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Local reproduction of this form is authorized. CAP FORM 11 MAR 03 PREVIOUS EDITIONS WILL NOT BE USED AFTER 30 JUN 03 If needed continue on reverse. CIVIL AIR PATROL SENIOR MEMBER PROFESSIONAL DEVELOPMENT PROGRAM DIRECTOR S REPORT Submit this form immediately after completion of the school or course in accordance with reporting instructions in CAPR 50-17 CAP Senior Member Professional Development Pro g r a m* This form provides information for training record updates and for training awards and promotions. Forward this form through the wing commander for signature see NOTE 1 or mail or fax the completed form directly to NHQ CAP/ETP 105 South Hansell Street Building 714 Maxwell AFB AL 36112-6332 Phone 334-953-5798 Fax 334-953-4262 Check the course that applies. NHQ CAP/ETP will only credit students with the course s checked on this form* Orientation Course and Cadet Protection CLC RSC Cadet Protection Only NSC SLS Other Date s of Training Wing Location PLEASE TYPE/PRINT CLEARLY. CAPID NUMBER AND MEMBER S SIGNATURE ARE ESSENTIAL IN ORDER FOR NHQ CAP/ETP TO ENSURE MEMBERS RECEIVE PROPER CREDIT FOR THE COURSE* NAME CAPID CHARTER NO. SIGNATURE DIRECTOR S SIGNATURE WING COMMANDER S SIGNATURE NOTE 1 Wing commander s or designee s signature is required for processing SLS and CLC completion and credit. NOTE 2 For all courses send a copy of the CAPF 11 to the wing/region professional development officer if required by wing/region policy. CIVIL AIR PATROL SENIOR MEMBER PROFESSIONAL DEVELOPMENT PROGRAM DIRECTOR S REPORT Submit this form immediately after completion of the school or course in accordance with reporting instructions in CAPR 50-17 CAP Senior Member Professional Development Pro g r a m* This form provides information for training record updates and for training awards and promotions. Forward this form through the wing commander for signature see NOTE 1 or mail or fax the completed form directly to NHQ CAP/ETP 105 South Hansell Street Building 714 Maxwell AFB AL 36112-6332 Phone 334-953-5798 Fax 334-953-4262 Check the course that applies. Forward this form through the wing commander for signature see NOTE 1 or mail or fax the completed form directly to NHQ CAP/ETP 105 South Hansell Street Building 714 Maxwell AFB AL 36112-6332 Phone 334-953-5798 Fax 334-953-4262 Check the course that applies. NHQ CAP/ETP will only credit students with the course s checked on this form* Orientation Course and Cadet Protection CLC RSC Cadet Protection Only NSC SLS Other Date s of Training Wing Location PLEASE TYPE/PRINT CLEARLY. NHQ CAP/ETP will only credit students with the course s checked on this form* Orientation Course and Cadet Protection CLC RSC Cadet Protection Only NSC SLS Other Date s of Training Wing Location PLEASE TYPE/PRINT CLEARLY. CAPID NUMBER AND MEMBER S SIGNATURE ARE ESSENTIAL IN ORDER FOR NHQ CAP/ETP TO ENSURE MEMBERS RECEIVE PROPER CREDIT FOR THE COURSE* NAME CAPID CHARTER NO. CAPID NUMBER AND MEMBER S SIGNATURE ARE ESSENTIAL IN ORDER FOR NHQ CAP/ETP TO ENSURE MEMBERS RECEIVE PROPER CREDIT FOR THE COURSE* NAME CAPID CHARTER NO. SIGNATURE DIRECTOR S SIGNATURE WING COMMANDER S SIGNATURE NOTE 1 Wing commander s or designee s signature is required for processing SLS and CLC completion and credit.

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