS) TRAINING STATUS. 7. HAVE MET THE REQUIREMENTS FOR TRAINING, COUNSELING AND EDUCATION PLAN AS LISTED IN NAVADMIN XXX/17. 8. HAVE MET ANY COURSE PREREQUISITES AS LISTED IN THE NCPACE IL CATALOG. 9. ARE AWARE OF THE ADD/DROP PERIOD THROUGH THE COMPLETION OF THE 3RD CLASS MEETING. 4. BY STATUTE, OFFICERS WILL INCUR A MINIMUM TWO-YEAR SERVICE OBLIGATION FOR TA AND NCPACE COURSES COMMENCING WITH THEIR COMPLETION OF (OR WITHDRAWAL FROM) THE PROGRAM. THIS TWO-YEAR SERVICE OBLIGATION WILL BE SERVED CONCURRENTLY WITH ANY OTHER SERVICE OBLIGATION.

5. PLEASE PROVIDE THE NAME AND CONTACT INFORMATION FOR THE COMMAND’S SENIOR MEDICAL OFFICER/REPRESENTATIVE (SMO/SMR). THE NCPACE CONTRACTOR WILL CONTACT THE SMO/SMR DIRECTLY CONCERNING USFLTFORCOM/COMPACFLT INSTRUCTION 6320.3B (OR CURRENT VERSION)AS IT PERTAINS TO THE NCPACE INSTRUCTORS. REQUEST SMO/SMR PROVIDE RESPONSE WITHIN 48 HOURS WHEN CONTACTED BY THE CONTRACTOR. SMO/SMR: "[RATE/RANK AND FULL NAME]" PHONE: "[COMMERCIAL #]" E-MAIL: "[ENTER EMAIL (OFFICIAL GOVT ADDRESS PREFERRED]"

6. REQUEST INSTRUCTOR EMBARK SHIP VIA "[LOCATION (IF NEEDED, SIPR AVAILABLE AT [email protected]]" AND NET [YYYY/MM/DD] AND NLT [YYYY/MM/DD] . 7. INSTRUCTOR BERTHING/MESSING IS AVAILABLE ON BOARD FOR [NUMBER] MALE AND [NUMBER] FEMALE INSTRUCTORS. PER THE NCPACE CONTRACT, INSTRUCTORS WILL BE PROVIDED OFFICER’S BERTHING/QUARTERS. IF OFFICER’S BERTHING IS NOT INITIALLY AVAILABLE, INSTRUCTORS SHALL BE PROVIDED CHIEF’S BERTHING/QUARTERS ON A TEMPORARY BASIS UNTIL SPACE IN OFFICER’S BERTHING BECOMES AVAILABLE. THE NAVY WILL MAKE A GOOD FAITH EFFORT TO PROMPTLY PLACE ALL INSTRUCTORS IN OFFICER’S BERTHING/QUARTERS AS QUICKLY AS POSSIBLE. IF OFFICER BERTHING IS NOT AVAILABLE INSTRUCTORS SHALL BE PROVIDED A SECURE LOCKER/STORAGE AREA FOR BOOKS, BOOK MONEY, 1 OCT 17 TESTS, MATERIALS, ETC. AND A SPACE TO CONDUCT COUNSELING AND ADMINISTRATIVE TASKS. 8. REQUEST BOOKS AND MATERIALS ARRIVE NET [YYYY/MM/DD] AND NLT [YYYY/MM/DD] .

9. INSTRUCTOR DEBARKATION INFORMATION WILL FOLLOW SEPCOR.

10. AFTER THE 3RD CLASS MEETING, FINAL COURSE ROSTERS WILL BE SENT TO: [email protected] "[YOUR COMMAND CO'S EMAIL ADDRESS]" "[YOUR COMMAND XO'S EMAIL ADDRESS]" "[YOUR COMMAND CMC'S OR COB'S EMAIL ADDRESS]"

11. UPON COURSE COMPLETION, THE COMMAND WILL SEND COMPLETION ROSTER TO: [email protected] "[YOUR COMMAND CO'S EMAIL ADDRESS]" "[YOUR COMMAND XO'S EMAIL ADDRESS]" "[YOUR COMMAND CMC'S OR COB'S EMAIL ADDRESS]"

NOTE: FAILURE TO SUBMIT FINAL ROSTER AND COMPLETION ROSTER MAY AFFECT APPROVAL OF SUBSEQUENT TERMS!

THE FOLLOWING INDIVIDUALS ARE DESIGNATED AS THE COMMAND NCPACE POCS AND WILL BE RESPONSIBLE FOR RECEIVING BOOKS AND MATERIALS.

PRIMARY POC: "[RATE/RANK AND FULL NAME]" ADDRESS: "[MAILING ADDRESS]" PHONE: "[COMMERCIAL #]" "[DSN #]" E-MAIL: "[ENTER EMAIL (OFFICIAL GOVT ADDRESS PREFERRED]"

ALTERNATE POC: "[RATE/RANK AND FULL NAME]" ADDRESS: "[MAILING ADDRESS]" PHONE: "[COMMERCIAL #]" "[DSN #]" E-MAIL: "[ENTER EMAIL (OFFICIAL GOVT ADDRESS PREFERRED]"

1 OCT 17