NEW MEMBER (NM) CERTIFICATION RECORD-AUX-I
A.
GENERAL - This form is to ascertain the person applying for
membership has met initial entry criteria.
B.
SECTION I - NAME - Enter the applicant's last name, first name, and
middle initial.
C.
SECTION II - PROSPECTIVE MEMBER INTERVIEW - Check this box
when the Prospective Member Interview (CGAUX-2) has been
completed. The CGAUX-2 must be completed and attached
before submission.
D.
SECTION III - FACILITY OR SPECIAL REQUIREMENTS - Check either: #1-
Facility Owner or #2-Special Qualifications.
#1 Check box for appropriate type of facility. Check box for
attachment of a Facility Inspection (CG-2736, 2736A OR 273613).
#2 List the special qualification membership being considered,
if offered.
E.
SECTION IV - NEW MEMBER EXAMINATION REQUIREMENTS - Enter
Edition/Test number, grade, date of test, proctor signature and
title.
F.
SECTION V - FLOTILLA COMMANDER'S CERTIFICATION - Enter the flotilla
number, Flotilla Commander's signature and date of signature.
G.
SECTION VI - ENDORSEMENT OF DIRAUX - The DIRAUX will check either
the Approved or Disapproved box, then sign and date the acceptance
of the certifications submitted.
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