CGA-14, CGA-14A, C Coast Guard Academy Forms

McMunn, Chris (EDU)
Subject:

Shaelin McMunn's request for a recommendation

Dear  , 

You are receiving this message from the United States Coast Guard Academy because Shaelin McMunn has chosen you 
to provide a recommendation. 

Name of Applicant: Shaelin McMunn 
Email of Applicant: [email protected] 
Program: Civil Engineering 

Please note that Shaelin Mcmunn has waived his/her right to review this recommendation. 

This student is in the process of applying to the United States Coast Guard Academy.  Depending upon your relationship 
to them, they have requested that you either complete a short online form and upload a letter of recommendation or 
enter the results of their Physical Fitness Examination (PFE) and provide comments on their overall fitness level.  If you 
are administering the PFE, the student should be providing you a copy of the PFE Manual in advance of their testing 
date.  

The United States Coast Guard Academy only accepts letters of recommendation and PFE results submitted 
electronically, so please provide your material by following the "Access your recommendation" link below.  All letters of 
recommendation or PFE results must be submitted by October 15th for Early Action or January 15th for Regular 
Admissions.  Please contact the student to confirm which of these deadlines applies to their request.  

Thank you for your time and assistance. 

PLEASE KEEP THIS EMAIL ‐ you will need it to access your recommendation. 

Click here to access your recommendation 

If you are having difficulties with the link above, please copy and paste the text below into your browser. Make sure to 
include the entire text below. 

‐‐‐‐‐‐ Begin copying here ‐‐‐‐‐‐‐‐‐‐‐ 

‐‐‐‐‐‐ End copying here ‐‐‐‐‐‐‐‐‐‐‐‐ 

If you experience any technical difficulties while completing the form, please contact the Hobsons Technical Support 
team at [email protected] with a description of the issue you have encountered. 

Please DO NOT respond to this message with your recommendation as an attachment. Your recommendation cannot be 
accepted through this email address. 

Thank you, 

United States Coast Guard Academy 
This message was sent by Hobsons on behalf of United States Coast Guard Academy at the request of Shaelin McMunn 
([email protected]). 
1

U.S. Coast Guard
Academy

High
School
Information

Director of Admissions (tp)
U.S. Coast Guard Academy
31 Mohegan Avenue
New London, CT 06320

www.uscga.edu
[email protected]

Privacy Act Statement. In accordance with 5 USC 552a(e)(3), the following
information is provided to you when supplying personal information to the USCG.
(1) Authority which authorizes the solicitation of the information: 14 USC 182(a).
(2) The Principal Purpose for this information is to ensure that the applicant is
basically qualified to apply for the USCGA. (3) Routine uses which may be made of
the info: As background info on applicants for the selection process. To contact the
applicant. The SSN is a basic identifier. To determine if there are existing USCG
records on the individual. In performance of the duties of officials and employees of
the USCG, in managing and contributing to the admissions program and
appointment of Cadets. (4) Disclosure of the information is voluntary, but the
applicant will not be considered further if the information is not provided.
Submissions of the Evaluator will not be disclosed to the applicant without consent.

Applicant Information
First Name: ___________________________________

Last Name: __________________________________

Type of Program: ______________________________

Email: ______________________________________

Academic Information
Month/Year of Graduation: _______________

Length of Relationship: ____________________

Cumulative GPA: __________

GPA Scale (4.0, 100, etc.): __________

Rank in Class: __________

Number of Students in Class: __________

If rank is unavailable, indicate the approximate placement percentile (e.g. Top 10%): _______________

High School Information
Name of School: _________________________________________________________________________
CEEB Code: __________

Phone Number: _______________________

School Address: _______________________________________________________________________
City: _______________________________________

State: __________

Zip Code: ____________

Country: ___________________________________

% of class to attend 4 year college: __________

Counselor Information
Name: ________________________________________

Title: _________________________________________

In what capacity have you known this student?

Telephone: ____________________________________

Email: ________________________________________

U.S. Dept. of Homeland Security, USCG, CGA-14A (Rev. 08-13)

OMB No. 1625-0004
Expires 8/31/2015

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The Coast Guard estimates that the average burden for this form is 30 minutes. You may submit any comments concerning the accuracy of
this estimate or any suggestions for reducing the burden to: U.S. Coast Guard Academy, 31 Mohegan Avenue, New London, CT 06320, or Department
of Homeland Security Desk Officer, Office of Management and Budget, Office of Information and Regulatory Affairs, Washington, D.C. 20503.

U.S. Coast Guard
Academy

Letter of
Recommendation

Director of Admissions (tp)
U.S. Coast Guard Academy
31 Mohegan Avenue
New London, CT 06320

www.uscga.edu
[email protected]

Privacy Act Statement. In accordance with 5 USC 552a(e)(3), the following
information is provided to you when supplying personal information to the USCG.
(1) Authority which authorizes the solicitation of the information: 14 USC 182(a).
(2) The Principal Purpose for this information is to ensure that the applicant is
basically qualified to apply for the USCGA. (3) Routine uses which may be made of
the info: As background info on applicants for the selection process. To contact the
applicant. The SSN is a basic identifier. To determine if there are existing USCG
records on the individual. In performance of the duties of officials and employees of
the USCG, in managing and contributing to the admissions program and
appointment of Cadets. (4) Disclosure of the information is voluntary, but the
applicant will not be considered further if the information is not provided.
Submissions of the Evaluator will not be disclosed to the applicant without consent.

Applicant Information
First Name: ___________________________________

Last Name: __________________________________

Type of Recommendation: _______________________

Email: ______________________________________

Recommender Information
Name: ________________________________________

Title: _________________________________________

Occupation: ____________________________________ Length of Relationship: __________________________
In what capacity have you known this student?

Telephone: ____________________________________

Email: ________________________________________

U.S. Dept. of Homeland Security, USCG, CGA-14B (Rev. 08-13)

OMB No. 1625-0004
Expires 8/31/2015

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The Coast Guard estimates that the average burden for this form is 1 hour. You may submit any comments concerning the accuracy of this
estimate or any suggestions for reducing the burden to: U.S. Coast Guard Academy, 31 Mohegan Avenue, New London, CT 06320, or Department of
Homeland Security Desk Officer, Office of Management and Budget, Office of Information and Regulatory Affairs, Washington, D.C. 20503.

U.S. Coast Guard
Academy

Director of Admissions (tp)
U.S. Coast Guard Academy
31 Mohegan Avenue
New London, CT 06320

Physical Fitness
Examination (PFE)
Scoring Form

www.uscga.edu
[email protected]

Privacy Act Statement. In accordance with 5 USC 552a(e)(3), the following
information is provided to you when supplying personal information to the USCG.
(1) Authority which authorizes the solicitation of the information: 14 USC 182(a).
(2) The Principal Purpose for this information is to ensure that the applicant is
basically qualified to apply for the USCGA. (3) Routine uses which may be made of
the info: As background info on applicants for the selection process. To contact the
applicant. The SSN is a basic identifier. To determine if there are existing USCG
records on the individual. In performance of the duties of officials and employees of
the USCG, in managing and contributing to the admissions program and
appointment of Cadets. (4) Disclosure of the information is voluntary, but the
applicant will not be considered further if the information is not provided.
Submissions of the Evaluator will not be disclosed to the applicant without consent.

Applicant Information
First Name: ___________________________________

Last Name: __________________________________

Date of PFE: __________________________________

Email: ______________________________________

Event

Raw Score

CADENCE PUSH-UPS

Points

push-ups

TWO MINUTE SIT-UPS

sit-ups

1.5 MILE RUN

:

min:sec

Total Points

HEIGHT

inches

2) WEIGHT

pounds

Administrator Comments:

Administrator Information
Name: ________________________________________

Title: _________________________________________

Telephone: ____________________________________

Email: ________________________________________

U.S. Dept. of Homeland Security, USCG, CGA-14D (Rev. 08-13)

OMB No. 1625-0004
Expires 8/31/2015

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The Coast Guard estimates that the average burden for this form is 1 hour. You may submit any comments concerning the accuracy of this
estimate or any suggestions for reducing the burden to: U.S. Coast Guard Academy, 31 Mohegan Avenue, New London, CT 06320, or Department of
Homeland Security Desk Officer, Office of Management and Budget, Office of Information and Regulatory Affairs, Washington, D.C. 20503.