U.S.

MERCHANT MARINE ACADEMY

Team Movement Request
Total # of Midn on this TM:_______
No. of vehicles requested:________
Vehicle Assigned:______________
Academic Varsity Sport Non-varsity Sport Club/Other
MUST BE SUBMITTED TO THE COMPANY OFFICER (ASSISTANT DEAN IN THE CASE
OF ACADEMIC TMS) NOT LATER THAN FIVE WORKING DAYS PRIOR TO THE TM.
Submission Section:
Date:____________ Name of Team/Club/Other:_____________________________________
Event name:_____________________ Location(city/state):____________________________
Date/time Midshipmen will depart the POD:_________________________________________
Official start time of event: ________________Estimated completion time:________________
Date and time Midshipmen will return to the POD:____________________________________
OIC:_________________________________ MIC:__________________________________
Phone number to contact in case of emergency:________________________________________
Uniform/attire for travel:___________________
Roster Section: (or attach up to date team roster)
Last name First name Class Company Academic Status* Restricted?








*Academic Status and Restriction Status checked by Assigned Company Officer.

Approval Section:
Position Signature Approve Y/N Date In Date Out Comments
OIC/Coach
Dept Rep.
Co. Officer
Dean
Ops Officer
REPORT ANY DAMAGE TO VEHILE TO PUBLIC SAFETY
Completion Section:
1. Upon completion of the TM (when midshipmen return to the POD) the OIC/Coach must call the
Command Duty Officer phone at (516) 322-3071.
2. If a government van was used, the OIC (or in the OICs absence, the MIC) is to return the van to
the motor pool.
Enclosure (1)