THESE DOCUMENTS ARE REQUIRED FOR EACH CADET FOR THEIR SERVICE RECORDS. THE FILES ARE IN PDF FORMAT. BELOW THIS SECTION IS THE LINK TO HOMPORT WHERE YOU CAN FIND THESE DOCUMENTS IN BOTH PDF & WORD FORMATS AND OTHER IMPORTANT FORMS.
| nscadm001.pdf |
This first file, nscadm001.pdf contains all the forms you need to fill out the application. Listed below are the individual pages if you need them.
| memberapplication.pdf |
Membership Application
This form contains all required personal and demographic information, contact information, agreements, releases, and certifications.
This form contains all required personal and demographic information, contact information, agreements, releases, and certifications.
| medical_history.pdf |
Report of Medical History
The Report of Medical History is to be completed by a parent or guardian, and shall be used to disclose all medical conditions, mental health conditions, hospitalizations or institutionalizations, allergies, and immunizations.
The Report of Medical History is to be completed by a parent or guardian, and shall be used to disclose all medical conditions, mental health conditions, hospitalizations or institutionalizations, allergies, and immunizations.
| medical_exam__1_.pdf |
Report of Medical Exam
Prior to enrollment, and no less frequently than once per annual enrollment period, all cadet applicants must receive a physical examination (sports-type) and report the results to their Unit CO. This examination is to be conducted by a physician, physician’s assistant, or nurse
practitioner. The Report of Medical Examination form will be used to record the results of this exam. A form from the provider’s office cannot be substituted for the Report of Medical Examination form because other forms may not record all of the information required, and the Report of Medical Examination form contains all required medical information in a format familiar to any first-responding USNSCC personnel. The evaluating clinician should note any reason why the applicant may not fully meet the enrollment criteria.
For continued enrollment:
The Report of Medical Examination with a medical provider’s endorsement must be updated annually and upon any significant change to physical or mental health, to include major injuries, major illnesses, major surgery, concussions, hospitalizations, institutionalizations, or instances of self-harm or attempted self-harm.
Prior to enrollment, and no less frequently than once per annual enrollment period, all cadet applicants must receive a physical examination (sports-type) and report the results to their Unit CO. This examination is to be conducted by a physician, physician’s assistant, or nurse
practitioner. The Report of Medical Examination form will be used to record the results of this exam. A form from the provider’s office cannot be substituted for the Report of Medical Examination form because other forms may not record all of the information required, and the Report of Medical Examination form contains all required medical information in a format familiar to any first-responding USNSCC personnel. The evaluating clinician should note any reason why the applicant may not fully meet the enrollment criteria.
For continued enrollment:
The Report of Medical Examination with a medical provider’s endorsement must be updated annually and upon any significant change to physical or mental health, to include major injuries, major illnesses, major surgery, concussions, hospitalizations, institutionalizations, or instances of self-harm or attempted self-harm.
| medical_supplemental__1_.pdf |
Medical History Supplemental
Medical History Supplemental (Pages 7 and 8). Prior to enrollment, cadet applicants who may require regular administration of any prescription or nonprescription medication during unit drills must submit a completed Medical History Supplemental. This form includes information about the medications, their dosing, instructions for administration, side effects, contraindications, and consequences of missing a dose. For over-the-counter medications, the form need only be signed by a parent or legal guardian and the unit Commanding Officer. For prescription
medications, the form must also be signed by the prescribing medical provider. Cadets who do not require medications shall submit the Medical History Supplemental form signed by a parent or guardian upon enrollment, with “N/A” written across the front.
Medical History Supplemental (Pages 7 and 8). Prior to enrollment, cadet applicants who may require regular administration of any prescription or nonprescription medication during unit drills must submit a completed Medical History Supplemental. This form includes information about the medications, their dosing, instructions for administration, side effects, contraindications, and consequences of missing a dose. For over-the-counter medications, the form need only be signed by a parent or legal guardian and the unit Commanding Officer. For prescription
medications, the form must also be signed by the prescribing medical provider. Cadets who do not require medications shall submit the Medical History Supplemental form signed by a parent or guardian upon enrollment, with “N/A” written across the front.
| accomodation.pdf |
Request for Accommodation
The USNSCC accepts qualified applicants who, because of a disability, require some reasonable accommodation to non-essential policies and procedures in order to meet all requirements of membership in the USNSCC. To ensure that all volunteers that may be responsible for a cadet’s training, health and safety are aware of the cadet’s needs, all disabilities must be fully and honestly documented on the Request for Accommodation form. The Request for Accommodation form must be signed by the parent or guardian, Unit Commanding Officer, cognizant Regional Director, and cognizant NHQ Representative. Cadets who do not require an accommodation should still submit this form signed by a parent or guardian upon enrollment, with “N/A” written across the front.
The USNSCC accepts qualified applicants who, because of a disability, require some reasonable accommodation to non-essential policies and procedures in order to meet all requirements of membership in the USNSCC. To ensure that all volunteers that may be responsible for a cadet’s training, health and safety are aware of the cadet’s needs, all disabilities must be fully and honestly documented on the Request for Accommodation form. The Request for Accommodation form must be signed by the parent or guardian, Unit Commanding Officer, cognizant Regional Director, and cognizant NHQ Representative. Cadets who do not require an accommodation should still submit this form signed by a parent or guardian upon enrollment, with “N/A” written across the front.
| parental_agreement.pdf |
Parental Support Agreement
The adult leadership of the NSCC/NLCC is made up entirely of volunteers. Many volunteers are parents as well. Now that their child is joining the program, use this questionnaire to see if a cadet applicant’s parents or guardians might be able to help out in some way.
The adult leadership of the NSCC/NLCC is made up entirely of volunteers. Many volunteers are parents as well. Now that their child is joining the program, use this questionnaire to see if a cadet applicant’s parents or guardians might be able to help out in some way.
APPLICATIONS NEED TO INCLUDE:
Proof of Medical Insurance.
If a cadet has medical insurance coverage from any
source, they shall provide proof of that coverage in the form of a copy of their
medical insurance card, or an eligibility letter which includes their group, plan, and/or
policy number. Cadets covered by TRICARE may not make a copy of their
dependent identification card, and may obtain an eligibility letter through TRICARE.
This copy will be updated any time there is a change in the cadet’s coverage.
If a cadet has medical insurance coverage from any
source, they shall provide proof of that coverage in the form of a copy of their
medical insurance card, or an eligibility letter which includes their group, plan, and/or
policy number. Cadets covered by TRICARE may not make a copy of their
dependent identification card, and may obtain an eligibility letter through TRICARE.
This copy will be updated any time there is a change in the cadet’s coverage.
Record of Immunizations
The USNSCC requires all potential cadets to submit a current record of all
immunizations, on any form provided by the family physician or state
department of public health.
The following vaccinations are required: polio, measles, mumps, rubella,
hepatitis B, pertussis, tetanus, diphtheria, and meningitis.
In order to minimize the risk of transmitting communicable diseases within the
tight, shared living conditions at most USNSCC training evolutions, and in light
of the possible presence of immunocompromised individuals enrolled pursuant
to an approved Americans with Disabilities Act accommodation, the USNSCC
is unable to -- and will not -- grant waivers to this policy.
The USNSCC requires all potential cadets to submit a current record of all
immunizations, on any form provided by the family physician or state
department of public health.
The following vaccinations are required: polio, measles, mumps, rubella,
hepatitis B, pertussis, tetanus, diphtheria, and meningitis.
In order to minimize the risk of transmitting communicable diseases within the
tight, shared living conditions at most USNSCC training evolutions, and in light
of the possible presence of immunocompromised individuals enrolled pursuant
to an approved Americans with Disabilities Act accommodation, the USNSCC
is unable to -- and will not -- grant waivers to this policy.
| 2018_excess_health_insurance_policy.pdf |
2018 EXCESS HEALTH INSURANCE POLICY THAT ALL PARENTS OF PROSPECTIVE CADETS SHOULD FAMILIARIZE THEMSELVES WITH PRIOR TO ENROLLMENT
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