Uscg 719k Form 2024

Uscg 719k Form: What You Should Know

Date of Birth: (Enter birth year). 3. U.S. Address: 4. Date of Applicant's arrival: 5. Date of departure: 6. Occupation: (Enter occupation) 7. Contact or phone number (if applicable): 8. Specialty: (Check only if needed): 9. Professional License: (Required): Certificate of Merit (AEM) or Commendation to the Coast Guard (CAR) 1. Physical Characteristics: 1. Age: 18, Minimum 18; or, age for the position for which examination is required to obtain rating. 2. Sex/Gender: Male; or Female. 3. Physical Fitness Test (SFT): Any type of fitness test that meets one of the following standards, and does not constitute an absolute, test of physical fitness for the position for which examination is required. 6a: 40-yard dash or time in the 2-mile swim. 6b: 50-meter dash or time in the 10-meter sprint. 6c: 60-meter shuttle run. 6d: 50-meter sprint. 6e: Agility test that meets one of the following standards and does not constitute an absolute test of athletic ability for the position for which examination is required. 6f: 50-yard dash. 7: 100-meter sprint. 8: 50-yard shuttle run. 11: Agility time in the vertical jump. 12: 100-yard dash. 13a: 40-yard dash (with heels) 13b: 50-meter sprint (with heels) 16: 100-meter sprint. All applicants for a Medical Certificate must complete all components of the Medical Certificate examination: a. C, E, M, R, S, or P. b. Medical History: General medical history including, but not limited to, a history of medical history for the positions that the applicant will be required to perform to obtain the ratings that are required for that position. b. Medical Examination: Medical examination to the examination must include: a. Medical History; b. Physical Examination; and, c. Interview. The examination results must be reviewed and evaluated by a doctor of medicine or specialist on the date listed on the medical examination report or examination results. A physician's report must be prepared for all applicants who fail a medical examination; the physician must submit the report within 10 days after the examination is complete. The medical examiner must sign the medical examiner's report.

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