Date: _________________

 From:

To: Surface Navy Association
National Awards Committee
2550 Huntington Avenue, Suite 202
Alexandria, VA 22303
navysna@aol.com

SUBJ: Nomination for the Admiral Arleigh Burke Surface Warfare Operational Excellence Award
1. (Sample Entry) Lieutenant John J. Jones, USN, (or Storekeeper Third Class (SW) Vivian V. Vivaldi {as appropriate}) 555-11-2222/1100, has been selected as the CARL VINSON Battle Group (or PELEIU Amphibious Ready Group, etc.) outstanding Officer (Enlisted) performer for the overseas deployment from 17 October 1995 to 16 April 1996. The following information applies:

a. Ship or unit to which assigned: ____________________________________________________________

b. Homeport address of ship/unit: ___________________________________________________________

c. Date awardee reported: ________________________________/ PRD: ____________________________

Dates of selectee’s deployment: ____________________________________________________________

Battlegroup deployed with:_______________________________________________________________

(If different from BG/ARG deployment dates)

d. Date selectee qualified SWO/ESWS: _______________________________________________________

e. Commanding Officer: ____________________________________________________________________

    Commanding Officer telephone number:______________________________________________________

                                         email address:__________________________________________________________

f. Command Master Chief (ESWS candidates): ________________________________________________

g. Primary assignment or billet title during deployment: _______________________________________

h. Summary of meritorious Surface Warfare action (s):

(A brief summary, not to exceed one page, of the actions, achievements, or other outstanding performance of this individual, which demonstrated superior understanding and application of Naval Surface Warfare principles. Bullets or narrative entries are equally satisfactory. Include a short description of how each of these actions or achievements contributed to the successful completion of the ship/unit’s deployment, or contributed to mission accomplishment of the Battle Group, Amphibious Ready Group, or other deployed action group.)

i. Expected duty station/location of selectee on January 10^th of the current award cycle year:

_____________________________________________________________________________________________

2. Include any other information considered pertinent to the selectees situation, background, or achievements.

//s//

(Squadron or Group Commander]