PROSPECTIVE MEMBER INTERVIEW RECORD - CGAUX-2
A.
GENERAL- This form is used as a check-off sheet to make certain
the prospective member has been informed of the membership
opportunities and obligations in the U.S. Coast Guard Auxiliary.
B.
APPLICANT'S INFORMATION
1. Enter applicant's name.
2. Enter applicant's occupation.
3. Enter applicant's hobby or interests.
4. Enter applicant's facility status.
C.
INTERVIEW SUBJECTS - The following subjects must be discussed in
depth and any concerns addressed with the prospective member at
this time.
1. What is the Auxiliary?
2. What one can expect from the Auxiliary.
3. What the Auxiliary expects from the member.
4. Importance of professional conduct in all activities.
5. Every member is expected to participate and to contribute in
some program.
6. Training and qualifications opportunities are
provided to members who participate in Auxiliary programs.
7. Personal costs involved.
8. Your contribution to the Auxiliary.
The record must be dated and signed by the prospective member.
The
prospective member's telephone number is also required, as are
the interviewer's member number and signature.
PRIVACY ACT STATEMENT
In accordance with 5 USC 552a(e)(3), the following information is
provided to you when supplying personal information to the United
States Coast Guard.
1.
AUTHORITY which authorized the solicitation of the information:
14 USC Sec 823.
2.
PRINCIPLE PURPOSE(S) for which information is intended to be used:
To establish eligibility for enrollment and a record for the
individual in the Auxiliary Management Information System.
3.
THE ROUTINE USES which may be made of the information: Provide
identification, address and personal information to the following:
(1) Directors of Auxiliary. (2) Members ofthe Auxitiary.
4.
WHETHER OR NOT DISCLOSURE of such information is mandatory or
voluntary (required by law or optional) and the effects on the
individual, if any, of not providing all or any part of the
requested information: Disclosure of this information is voluntary,
but failure to provide information will prevent enrollment of the
person in the Auxiliary.
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