Official U.S. Navy SEAL Information Web Site

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..:: NC Worksheet SEAL Online Form ::..

PST

NOTE: This form is for use by active duty Navy Career Counselor (NC) personnel only. Your Navy.mil email address will be verified. The information you provide is being sent via email, as an Outlook form, and not through a web server. CAC security and HTTPS are not required.

In addition, for security purposes this form must be e-mailed from your Navy.mil e-mail address (e.g. john.doe@someship.navy.mil). Once submitted the form will be directed to the SEAL Motivators using your Microsoft Outlook © account. No information other than what you provide will be collected. Please fill out all required form fields.

For privacy policies pertaining to the information you are submitting, please read the Privacy and Security notice. The information you provide will be handled in accordance with the Privacy Act of 1974.

Your request will not be processed unless it was sent via your Navy email account. The SEAL Motivators will verify your identity. You should first download and read the NC Worksheet in its entirety for complete instructions and details.

Candidate First Name:

Candidate Last Name:

Candidate SSN:

Candidate Date of Birth:

Candidate Age (Max 28yrs):

Candidate Email:

Candidate Rate/Rank:

Candidate Command:

Candidate Command Phone:

Candidate Command Location:

CCC or LCPO Name:

CCC or LCPO Email:

CCC or LCPO Phone:

ASVAB (SEAL): + + = (Min 165)    OR

ASVAB (SEAL): + + + = (Min 220)

(CCC, LCPO, or CCC only) Check one: Initials

Evaluation (3.0 or above in every category)?: Yes    No

NJP within last 12 months? (No waiver): Yes    No

Annual Health Assessment Completed?: Yes    No

Command Endorsement?: Yes    No

Waivers Needed?: Yes    No

(Applicant) Check one: Initials of Applicant

Obliserve 51 months after graduation?: Yes    No

Reapplying for Training?: Yes    No

CCC or LCPO comments (optional):

NOTE: After clicking "Send Request now", click Yes to allow form submission. Your request will be sent using your email address.

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