Silver Mariner Award

Nominator Information

This information is the person submitting the nomination.

First Name: Required Field

Last Name: Required Field

Preferred Email: Required Field

Class Year: Required Field

Phone Number:

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I reviewed and understand all criteria for this award. Required Field

Nominee Information

This information is for who you are nominating.

First Name: Required Field

Last Name: Required Field

Class Year: Required Field

Email:

Phone Number:

Sailing Information

Type:

Type: Master
Chief Engineer
Pilot
Military

Years Sailed:

Highest License Achieved (Dates Received)

Use the calendar icon to the right of the field to select date.

Third:

Second:

Chief/First:

Master/Chief:

Upload Copy/Photo of License:

Sailing History

Please list chronologically vessels sailed, with which license, and time/dates sailed (minimum of one/year):

Sailing History: Required Field

Upload Excel Template (If applicable):

Active Duty History

Years Active Duty: