USS Mad Dog Department Monthly Readiness Report

Month Reporting

Department

Chapter Assignment

Department Chief Name (Rank, First Name, Last Name)

Department Chief's E-Mail

Assistant Department Chief Name (Rank, First Name, Last Name)

Assistant Department Chief's Email:

Department Assigned Personnel Strength:

Department Assigned Personnel Roster (FName, LName, SN#, Rank, Department Position)

List ALL Department Members Receiving Promotions this Month (FName, LName, Rank Promoted to)

List ALL Department Members Receiving Awards this Month (Award Name, Award Level, FName & LName)

List ALL Department Members who hold Positions at the STF31/Sector Level (FName & LName, Position Title)

List ALL SFA Course Completions (FName & LName, # of Courses Completed this Month)

Department Monthly Activities Summary

Comments, Problems, and Suggestions

Reporting Officer

Reporting Officer E-Mail Address