EmailMeForm
US Coast Guard Auxiliary District 11SR Prevention
DDC/DSO Report Form
Name
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First
Last
Email
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Date Time
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MM
/
DD
/
YYYY
Please list your District office
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Executive Summary
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3 Ups
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3 Downs
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Share the challenges you face
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Describe the progress you've made on your goals
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Summarize your future plans
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List any assistance you need from District Leadership, Staff or Active Duty
General Comments for District Leadership
