®

LAKE NORMAN SAIL AND POWER SQUADRON®
 Merit Mark Information Submission Form

 ®
 

Please help collect information for Merit Mark Awards !
(Submit before October 15, of the current year.)

  

The coveted “Merit Mark” (MM) is awarded by the Chief Commander to a member for substantial personal effort in furthering the interest, programs and objectives of USPS, its districts and squadrons. This form is provided as a convenience to report activity of a squadron member to assist the LNSPS Commander in compiling information to make recommendations for Merit Mark awards. Please help your Commander collect information on your (or your committee members') efforts, activity and participation in the Power Squadron this year. List all activities and positions held even though these may also be reported by Committee Chairs or other persons for you. Information on this form may be submitted to the Commander at any time during the year, but all information for the year should be in by 15 October so the Commander's report for the year can be filed with USPS.

Important: List activity name and date(s). Be as descriptive as possible regarding your involvement (i.e. position held, type of work done, # of calls made, # classes taught, # events worked on, # tests graded, etc...) and estimate the number of hours for each activity. Please review information in the USPS Operations Manual at: http://www.usps.org/national/om/pdfs/opsman16.pdf
Click Here for some tips about the sort of information needed by the commander

This information is used only for compiling information locally for use by the LNSPS commander to make recommendations to the Chief Commander of USPS and will NOT be distributed to anyone for non-Power Squadron purposes.

 When finished, click the "Submit to LNSPS Commander" button and your information will be automatically submitted. Thank you for taking the time to assist our commander in this endeavor.    The "*" indicates several fields that are required when submitting for us to process this document.)


<<If you don't wish to use this convenient electronic form, please CLICK HERE for a "Printer Friendly"  form, print it, and fill it in by hand and mail it to our Commander.>>

~ (Click or Scroll down for "On-Line" E-Mail form.) ~

Person submitting form                              Squadron Rank or Committee Chair
 If other than yourself, type name of submitter.              If other than self, indicate committee, etc.
  

Member Last Name,      First Name (or Initial)     Mid Name (or Initial)    Member Cert. #
,* ,*              *
In the items below, please include approximate dates and estimated time of involvement.
Individual Course(s) Taught, Dates and Time of Involvement:
Individual Class(es) Taught, Dates and Time of Involvement:
Courses/Classes Proctored or Assisted, Dates and Time of Involvement:
How did you assist with course or class?:
Squadron Committees Served on and number of Committee Meetings Attended:
District/National Committees Served on and number of Committee Meetings Attended:
Squadron Events of which you were in Charge (include time of involvement):
Squadron Events in which you Assisted and what did you do?
Public Relation Contacts you made (include time of involvement):
What Boating Public Service did you perform (include time of involvement):
Coop Charting Activity and # Reports Filed:
Geodetic Survey Activity and # Reports Filed:
Vessel Safety Check Activity - # Performed:
Number of Articles written for the Inland Seafarer or the Ensign:                                           
Number of Calls to Members informing about or encourage attendance at events: 
Please Record all Other Squadron, District or National Activities that you Attended, Directed, Managed, Planned or Assisted. Examples: Office held, Meetings, Boat Show, Predicted Log, Youth Day, Attic Sale, Ships Store, Raft-ups, Seafarer, etc.
Activity 1                          Date(s)           Description of Involvement                      Est. Time
Activity 2                          Date(s)           Description of Involvement                     Est. Time
Activity 3                          Date(s)           Description of Involvement                     Est. Time
Activity 4                          Date(s)           Description of Involvement                     Est. Time
Activity 5                          Date(s)           Description of Involvement                     Est. Time
(If you need to report more activities, then just submit additional forms.)
Home Phone (or other phone contact - ie. 704-123-1234)
 *
Email Address (username@your-isp.com)
Notes/Special Instructions/Additional Information
            
When you click "Submit", information supplied will be emailed to our Squadron Commander.

Note: All information is for confidential use by the LNSPS commander to assist him in recommendations for Merit Marks.
If you wish, you may print this form, fill in the information and send it by 'snail-mail' (US Postal).

Please check the information submitted for accuracy before clicking the "Submit" button.

      

Form design by Lt. Harriman H. Jett, AP (LNSPS)
© 2004-2007  Lake Norman Sail and Power Squadron®
Animation design for the USPS ENSIGN© by Pascal Gross, 1999; for the LNSPS Burgee© by Harriman Jett, 2000