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 - example: 3,5, and 2	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