NAVMC 11209 Form PDF Details

The NAVMC 11209 form is a critical document for the United States Marine Corps, serving as an Instructor's Course Record for water survival training. This form catalogs the nuanced details of marine training in various levels of water survival, ranging from basic to advanced courses. Each entry is privacy-sensitive, bearing a mark of FOUO (For Official Use Only) due to the personal information it contains once filled. The purpose of the form is multi-faceted, recording the progression and qualifications of Marines in water survival skills, denoted by specific level codes from unqualified to different levels of instructor qualifications, including the prestigious Marine Corps Instructor of Water Survival (MCIWS) and Marine Corps Instructor Trainer of Water Survival (MCITWS). These qualifications are essential for ensuring that Marines are prepared for aquatic scenarios they may face in duty. The form also details the various course types, their duration, and completion status, alongside the instructor's identification and certification expiration date, reinforcing its role in maintaining rigorous training standards. Distribution of the completed form is regulated, ensuring that it reaches only designated offices such as the Unit Diary, Commanding General of MCCDC, and local trainers, underlining the importance of confidentiality and precision in record-keeping within the Marine Corps. This document not only underscores the importance of water survival training within the Marines but also demonstrates how meticulous record-keeping contributes to the overarching goal of operational readiness and safety.

QuestionAnswer
Form Name NAVMC 11209 Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names usmc mcmap navmc 11432 form, new navmc 1432 course record, navmc 11209, navmac 11209 blank

Form Preview Example

Instructor's Course Record

NAVMC 11209 (12-09) (EF)

FOUO - Privacy Sensitive when filled in.

Report Control Symbol :

MC-1500-28

 

 

 

Unit SWM QUAL

 

Location of

 

 

 

 

 

 

Water Survival Training Level Codes

 

Training

 

 

 

 

0

- Water Survival unqualified

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MCITWS

 

 

Number

 

 

 

 

1

- Not Used

 

 

 

 

 

 

 

 

 

 

 

 

5

- Medical Waiver

 

 

 

 

 

 

 

 

Enrolled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

- Commanding General Waiver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MCIWS

 

 

Number

 

 

 

 

7

- Not Used

 

 

 

 

 

 

 

 

Passed

 

 

 

 

8

- Marine Corps Instructor of Water Survival (MCIWS)

 

 

 

 

 

 

 

 

9

- Marine Corps Instr. Trainer of Water Surv (MCITWS)

 

 

 

 

 

 

 

 

 

Refresher

 

 

Date Course

 

 

 

 

A - Water Survival Intermediate:

3 years

 

 

 

 

 

Began

 

 

 

 

B - Water Survival Basic Plus: 1 year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C - Water Survival Basic: 2 years

 

 

 

 

 

 

 

Date Course

 

 

 

 

 

 

 

QTR Report

 

 

 

 

 

 

D - Water Survival Advanced: 3 years

 

 

 

 

 

Completed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Instructor :

 

 

 

 

 

 

MCITWS Card No.

 

 

 

Certification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Expiration Date MM/YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rank Name: Last, First, MI

 

 

 

 

 

 

 

MOS

INSTR

 

CPR/PR

1st AID

Instructor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assistant Instructor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assistant Instructor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assistant Instructor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Trained To

 

WSU

 

WS-B

WS-B(+)

WS-I

WS-A

 

MCIWS

 

MCITWS

 

Total Trained

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Each Level

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grade

Name : Last, Initials

Last 4

Qual

Unit Address

Distribution : Original : Unit Diary

(2) CG MCCDC MCITWS CRS Only

(3) Local Trainer

(4) Instructor

FOR OFFICIAL USE ONLY

Adobe Designer 8.0

NAVMC 11209 (12-09) (EF) (Page 2)

FOUO - Privacy Sensitive when filled in.

Distribution : Original : Unit Diary

(2) CO MCCDC (TE32) (MCITWS CRS Only)

(3) Local Trainer

(4) Instructor

NAVMC 11209 (7-97) Addendum

Signature of Instructor :

MCITWS Card No.

Rank

Name : Last, Initials

Last 4

Qual

Unit Address

FOR OFFICIAL USE ONLY

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