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Flag Promotion Nomination Form

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*** THIS PROMOTION NOMINATION FORM IS SOLELY FOR THE RANK OF CAPTAIN / COLONEL . FOR ANY RANK ABOVE THESE, WE REDIRECT YOU TO THE FLEET FLAG PROMOTIONS FORM LOCATED HERE ***

Nominee information

Fill in the following information about the member you wish to nominate for flag promotion.
Name: Birthdate:    
Address:        
Address:        
City: State: Zip:
Phone Number: E-mail:

Nominee Starfleet Information

SCC Number: Time in Starfleet:
Current Rank: Time in Current Rank:
Current Chapter: Current Position(s):

Nominator Information

Fill in the following information about yourself, the member who is nominating another for flag promotion.
Name: Birthdate:    
Address:        
Address:        
City: State: Zip:
Phone Number: E-mail:

Nominator Starfleet Information

SCC Number: Time in Starfleet:
Current Rank: Time in Current Rank:
Current Chapter: Current Position(s):

Promotion Request

Recommend promotion to the following rank:

If approved, shall notification and certificate of promotion be sent directly to the nominee? Yes 
No
If "No" provide name and address where notification should be sent:
Name:    E-mail:
Address:        
Address:        
City: State: Zip:

Nominee Qualifications


Please review the information shown above before submitting your nomination. If you have left an item blank because you don't know the correct answer, please find it before submitting your nomination!