Merit Mark Submission Form

Complete the below form. The completed form will be automatically e-mailed to the Commander and Bridge Officers. You will also receive a copy of the completed form via e-Mail (your confirmation of a completed submission).

Note: To qualify for a current-year merit mark, list only the activities performed during the current calendar year.

Questions regarding this form and its completion (how) may be directed to the Administrative Officer (administrative@minnetonkaps.org).

Your Name (required)

Your Certificate # (required) [XNNNNNN]

Your Email (required)

Committees - Hours Served:
Committees Served and Duties

Education - Hours Served:
Valid Submissions Include:
- Proctored Public Boating Classes (list classes and number of sessions)
- Squadron Classes Taught (list classes and number of sessions)
- Interviewed Public Boating Class Students (list number of interviews)
- Assisted with New Member Orientation Sessions (list session dates)
- List any Additional Education Work

Minneapolis Boat Show - Hours Served:

Safe Boating Week - Hours Served:

TonkaNAUTS - Hours Served:
List Articles Submitted

Streater Cove Maintenance Activities - Hours Served:
Docks-In (Y/N)
Docks-Out (Y/N)
List Maintenance Party Dates and Hours Spent

Entertainment Events - Hours Served:

List Events and Duties. Events Include Change of Watch, Fitting Out Party, Italian Night, Luau, Fourth of July, Shrimp Fest, Caribbean Night, Annual Meeting/Holiday Party, etc.

Vessel Safety Checks - Number of Inspections:

Description of Additional Qualifying Activities (Be Specific and List Hours for Each Task)

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Click this button to automatically send to the Commander

Form is due no later than 1 November 2012
Commander Keith Kask, AP
E-mail: commander@minnetonkaps.org
Phone: 952-842-1109