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3rd Mate/Assistant Engineer Application Forms:

The following forms apply to the 3rd Mate and 3rd Assistant Engineer application process. Detailed instructions and links to each of these forms can be found in the 3rd Mate and 3rd Assistant Engineer Application Packet. The links below will also direct you to the corresponding form. To assist in the application process, several sample USCG forms can be accessed from the Sample Forms link.

3rd Mate and Assistant Engineer Application forms:

Statements of Understanding - REQUIRED! Complete online and print. Sign with all statements initialed. Please include your personal email and cell phone.

MMC Application Third Party Release Form - REQUIRED! Complete online and print. Check the "Act on my behalf in ALL Matters" box, sign, date, and include your Mariner Reference Number (found in your current credential).

MMC Medical Certification Third Party Release Form - REQUIRED! Complete online and print. Check the "Act on my behalf in ALL Matters" box, sign, date, and include your Mariner Reference Number (found in your current credential).

CG-719B MMC Application - REQUIRED! Complete online and print last 3 pages single sidedDO NOT STAPLE! Refer to the 3rd Mate/A.E. Application Packet for detailed instructions pertaining to this form. 

CG-719C Conviction Statement - if applicable - only for offenses occuring after previous Cadet application, and not previously reported.

CG-719P DOT/USCG Periodic Drug Testing Form - and lab results, only applicable if NOT a Cal Maritime student within the 6 months immediately preceding license application.

CG-719K Medical Certificate Application/Physical -  REQUIRED! pages 1-5 printed single sided. DO NOT STAPLE! Refer to the 3rd Mate/A.E. Application Packet for detailed instructions pertaining to this form. 


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