SWO(N) DUTY PREFERENCE & EXPERIENCE …N) DUTY PREFERENCE & EXPERIENCE SURVEY ... PRINCIPLE PURPOSE:...
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SWO(N) DUTY PREFERENCE & EXPERIENCE SURVEY NAVPERS 1331/6 (Rev. 12-2011) Governing Directive BUPERSINST 1540.41C FOR OFFICIAL USE ONLY- PRIVACY SENSITIVE Page 1 of 3 12. Comments : (Indicate whether homeport or billet preference is more important. Provide any other information that would affect your next set of orders (more than 3 dependents, dependent(s) in EFM program, etc).) DUTY PREFERENCES FOR NEXT CVN ASSIGNMENT PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. 5013, Secretary of the Navy; and E.O. 9397 (SSN). PRINCIPLE PURPOSE: To identify and assign Navy-Marine Corps members in worldwide locations in order to provide support for contingency operations, mobilize and demobilize reserve members, and submit requirements for personnel. ROUTINE USE: Department of the Navy employees involved in the administering the purpose identified above. DISCLOSURE: Voluntary. However, failure to provide the requested information may inhibit mobilization, continued mobilization support, or demobilization actions. INSTRUCTIONS Answer the following questions about your preferences and past experience. DO NOT INCLUDE CLASSIFIED INFORMATION (exam performance, etc). Where necessary, estimate dates to the best of your ability. Press the "Submit by Email" button to automatically generate an email to send your Form to your SWO(N) Detailer. Alternatively, print the completed form and fax it to PERS-412N (for PA assignments) or PERS-424/41N(for ARO and RO assignments). Fax: (901) 874-2758. CURRENT CONTACT INFORMATION 1. Name : 8. Home Phone : 2. Today's Date (DD MMM YYYY) : 7. Work Phone : 3. Command : 5. Work Email : 6. Home Email : 4. Billet : 9. Mobile Phone : (Bottom) 5. 10. Home Port (Provide Top 3 at Minimum) (Top) 1. 2. 3. 4. 11. Billet (Provide Top 3 at Minimum) (Top) 1. 2. 3. 4. (Bottom) 5. NUCLEAR POWER TRAINING UNIT (NPTU) QUALIFICATION EXPERIENCE ( Officer Student ) 13a. NPTU 13b. Plant 13c. Start Date (MMM YYYY) 13d. End Date (MMM YYYY) ( Enlisted Student as Applicable ) 14a. NPTU 14b. Plant 14c. Start Date (MMM YYYY) 14d. End Date (MMM YYYY)
Transcript of SWO(N) DUTY PREFERENCE & EXPERIENCE …N) DUTY PREFERENCE & EXPERIENCE SURVEY ... PRINCIPLE PURPOSE:...
SWO(N) DUTY PREFERENCE & EXPERIENCE SURVEY NAVPERS 1331/6 (Rev. 12-2011) Governing Directive BUPERSINST 1540.41C
FOR OFFICIAL USE ONLY- PRIVACY SENSITIVEPage 1 of 3
12. Comments : (Indicate whether homeport or billet preference is more important. Provide any other information that would affect your next set of orders (more than 3 dependents, dependent(s) in EFM program, etc).)
DUTY PREFERENCES FOR NEXT CVN ASSIGNMENT
PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. 5013, Secretary of the Navy; and E.O. 9397 (SSN). PRINCIPLE PURPOSE: To identify and assign Navy-Marine Corps members in worldwide locations in order to provide support for contingency operations, mobilize and demobilize reserve members, and submit requirements for personnel. ROUTINE USE: Department of the Navy employees involved in the administering the purpose identified above. DISCLOSURE: Voluntary. However, failure to provide the requested information may inhibit mobilization, continued mobilization support, or demobilization actions.
INSTRUCTIONS Answer the following questions about your preferences and past experience. DO NOT INCLUDE CLASSIFIED INFORMATION (exam performance, etc). Where necessary, estimate dates to the best of your ability. Press the "Submit by Email" button to automatically generate an email to send your Form to your SWO(N) Detailer. Alternatively, print the completed form and fax it to PERS-412N (for PA assignments) or PERS-424/41N(for ARO and RO assignments). Fax: (901) 874-2758.
CURRENT CONTACT INFORMATION1. Name :
8. Home Phone :
2. Today's Date (DD MMM YYYY) :
7. Work Phone :
3. Command :
5. Work Email :
6. Home Email :
4. Billet :
9. Mobile Phone :
(Bottom) 5.
10. Home Port (Provide Top 3 at Minimum)
(Top) 1.
2.
3.
4.
11. Billet (Provide Top 3 at Minimum)
(Top) 1.
2.
3.
4.
(Bottom) 5.
NUCLEAR POWER TRAINING UNIT (NPTU) QUALIFICATION EXPERIENCE
( Officer Student )
13a. NPTU
13b. Plant
13c. Start Date (MMM YYYY)13d. End Date (MMM YYYY)
( Enlisted Student as Applicable )
14a. NPTU
14b. Plant
14c. Start Date (MMM YYYY)14d. End Date (MMM YYYY)
SWO(N) DUTY PREFERENCE & EXPERIENCE SURVEY NAVPERS 1331/6 (Rev. 12-2011) Governing Directive BUPERSINST 1540.41C
FOR OFFICIAL USE ONLY- PRIVACY SENSITIVEPage 2 of 3
NUCLEAR BILLETS HELD (Include All DivO, PA, and Shore Jobs held for at least 1 Month)
15. Command 16. Billet 17. Start Date (MMM YYYY)
18. End Date (MMM YYYY) 19. Name of RO
List each billet held for longer than one month on a separate line and indicate the period billet was held in start/end date fields.
NUCLEAR QUALIFICATIONS COMPLETED
21. Command20. Qualifications 22. Date Qualified (MMM YYYY) 23. Months Onboard AFTER Qual
NUCLEAR SHIPYARD / MAJOR MAINTENANCE EXPERIENCE HISTORY
26. Ship 27. Billet 28. Start Date (MMM YYYY)
29. End Date (MMM YYYY)24. Availability Type 25. Shipyard
Start and end dates relate to your time assigned a specific billet during the associated maintenance availability. Make multipl eentries for multiple billets as applicable for a given maintenance period.
NUCLEAR EXAMINATION and INSURV EXPERIENCE HISTORY
31. Ship 32. Billet 33. Date (MMM YYYY)30. Exam Type 34. Drill Team Role 35. Watch Team Role
Data is collected to assess past drill team, watch team, and other involvement. NPC does not maintain or consider ship or individual exam performance.
SWO(N) DUTY PREFERENCE & EXPERIENCE SURVEY NAVPERS 1331/6 (Rev. 12-2011) Governing Directive BUPERSINST 1540.41C
FOR OFFICIAL USE ONLY- PRIVACY SENSITIVEPage 3 of 3
NUCLEAR - POWERED SHIP DEPLOYMENT EXPERIENCE HISTORY
36. Ship 40. Billet(s) Held on Deployment38. Start Date (MMM YYYY)
39. End Date (MMM YYYY)37. Deployment AOR(s)
Start and end dates relate to your time on deployment (and not the ship's if you reported or detached while deployed).
NUCLEAR SHORE TOUR EXPERIENCE HISTORY
41. Command 45. List Significant / Unique Experience Gained43. Start Date (MMM YYYY)
44. End Date (MMM YYYY)42. Billet
If you held multiple billets at one shore command, list each held for longer than one month on a separate line.
46. Other General Comments : (Please include any additional comments that you would like about your preferences and your previous experience.)
