ࡱ> #` 0T@bjbj dT8$\2\2\2\2P3nX4f5555MdN=O`$hnVYIMVV55$8K]K]K]Vv55K]VK]K]C 5L4 @#\2\^ۭP \<+\XO"qOUQ:K]RSOOOA] OOOVVVVd*\2\2 NETPDTC 1560/3 Rev. (09/07) TUITION ASSISTANCE APPLICATION This APPLICATION is not a funding document. Instructions: Complete and submit Tuition Assistance (TA) Application form (pages 1 and 2) to Navy College Office / Marine Corps Lifelong Learning Center PRIOR to the start of the term. This TA Application Form may be submitted via email, fax or in person. If completing by hand, print clearly. PRIVACY ACT STATEMENT Under authority of 5 USC 301 personal data is requested. Your SSN will be used for identification. This information will be included in your Education Record retained by the Navy College Office (NCO) or Marine Corps Education Services Center. It will not be divulged without your written consent to anyone other than the U.S. Government and/or school personnel involved with TA. You are not required to provide this information; however, failure to do so will result in not being considered for TA. For Navy, paper and/or electronic copies of the signed TA Application are retained at the originating NCO for three years and then shredded or burned. For Marines, copies of the signed TA Application are retained at the originating Marine Corps Education Services Center and shall transfer with the Marine to each new duty station. Copies of TA Applications and/or Authorizations for officers are maintained in their official personnel record for two years following the end of the last TA funded course. All other records are maintained in electronic format within the Navy College Management and Information System (NCMIS) indefinitely. Student / Applicant Information  Social Security Number Last Name First Name MI  ( ) Daytime Telephone Comm EXT DSN INTERNATIONAL ( ) Fax Number Comm EXT DSN INTERNATIONAL Email Address GI Bill Enrollment Status: (Select only one)  FORMCHECKBOX  1. Vietnam Era  FORMCHECKBOX  2. VEAP  FORMCHECKBOX  3. MGIB  FORMCHECKBOX  4. EATP  FORMCHECKBOX  5. None  FORMCHECKBOX  6. REAP  ( ) Years of Education:  Command Phone Comm EXT DSN INTERNATIONAL Command Name:  Command Address: UIC or MCC/RUCStudent / Degree Planning InformationImmediate Academic Goals #1 - #7: (Select only one):  FORMCHECKBOX  1. High School Diploma  FORMCHECKBOX  2. Vocational/Technical  FORMCHECKBOX  3. Associate  FORMCHECKBOX  4. Bachelors  FORMCHECKBOX  5. Masters  FORMCHECKBOX  6. Doctoral  FORMCHECKBOX  7. Professional (i.e., MD, JD, DDS, etc)  Do you have a degree plan for the goal listed above?  FORMCHECKBOX  Yes  FORMCHECKBOX  No(Complete this section for Academic Goals #1 - #7) Anticipated Graduation Date: (enter only if within 12 months)  (yyyy / mm) School Issuing Degree: Have you applied for graduation?  FORMCHECKBOX  Yes  FORMCHECKBOX  No (Complete this section for Academic Goals #3 & #4 only) Do you have a SOCNAV/SOCMAR Agreement?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, SOCNAV/SOCMAR College: Are you enrolled in a Navy College Program Distance Learning Partnership (NCPDLP) Degree Program?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, NCPDLP School: Course Request Information: School Name: Term Start Date: Term End Date: (yyyy / mm / dd) (yyyy / mm / dd)School Location: (not street address)  City:  State: (2 Character - ex: FL) Country: Use the following information to enter the correct codes in the Course Description Blocks Below: (CD): COURSE DESCRIPTION 1 = On-Base (any military base) 2 = Off-Base 3 = Distance Learning 4 = Credit by Examination 5 = Deployed (Marine Corps only)(CL): COURSE LEVEL H = High School D = Developmental/Prep (Navy Only) V = Vocational/Technical L = Lower Level (Freshman/Sophomore) U = Upper Level (Junior/Senior) G = Graduate Level (PIM): PRIMARY INSTRUCTIONAL MODE C = CD ROM I = Instructor P = Paper Based T = TeleTraining V = Video Tape W = Web/Internet(CU): CREDIT UNIT HOURS/TYPE S = Semester Q = Quarter C = Clock K = Carnegie (High School) Course Description Blocks. List one course per line. COURSE Dept Number COURSE TITLE CD codes above CL codes above PIM codes above CU codes above # of Credit Hours Tuition Cost Per Credit Hour Course Fee Total Course Cost              Term/Semester Fee: List fee other than course fee. (example: library fee)TOTAL of all courses and fees: SUM(((ch*tuit)+crs)+((ch_1*tuit1)+crs1)+((ch_2*tuit2)+crs2)+((ch_3*tuit3)+crs3))) \# "#,##0.00"  {=SUM(((ch*tuit)+(crs))+((ch_1*tuit1)+crs1))+((ch_2*tuit2)+(crs2))+((ch_3*tuit3)+(crs3))+tfee)} \# "#,##0.00"  COMMAND APPROVAL: For the Applicants Commanding Officer, Executive Officer, or Officer in Charge: The applicants present or anticipated Military duties will permit him/her to attend and complete the course(s) listed above.  Signature of Commanding Officer or By Direction  Printed Name and Rank of Commanding Officer or signing Officer Date:  (yyyy / mm / dd)  NETPDTC 1560/3 Rev. (09/07) TUITION ASSISTANCE APPLICATION AGREEMENT This TA Application is a request to my servicing Education Center for a TA Authorization Voucher providing federal funds for my education. A. I understand acceptance of TA obligates me to the following: APPLICATION OBLIGATION: To submit this TA Application request to my servicing Military Education Center PRIOR to the start of the term. Once my TA Application is approved, I will receive a TA Authorization Voucher. To personally mail, fax or deliver my TA Authorization Voucher to the school. To pay the remainder of tuition and course fees not covered on the TA Authorization Voucher to the school. To notify the Education Center if any changes to the information on this document occur. To notify the Education Center if I do not enroll in any or all course(s) on this form or if I cancel before the schools drop/add date. To reimburse, via money order or cashiers check payable to U.S. Treasury and mailed to NETPDTC*, tuition and fees paid on my behalf if I: voluntarily withdraw from a course after the drop/add date or full tuition refund date and receive a (W) grade. receive a failing (F) grade. fail to clear an incomplete (I) grade within 6 months of course completion date. To provide NETPDTC a letter from my Commanding Officer confirming withdrawal for military or emergency reasons. Reimbursement may be waived if I officially withdrew based on these circumstances and if I submit command verification to NETPDTC *N8131. To provide grades to NETPDTC*. It is my responsibility to ensure my grades are forwarded to NETPDTC* within 60 days of course completion (30 days for Marines). Failure to do so could result in a formal resolution/collection effort of my military pay.  Correspondence for: NOTE: All correspondence and payments to NETPDTC should include a. Your full name d. Term dates involved Reimbursement of military TA b. Your social security number e. Course name/number c. Name of school f. TA Authorization Voucher number Address: *COMMANDING OFFICER Other TA Accounting Contacts: NAVY MARINE CORPS_________________________ NETPDTC TA ACCOUNTING N8132 E-MAIL ADDRESS: SFLY_ HYPERLINK "mailto:TA.Navy@navy.mil" TA.Navy@navy.mil SFLY_ HYPERLINK "mailto:TA.Marine@navy.mil" TA.Marine@navy.mil 6490 SAUFLEY FIELD ROAD TELEPHONE: DSN 922-1001 x2 x2 or Comm (850) 452-1001 x2 x2 DSN 922-1001 x2 x3 or Comm (850) 452-1001 x2 x3 PENSACOLA, FL 32509-5241 FAX NUMBER: DSN 922-1149 or Comm (850) 452-1149 DSN 922-1032 or Comm (850) 452-1032 OTHER TA OBLIGATIONS: I understand if I am eligible for Montgomery GI Bill (MGIB) educational benefits, I may supplement TA through the MGIB Top-Up program. I understand that I may not claim full MGIB benefits for the same courses on this TA Application, as that would constitute a duplication of benefits from the Department of Veteran Affairs. C. As a Navy member pursuing an undergraduate academic goal, I understand I must obtain a degree Plan or SOCNAV Agreement by the time I have 5 TA-funded courses completed. As a Marine member pursuing an academic goal, I understand I must obtain a degree Plan or SOCMAR Agreement by the time I have 12 TA-funded semester hours or equivalent completed. D. (For Navy ONLY) I am aware of the limitation of 16 Semester Hours (or the equivalent of 24 Quarter Hours, or 240 Clock Hours) in effect for Navy Tuition Assistance and not to exceed the $4500 TA per fiscal year. (For Marines ONLY) I am aware of the limitation of $4500 TA per fiscal year. I certify that my request for TA does not exceed this limit. E. I understand I am responsible for any overpayment of TA. I must also reimburse TA funds when there is a cancellation of TA and any non-reimbursable fee has been paid to the college. F. Upon completion of a certificate or degree earned from an academic institution with national or regional accreditation recognized by the U.S. Department of Education; I will request my college send an official transcript to the Navy College Center (NCC). (For Marines ONLY) Upon completion of a certificate or degree, I will request my college send an official transcript to my unit diary clerk to be updated in the Marine Corps Total Force System (MCTFS).  Complete this form, sign; then fax, mail or deliver to your nearest Military Education Office for processing and TA Voucher TO FIND YOUR NEAREST Navy or Marine EDUCATION CENTER: For Navy, go to web site:  HYPERLINK "https://www.navycollege.navy.mil/ncp/findnco.cfm" https://www.navycollege.navy.mil/ncp/findnco.cfm For Marine Corps, go to web site: http://www.usmc-mccs.org/education/locations.cfm  (For QUESTIONS on this TA Application, contact your Military Education Center for assistance.) Tuition Assistance is available under Federal Law 10 USC 2007. By my signature, I certify I have read, understand, and will comply with all of the governing voluntary education instructions and the provisions on this form. I understand I will pay all costs over and above the amount of tuition assistance authorized. ___________________________________  FORMCHECKBOX  Enlisted  FORMCHECKBOX  Officer  Applicants Signature Check status Application Date: (yyyy / mm / dd) EAOS Date:  Printed Name Rank Branch of Service (yyyy / mm / dd) (ex: E-1, O-2) Commissioned Officers Only: By my signature above, I agree, in accordance with 10 USC 2007, to remain on active duty for two (2) continuous years following the end of the last TA funded course. This obligation runs concurrently with any remaining obligated service time. This agreement does not obligate the military service to retain me on active duty. If allowed to voluntarily resign before my two year obligation is served, I will repay the government a portion of TA expended on my behalf during my last two years of active duty in accordance with 10 USC 2005. Reimbursement of TA does not negate the obligation.2 8Vg 1 PTstuvɼwqk_YJk>hsZCJ OJQJ^JhsZ5CJOJQJ\^J hsZCJ hsZCJ OJQJ^J hsZCJ hsZCJ hsZCJOJQJ^Jh>vCJOJQJ^JaJ hL.hsZCJOJQJ^JaJ hsZCJhsZhsZOJQJ^J hsZCJhsZ>*CJOJQJ^JhsZB*CJphhsZB*phhsZB*OJQJphheB*OJQJphhaB*OJQJph1 Tvxy %$If]% ,$If], ,0],^0$$a$|]| |Z]|`Zgd>v$|]|a$ $|0]|^0a$$|0]|^0a$gdeT@vwxy()01234abc˿˵φxhx`WE"jhsZCJUaJmHnHuhsZ>*CJaJhsZCJaJjhsZCJUmHnHuhsZCJOJQJ^JaJjhsZUmHnHuhsZ>*OJQJ^J*jhsZCJOJQJU^JmHnHuhsZOJQJ^JhsZCJOJQJ^JhsZhsZOJQJ^JhsZ5CJOJQJ\^J hsZ5\ jhsZ5U\mHnHu(*+,-./0134b+,6GH <$If^ $If^ ,$If], $$Ifa$$If %P$If]% %$If]%cy'(,1469GHduvǹǫǹǫ꜎tn`XM`hsZ5CJ\aJhsZCJaJhsZCJ OJQJ^JaJ hsZCJhsZCJOJQJ^JhsZCJOJQJ^JaJhsZCJ OJQJ^JaJhsZ>*CJ OJQJ^JaJhsZCJOJQJ^JaJhsZCJOJQJ^JaJhsZCJaJ"jhsZCJUaJmHnHuhsZ>*CJaJhsZCJOJQJ^JaJhsZCJaJHcuvw$If vwxҽҵҠҵ}hҵXLhsZCJOJQJaJjhsZCJOJQJUaJ)j\hsZCJOJQJU^JaJ)jhsZCJOJQJU^JaJhsZCJOJQJ^JaJ)jthsZCJOJQJU^JaJhsZCJaJ)jhsZCJOJQJU^JaJhsZCJOJQJ^JaJ#jhsZCJOJQJU^JaJhsZCJOJQJ^JaJ 67:=>?@ƶ|vj\THT:T:hsZCJOJQJ^JaJhsZCJOJQJaJhsZCJaJhsZCJOJQJ^JaJhsZ5\mHnHu hsZCJ hsZ5\hsZ hsZCJhsZCJOJQJ%jFhsZCJOJQJU^JhsZCJOJQJ^JjhsZCJOJQJU^JhsZCJOJQJ^JaJhsZCJaJjhsZCJOJQJUaJ%jhsZCJOJQJUaJ ^TTTNN$If ,$If],kd$$If4      O\ ") .0      ,4s4axf4@KLRSXYQVYhkrɻɘɊɻɂtlt^M hsZ5CJOJQJ\^JaJhsZCJOJQJ^JaJhsZCJaJhsZCJOJQJ^JaJhsZCJ aJhsZCJ OJQJ^JaJhsZCJOJQJ^JaJ hsZ5\hsZCJOJQJ^JaJhsZCJOJQJ^JaJhsZCJaJhsZCJaJmHnHuhsZCJOJQJaJhsZCJOJQJ^JaJhsZCJaJa[[[QCQ U$If^ $If^$Ifkd$$If      \ ")   40      ,4s4axwq$If($If($Ifxkd $$If      0")%(0      ,4s4ax56KLZ[\^uv˭v_TCv!hsZCJOJQJ^JmHnHuhsZCJmHnHu,jhsZCJOJQJUmHnHuhsZCJOJQJmHnHu&jhsZCJOJQJUmHnHu'h6x5CJOJQJ\^JmHnHu'hsZ5CJOJQJ\^JmHnHuhsZOJQJ^J hsZ5CJOJQJ\^JaJhsZCJaJhsZEHOJQJ^JaJhsZCJEHOJQJaJtj ($Ifkd$$If      Fn!")i$"(0      ,    4s4ax8KuY[|rrrrrrr|h %$If]% ,$If],%$If]%^ ,$If],gd6xhkd$$If4      r), 0      ,4s4axf4 ʹժʹժ|ժժeʹժN,j' hsZCJOJQJUmHnHu,j hsZCJOJQJUmHnHu,j= hsZCJOJQJUmHnHu,jhsZCJOJQJUmHnHuhsZCJOJQJmHnHu!hsZCJOJQJ^JmHnHuhsZCJmHnHu&jhsZCJOJQJUmHnHu,jUhsZCJOJQJUmHnHu,-.0@YZ[ߘ}r[D,j hsZCJOJQJUmHnHu,j hsZCJOJQJUmHnHuhsZCJmHnHuhsZCJmHnHujhsZCJUmHnHu!hsZCJ OJQJ^JmHnHu,j hsZCJOJQJUmHnHu&jhsZCJOJQJUmHnHuhsZCJmHnHu!hsZCJOJQJ^JmHnHuhsZCJOJQJmHnHuRi ($If $If^$If $Ifgd6x$If %$If]% 1QRS̻}n\G\)j hsZCJOJQJU^JaJ#jhsZCJOJQJU^JaJhsZ>*CJOJQJ^JaJhsZCJOJQJ^JaJ"jhsZCJUaJmHnHuhsZCJaJhsZCJOJQJ^JaJhsZCJaJ hsZ5CJ OJQJ\^JaJhsZ5CJ\aJhsZOJQJ^JaJhsZCJmHnHu!hsZCJOJQJ^JmHnHu7?@NOPQTWXfghijXCX)jPhsZCJOJQJU^JaJ#jhsZCJOJQJU^JaJ)j hsZCJOJQJU^JaJhsZCJOJQJ^JaJhsZ5CJ\aJhsZCJmHnHu hsZ5CJOJQJ\^JaJhsZCJaJhsZCJOJQJ^JaJ)ju hsZCJOJQJU^JaJhsZCJOJQJ^JaJ#jhsZCJOJQJU^JaJno(qgaaaaaaaa$If ,$If],kd $$If4      F)` `0      ,    4s4axf4 iklmnop ñ꣔}}k]Hk]k])jhsZCJOJQJU^JaJhsZCJOJQJ^JaJ#jhsZCJOJQJU^JaJhsZCJaJhsZ>*CJOJQJ^JaJhsZ>*CJOJQJ^JaJhsZCJOJQJ^JaJ"jhsZCJUaJmHnHuhsZCJaJhsZCJ OJQJ^JaJ hsZ5CJOJQJ\^JaJhsZCJOJQJ^JaJhsZCJaJ ")?@ABCD_`abc´´m^OHB,*jhsZCJOJQJU^JmHnHu hsZCJ hsZ5\hsZ5CJOJQJ\^JhsZ5CJOJQJ\^J0jhsZ5CJOJQJU\^JmHnHu hsZ5CJOJQJ\^JaJhsZ>*CJOJQJ^JaJhsZCJOJQJ^JaJhsZCJOJQJ^JaJhsZCJaJhsZCJOJQJ^JaJ#jhsZCJOJQJU^JaJ)j<hsZCJOJQJU^JaJ(BC`i] %$If]%kd$$If4      F)      0      ,    4s4axf4$If`abxx$If$If%$If]%^ekd$$If      ),  0      ,4s4ax covwxz ]`wx{{tnbh~LCJOJQJ^J h~LCJ hsZ>*CJhsZOJQJ^JhsZOJQJ^Jh~L5OJQJ\^JhsZ5CJOJQJ\^JhsZ5OJQJ\^JhsZOJQJ\^J*jhsZCJOJQJU^JmHnHuhsZ>*OJQJ^JhsZCJOJQJ hsZCJhsZCJOJQJ^J!x[\|}θ΢xrlxeVeVJhsZCJ OJQJ^JhsZ5CJOJQJ\^J hsZ5\ hsZCJ hsZCJhsZCJOJQJ^JhsZCJOJQJ^J hsZCJhsZCJOJQJ^J*jhsZCJOJQJU^JmHnHuhsZCJOJQJ^JaJhsZCJaJhsZCJOJQJ^JaJ.jhsZCJOJQJU^JaJmHnHuhsZOJQJ^JaJ[y%($If]%xkdb$$If      0)  0      ,4s4ax[\|}~!vll %$If]%%($If]%^$If$If($Ifekd$$If      ),  0      ,4s4ax }~!"8CDE]^m%'56EFlmno{ٽٱٱٱ٤٘hsZCJOJQJ^JhsZhsZ5CJ\hsZCJOJQJ^JhsZCJOJQJ^J hsZCJhsZOJQJ^JhsZCJOJQJ^JhsZ5CJOJQJ\^JhsZCJOJQJ^J;!D]%5FXmn{ $IfgdL. $$Ifa$ $($Ifa$$If %<$If]% %($If]% %$If]%{| "#'2348CDFJUVW[fghx¹Ԛvpvpvpvj hsZCJ hsZCJ hsZCJ OJQJ^JhsZ5CJ OJQJ\^JhsZ5CJ \hsZ5CJOJQJ\^JhsZ5CJ\ hsZ5\hsZ5CJ\ hsZCJhsZCJ OJQJ^JhsZ5CJOJQJ\^JhsZCJOJQJ^J hsZ5CJOJQJ\^JaJ& ($Ifkd$$If      \V V)Q    V  b  0      ,4s4ax$If"#'-348>D~ $$Ifa$$If ,$If],hkd$$If4      ),  0      ,4s4axf4DFJPVW[aghpx~($If,V$If],^V $($Ifa$ ,$If],$If $$Ifa$$Ifx}~    W̹չ~~r~~r~~r~~rfhsZCJ OJQJ^JhsZCJ OJQJ^JhsZCJ OJQJ^JhsZCJ OJQJ^J hsZ5\hsZ5CJ\%hsZ5B*CJOJQJ\^Jph%hsZ5B*CJ OJQJ\^JphhsZ5CJ \hsZ5CJ OJQJ\^J hsZCJ hsZCJ aJhsZCJ OJQJ^JaJ%FfFf% ,$If],$IfFf    $IfFfY&Ff" %$If]% ,$If],$If WXYZyNI?? ,$If],kd($$If4      F&)`          Y 0      ,    4s4axf4p  %<$If]% %($If]%WXYZxyzLMNOQR45689KIJwneReFhsZCJOJQJ^J$jhsZ5CJU\mHnHuhsZ5CJ\hsZ5CJ\hsZCJOJQJ^JhsZ5CJOJQJ\^J%hsZ5B*CJOJQJ\^JphhsZCJ OJQJ\^J"jhsZCJ OJQJU\^JhsZB* CJOJQJ^Jph%hsZ5B* CJOJQJ\^Jph hsZCJ hsZ5\hsZCJ OJQJ^JNOPQaTT $,$If],a$kd)$$If4      F&)         Y 0      ,    4s4axf4p QR5%$If]%hkd*$$If4      ), 0      ,4s4axf45678:k{{{k{%V($If]%^V$If %($If]% ,$If],hkd+$$If4      b), 0      ,4s4axf4   : ; < = R W X _ ̾򤕅xl`TF<hsZB*CJphhsZB*CJOJQJphhLQB*OJQJphhaB*OJQJphhsZB*OJQJph hsZ5\ hsZCJjhsZCJUmHnHuhsZ>*CJOJQJ^JaJhsZCJaJhsZCJOJQJ^J hsZCJhsZCJOJQJ^JaJ.jhsZCJOJQJU^JaJmHnHuhsZCJOJQJ^JaJhsZCJOJQJ^JaJ : ; < = URLG$a$$gdLQ$kdf,$$If4      F k)  M 0      ,    4s4axf4 ,$If], %<$If]%$If_ !!!%!V!W!m!o!p!!:";"""""R#S#w######$*$m$n$ýýwpgpgpw[hsZCJOJQJ^JhsZ>*CJ\ hsZCJ\hsZ5CJOJQJ\^JhsZCJOJQJ^J hsZCJhsZ5CJ\ hsZCJhsZ5>*CJ\hsZCJ OJQJ^J hsZCJhsZ5CJ\hsZ5CJ\ hsZCJhsZ5>*CJ \hsZ>*CJOJQJ^JhsZ>*CJOJQJ^J# !V!W!o!p!!:";"""""R#S###m$n$ & F"$If$If^` $If^ & F%$If $If^$If$a$n$$$P%iK & F$Eƀh.IfK & F$Eƀh.IfK & F$Eƀh.Ifn$P%Q%d%q%r%%H&J&L&M&k&`'a'b'd'e'x'''(())))*****潭}reXNNhsZCJ mH sH hi5CJ \mH sH hsZ5CJ \mH sH hsZ>*CJ mH sH hB75CJ \ hsZCJ hsZ5CJ \hsZ5>*CJ \ hsZ5CJ hsZ5CJ jhsZCJUmHnHu hsZ5CJhsZCJOJQJ^JaJ h`CJ h)05CJ hsZ5CJ hsZCJhsZCJOJQJ^J hsZ5CJP%Q%L&M&`'a'e',())**+,8-&... $If` $Ifgdi $If^gdB7$If $If^$If & F"$If $If^ & F"$Ifgd` $If^****++#+A+G+_+++,:,=,J,s,x,y,,,,,,,,,羲~l~c~P$jhsZB*CJ UmH phsH hsZ0J>*CJ "j=-hsZB*CJ UphjhsZB*CJ UphhsZB*CJ ph hsZCJ hiCJ hsZ5CJ OJQJ\^JhB7CJ OJQJ^JhsZCJ OJQJ^JhsZ5>*CJ OJQJ\^JhB7>*CJ OJQJ^JhsZ>*CJ OJQJ^J hsZCJ hsZCJ ,---#-$-5-8-{--- .R.k...../F0H00031711111Ȼȵ|papUpUpIaphsZCJOJQJ^JhLQCJOJQJ^JhsZ5CJOJQJ\^JhsZCJOJQJ^JhsZ5>*CJOJQJ\^J$jhsZ5CJU\mHnHu hsZCJ hsZCJ hsZCJ mH sH  hsZCJ hsZ0J>*CJ mH sH $jhsZB*CJ UmH phsH *j-hsZB*CJ UmH phsH hsZB*CJ mH phsH ./F0113333555.6/666$-DIfM $-DIfM gda$$-DIfM a$$If $IfgdSt $If^ $IfgdLQ & F $ t<($If^` <$If`11 2 222"222333333555556-6.6/6蜉rcTcEhsZ6CJOJQJ]^Jha6CJOJQJ]^JhsZ6CJOJQJ]^JhsZ6OJQJ]^JhsZOJQJ^J$jhsZ5CJU\mHnHu*jhsZCJOJQJU^JmHnHuhsZ5CJOJQJ\^JhsZ5CJOJQJ\^JhLQCJOJQJ^JheCJOJQJ^JhsZCJOJQJ^Jh/CJOJQJ^J/6666666$7%7&7V7W7X7Y7e7777777ַxfVJ7$jhsZ5CJU\mHnHuhsZCJOJQJ^JhsZB*CJOJQJ^Jph"hsZ>*B*CJOJQJ^JphhsZCJ OJQJ^J hsZCJhsZ0JCJOJQJ^J%j.hsZCJOJQJU^JhsZCJOJQJ^JjhsZCJOJQJU^JhsZ5CJOJQJ\^JhsZCJOJQJ^JhsZ5CJOJQJ\^JhsZ5CJOJQJ\^J6X7Y777<8=8>8~999y:;yyyyym $If$If]kdV/$$Ifl&# +,0,64 la|$<$-DIfM a$$-DIfM 7<8=8>8~9999:::,:-:.:/:7:8:C:D:R:öÉyaRCÉyhsZ5CJOJQJ\^JhsZ5CJOJQJ\^J.j/hsZ5>*CJOJQJU\^JhsZ5>*CJOJQJ\^J(jhsZ5>*CJOJQJU\^JhsZ5CJ\hsZ5CJOJQJ\^JhsZ>*CJOJQJ^JhsZ5CJOJQJ\^JhsZ5CJ\hsZ5CJ\hsZ>*CJOJQJ^JhsZ6CJOJQJ]^JR:S:T:U:\:]:y:z:::::::: ;;;d;e;;;#<:<Q<[<c<Ļē{{{rlbVlPllDhsZCJOJQJ^J hsZCJhsZCJOJQJ^JhsZ5>*CJ\ hsZCJhsZ5CJ\hsZ5CJ\hsZ5CJOJQJ\^J0jhsZ5CJOJQJU\^JmHnHuhsZ5CJOJQJ\^JhsZ5CJ\hsZ5CJOJQJ\^J(jhsZ5>*CJOJQJU\^J.jb0hsZ5>*CJOJQJU\^J;;;<T==Q@R@T@zq$,],a$]kd0$$IflZ  +,0,64 la| <$If d$If $Ifc<}<<<<<<<<<<<<< = =2=3=S=T=====P@Q@ռռ褭褭ujajXQK hsZCJ hsZ5CJhsZ5>*CJhsZ5CJ \hsZ5CJ \^JhsZ5CJ\^JhsZ5CJ\^JhsZ5CJ\^J hsZCJhsZCJ^JhsZ5CJ\hsZ5CJOJQJ\^J0jhsZ5CJOJQJU\^JmHnHu$jhsZ5CJU\mHnHuhsZ5CJOJQJ\^JhsZ5CJ\Q@R@T@hsZ5B*CJOJQJphhsZCJOJQJ^J0&P1h/ =!"#$%@ 0&P1h/ =!`"`#$% tDeCheck1tDeCheck2tDeCheck3tDeCheck4vDeCheck22tDeCheck51$$If!vh5555.#v#v#v#v.:V 4O0      ,5555./  / / / / / 44s4axf41$$If!vh55554#v#v#v#v4:V 0      ,,55554/  / / / /  / 44s4ax$$If!vh5%5(#v%#v(:V 0      ,,5%5(/ / / 44s4ax$$If!vh5i$5"5(#vi$#v"#v(:V 0      ,,5i$5"5(/ /  / / / / 44s4ax$$If!vh5,#v,:V 4r0      ,5,/ /  /  44s4axf4tDeCheck6tDeCheck7tDeCheck8tDeCheck9vDeCheck10vDeCheck11vDeCheck12vDeCheck14vDeCheck15vDeCheck16vDeCheck17$$If!vh5 55#v #v#v:V 40      ,++5 55/ / 44s4axf4vDeCheck18vDeCheck19vDeCheck20vDeCheck21$$If!vh5 55#v #v#v:V 40      ,++5 55/ / /  44s4axf4$$If!vh5,#v,:V 0      ,5,/  /  44s4ax$$If!vh5 5 #v #v :V 0      ,5 5 /  44s4ax$$If!vh5,#v,:V 0      ,5,/  /  44s4ax$$If!vh5Q 5 5V 5b #vQ #v #vV #vb :V 0      ,5Q 5 5V 5b /  44s4ax$$If!vh5,#v,:V 40      ,5,/  /  44s4axf48$$If!v h55c55X5H5555 5 #v#vc#v#vX#vH#v#v#v :V 4 d0      ,55c55X5H555 /  44s4axf4pdkdp$$If4       HpX $&)  c    X  H             d0      ,((((4s4axf4pdo$$If!v h555c55X5H555 5 5 #v#v#vc#v#vX#vH#v#v #v :V 40      ,, 555c55X5H55 5 /  44s4axf4Ikd$$If4       HpX $&)    c    X  H            0      ,,,,,4s4axf4o$$If!v h555c55X5H555 5 5 #v#v#vc#v#vX#vH#v#v #v :V 40      ,, 555c55X5H55 5 /  44s4axf4Ikdp$$If4       HpX $&)    c    X  H            0      ,,,,,4s4axf4o$$If!v h555c55X5H555 5 5 #v#v#vc#v#vX#vH#v#v #v :V 40      ,, 555c55X5H55 5 /  44s4axf4Ikd,!$$If4       HpX $&)    c    X  H            0      ,,,,,4s4axf4o$$If!v h555c55X5H555 5 5 #v#v#vc#v#vX#vH#v#v #v :V 40      ,, 555c55X5H55 5 /  44s4axf4Ikd$$$If4       HpX $&)    c    X  H            0      ,,,,,4s4axf4#$$If!vh555#v#v#v:V 4 Y 0      ,+555/  /  /  /  44s4axf4p )$$If!vh555#v#v#v:V 4 Y 0      ,+,555/  /  /  /  44s4axf4p $$If!vh5,#v,:V 40      ,5,/  / 44s4axf4$$If!vh5,#v,:V 4b0      ,5,/ /  44s4axf4$$If!vh555M #v#v#vM :V 40      ,555M /  44s4axf4DyK yK 0mailto:TA.Navy@navy.milDyK yK 4mailto:TA.Marine@navy.milDyK yK bhttps://www.navycollege.navy.mil/ncp/findnco.cfm$$If|!vh5,#v,:V l&#0,65,/ 4a|vDeCheck23vDeCheck24$$If|!vh5,#v,:V lZ 0,65,/ / 4a|L@L Normal$CJOJQJ^J_HaJmH sH tH N@N Heading 1$@&5CJOJQJ\^JaJN@N Heading 2$@&5CJOJQJ\^JaJV@V Heading 3$@&^5>*CJOJQJ\^JDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List :O: Main Title >*CJ$\J>@J Title$<@&a$5CJ KH\aJ \C@\ Body Text Indent ^5CJOJQJ^JaJFQ@"F Body Text 3CJOJQJ^JaJ>B@2> Body TextCJOJQJ^J^P@B^ Body Text 25$7$8$9DH$`CJOJQJ^JaJ@ @R@ Footer  ! OJQJ^J6U@a6 Hyperlink >*B*phH@rH  Balloon TextCJOJQJ^JaJFV@F FollowedHyperlink >*B* phRYR  Document Map-D M OJQJ^J=T821Tvxy(*+,-./0134b+,6GHcuvw       8 K u  Y [ R i no(BC`abxx[\|}~!D]%5FXmn{"#'-348>DFJPVW[aghpx~    WXYZyNOPQR5678:k :;<=VWop:;RSmnPQLM`ae, !!""#$8%&&&&'F())++++---../...X/Y///<0=0>0~111y23334T55Q8R8V80000000000000000000 000000000 000000000 00000000000 0 00000000000000000000000000000000 0 000000 0 0 0000000000000000 0000 0 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 00000000000000000000000000000=0=0=0=0=0=% 0=0=0=% 0=0=% 0=0=" 0=0=" 0=0=" 0=0= 0= 0= 0=0=" 0=0=" 0=0=0=0=0=0=0=0=0=0=0=0=0=0=0= 0=000000000000000000 0 000000000000 0 0vcv@icx}{xW_ n$*,1/67R:c<Q@T@!$&()+.124578;<?AEIMORTUWXZ[]^H(`[!D NQ5 n$P%.6;T@"%'*,-/0369:=>@BCDFGHJKLNPQSVY\T@#w  K [ u   - ?OWgyLx$$$$%#%.%/V/2-2C2S2T8G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G G$G$G$G$G$XXXG$G$ p0e0e     A5% 8c8c     ?1 d0u0@Ty2 NP'p<'pA)BCD|E||S"@# B(  "b  #  % #" TB & C D# # TB ' C D   HB @@ C DNB  S D>zB  < D?"tB  6 D?"tB  6 D?"zB  < DV?"zB @ < DV?"zB @ < DV?"zB  < DV?"tB  6 D?"tB  6 D?"tB  6 D?"tB  6 D?"tB  6 D?"tB  6 D?"tB  6 D?"tB  6 D?" tB  6 D?" tB  6 D?" tB  6 D?" tB  6 D?"tB  6 D?"tB  6 D?" zB  < D>?"zB  < D>?"tB  6 D?"tB  6 D?"tB  6 D?"tB  6 D?"zB  < D>?"zB  < D>?"B S  ?v(1bY R oCbxy8 a&---/y24444T8%Ot""t; ;t 00t@t}BBttttO0w 0to/t/ t@,tt0tXtq tYt t[Kt t+t+t++t+2+t?+?tb+bt,+t4uutu@+ut~uut~uutCheck1Check2Check3Check4Check22Check5Check6Check7Check8Check9Check10Check11Check12Check14Check15Check16Check17Check18Check19Check20Check21Check23Check24x L v  @X2D2V8  \  . Ph.2T2V8cTg)ldTg)L"eTg)"fTg)XgTg)XhTg)FiTg)4GjTg)DkTg)lTg)!mTg)!nTg)4!oTg)pTg)4qTg)trTg)sTg),"tTg)l"uTg)"vTg)"wTg),"xTg)l"yTg)"zTg)"{Tg) "|Tg)L"}Tg)"~Tg)"Tg) "Tg)L"Tg)"   )118aak9&9&D&G&....000$0V8     (//7>>jqqB&F&Q&Q&....0#0*0*0V8   9 *urn:schemas-microsoft-com:office:smarttagsState8 *urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplaceB*urn:schemas-microsoft-com:office:smarttagscountry-region=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType> *urn:schemas-microsoft-com:office:smarttags PostalCode q 8?@klwx   ()/1679:    6 8 ? @ \ ^ _ a     . 0 1 3 Z [ ] ^ PQTi   ]afg"#$%YZbeX_fgqrtuJMOP, !""""#####A#I#J#T#U#]#_#=$J$P$Q$X$Y$((((7)8)>)?))))) * *******!*"*'*(*.*/*T*U*X*Y*\*]*_*`*f*g*j*k*p*q*s*t*w*x*~************----......".#.%.&.-.x.z.{.X/e/h/i/.2/272U2:4Q4U4V4Z44V81Pg~;Iny V833333331R =Q;nQ S8V8V8%oUA n۰- $` ~x $ :lo[#榚t*ahCSA-\z#$d-k-N~V0O8TF1H_3,;':F. !b=֣x2'~BԖ5C dJ&7p|S։T&\xj_NEa6w]pe 'e:g2V9 hPuph{EKijX( RRvk$(qZb MWrh0D=?Js+` otb4(9vfd%'zNK{ )|R5 8^` o(.^`o(.$ $ ^$ `5o(.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`5o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.xx^x`o(.HH^H`.L^`L.^`.^`.L^`L.X X ^X `.(#(#^(#`.%L%^%`L.PP^P`o(.  ^ `.L^`L.  ^ `.  ^ `.`L`^``L.00^0`.^`.L^`L.hhh^h`o(.h 88^8`OJQJo(oh ^`OJQJo(h   ^ `OJQJo(h   ^ `OJQJo(oh xx^x`OJQJo(h HH^H`OJQJo(h ^`OJQJo(oh ^`OJQJo(88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.^`5o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.88^8`o(.##^#`o(.^`.L^`L.  ^ `.c c ^c `.3L3^3`L.^`.^`.L^`L. 8^` o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L. TT^T`OJ QJ o(^`CJOJQJo(n ^`OJ QJ o(- QQ^Q`OJQJo( ^`OJQJo( ^`OJQJo( M M ^M `OJQJo(   ^ `OJQJo(   ^ `OJQJo(8^`o()^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.88^8`5o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.PP^P`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`5o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.##^#`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.P^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.hhh^h`.h88^8`.hL^`L.h  ^ `.h  ^ `.hxLx^x`L.hHH^H`.h^`.hL^`L.p^`OJPJQJ^Jo( ^`OJQJo(o pp^p`OJQJo( @ @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o PP^P`OJQJo(PP^P`o(.  ^ `.L^`L.  ^ `.  ^ `.`L`^``L.00^0`.^`.L^`L.h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(hP^`o(.h@ @ ^@ `.hL^`L.h^`.h^`.hL^`L.hPP^P`.h  ^ `.hL^`L.88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.PP^P`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`5o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.hh^h`o(.^`.L^`L.  ^ `.U U ^U `.%L%^%`L.^`.^`.L^`L.hhh^h`.h88^8`.hL^`L.h  ^ `.h  ^ `.hxLx^x`L.hHH^H`.h^`.hL^`L.88^8`5o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.0^`0o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.88^8`o(.h^`5o(.h^`.hpLp^p`L.h@ @ ^@ `.h^`.hL^`L.h^`.h^`.hPLP^P`L.88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.^`5o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.%q=?Js$` SA-` ot%'z_3'e:gp|SF1~V0 )|t*MWr !b=9 hj_'::k-oUA $d-RRvk]pex $dJ&\Kij5CK{4(9v- o[#ph'~Ba%%'|;Ip               ]ȸ        |;                         L        |;        '        F(J        פ1                 >&X        ]ȸ        *        |;        sR                          ]ȸ                 2fn        Z[        ]ȸ        R        |;                         U                 ȶ           @ @ @! iAO q6x.%L.)0~L:XOvil.sStLQeYFvY-B7,[J`easZ`5>vG)/|jv(3G     BC`ax[\F"3DVg    WXYZyNOQR56;<<0=0Q8R8V8""""""""""""""@T8P@Unknowncarol.r.thompson Gz Times New Roman5Symbol3& z ArialABook Antiqua71 Courier?5 z Courier New;& z Helvetica5& z!Tahoma;WingdingsO9999999Courier New"1 h L Lӹfh/fh/f!x24d8888S 2QHP)?/*JC:\WINNT\Temporary Internet Files\OLK12\taform1560-3 revised 21 Apr 04.dotNETPDTC 1560/ TA ApplicationNCPsandy.robinson%                           ! " # $ Oh+'0  8D d p |  NETPDTC 1560/ TA ApplicationNCP taform1560-3 revised 21 Apr 04sandy.robinson2Microsoft Office Word@F#@|D}@8#@8#h/՜.+,D՜.+,H hp|  f88 NETPDTC 1560/ TA Application Title 8@ _PID_HLINKSAhM41https://www.navycollege.navy.mil/ncp/findnco.cfmo 1mailto:TA.Marine@navy.mil.mailto:TA.Navy@navy.mil  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_abcdefghijklmnopqrstuvwxz{|}~Root Entry FK#Data `|11Tabley(WordDocumentdSummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q