BOQSP Enrollment Form

Candidate's Personal Information
1.	Full Name:	Required - example: John P. Smith	Candidates full name. Example: John P. Smith
2.	EMPLID:	Required - example: 1089999	Candidates EMPLID. Example: 1089999
3.	Primary Email Address:	Required - example: johnsmith@home.com	An e-mail address that the candidate will most frequently check for mail. This may be a personal e-mail address. Example: johnsmith@home.com
4.	USCG Email Address:	Required - example: john.p.smith@uscg.mil	The candidates U.S. Coast Guard e-mail address. Example: john.p.smith@uscg.mil
5.	Daytime Phone:	Required - example: 843-999-1234	A phone number that the candidate can be reached during normal working hours. Example: 843-999-1234
6.	Evening Phone:	Required - example: 843-999-4321	A phone number that the candidate can be reached after normal working hours. Example: 843-999-4321
7.	Cell Phone:	Optional -example: 843-333-9879	The candidates cell phone number if available. Example: 843-333-9876
Candidate's Professional Information
8.	Grade/Rate:	Required - example: BM2	The candidates Grade or Rank. Example: BM2
9.	Status	Select One Title 10 Reservist EAD Reservist ADSW Reservist ADT Reservist Active Duty Required - example: BM2	Select your current status
10.	Current Law Enforcement Qualifications:	None USCG Boarding Officer USCG Boarding Team Member USCG CGIS Other LE Qualifications Required - Control + Click to select multiple choices	Select the candidates current law enforcement qualification. On Windows, you may hold down the 'Select' key and click multiple choices.
11.	Has established CPRL billet:	Yes   Selection required for Reservists No N/A   (active duty shall select N/A)	This block is for Reserve candidates only. Is the candidate on an established Contingency Preparedness Requirements List? Active duty shall select N/A.
Candidate's Unit Information
12.	CG Unit Assigned:	Required - example: Station Fort Lauderdale	Unit candidate is currently assigned. Example: USCG Station Fort Lauderdale.
13.	Active duty point of contact:	Required - example: BMC Gene Gibson	An Active duty supervisor of the candidate, that can be contacted by the MLE Academy during normal work hours. Example: BMC Gene Gibson.
14.	Phone number of unit active duty point of contact:	Required - example: 954-757-1234	The phone number to the person entered in block 15. Example: 954-757-1234
Candidate's Scheduling Information
15.	Will dedicate IDT/ADT to program:	Yes   Selection required for Reservists No N/A   (active duty shall select N/A)	This block is for Reserve candidates only. Reserve candidates must be able to commit significant time to this program. Active duty shall select N/A.
16.	BOPC Sessions available: View Sessions	Required to submit 03 convening dates	Enter the session number for the convenings your are able to attend in order of preference. Please use the link provided to access TQC web site for session numbers. Example: 3,5, and 2
17.	Will meet BOPC prerequisites.	Yes   Selection Required No	Candidate must meet all the prerequisites prior to attending BOPC.
Required Command Endorsement Information
18.	Rate/Rank and full name:	Required - example: LCDR John Jones	Name of person in Chain of Command authorized to endorse application. Example: LCDR John Jones
19.	Title:	Required - example: Executive Officer	Title of person in Chain of Command authorized to endorse this application. Example: Executive Officer
20.	USCG Email Address:	Required - example: john.p.jones@uscg.mil	USCG Email of person in Chain of Command authorized to endorse this application. Example: john.p.jones@uscg.mil
Additional Comments
	Additional Comments:		Please enter any amplifying information about any blocks on this form. Please reference the block number you are commenting about. Example: Block #9: I am a Federal Correctional Officer.
Submit Application for Command Endorsement