Notice of Intent to Teach Public Education Course

Web-based ANSC-7023
Notice of Intent to Teach Public Education Course

This web-form of our ANSC-7023 has been drafted to assist those that seem to have difficulties using the regular Auxiliary 7023 form. The below includes all the necessary information but in an easier to understand format. If you have more than one course you are reporting, then complete the form for the first course and hit [Submit]. Then on the 'Confirmation Page' click "Back to the 7023" and then report on any other courses you are planning. This form will be sent to the DSO-CS for webpage entry, to the DSO-PE, State Reps, and BoatUS..

[FrontPage Save Results Component]

Course Title:	(choose a course)
Start Date:	(example: 01/15/2006)
End Date:	(example: 01/15/2006)
Address:
City:
County:	(enter the name of the county)
State:	(WA, OR, ID or MT)
Zip Code:	(enter either the 5 or 9 digit zip)
Start Time:	(examples: 8 AM, 8:30 AM or 6 PM)
Cost in ($):
Contact Name:
Contact Phone:	(example: 503-555-1234)
Contact e-mail:
Course Remarks:	(free text, 240 characters maximum)
Member Submitting:	(First & Last Name)
Mbr Submitting e-mail:
Flotilla:	(example: 130-05-09)
Date Submitting:	(example: 01/15/2006)

Additional Instructions:

The disclosure of a member's personal information is generally prohibited under the Privacy Act of 1974 UNLESS express permission is obtained from the member. All persons whose names and contact information are utilized in the connection with this form expressly authorized the dissemination and publication of the information to members of the general public. The person completing this form acknowledges that the appropriate permissions have been obtained.

The information entered should follow the examples given. Any information in addition to that in the example may be added to the remarks field. An example of this additional information might include a description of a class that does not fit any description or standard code offered such as (BCN, ACN, etc.). Use the remarks block to indicate courses not on the list of classes.

Enter the member's name submitting the information, their district/division/flotilla number and the date submitted.