JCOC Nomination Document

2020 Joint Civilian Orientation Conferences (JCOC) Nomination Form
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PLEASE FOLLOW INSTRUCTIONS CAREFULLY BEFORE SUBMITTING
• This form will be used to collect nominations for JCOC 93 and 94.
o JCOC 93: March 29-April 4, 2020
o JCOC 94: July 12-18, 2020
• Participants are expected to attend the conference in its entirety.
• This form MUST be typed. Forms that are not typed will not be considered.
• A one-page biography must be submitted with this form. Biographies should be no more than 300 words.
Resumes, Curriculum Vitae, or letters of endorsement will NOT be accepted.
• Only completed nomination forms with biographies will be accepted.
• Nomination deadline: Friday, December 20, 2019. Extensions will not be granted.
• Those selected to attend JCOC will be informed of the locations, which will be revealed at registration.
• Department of Defense nominating authorities should submit their nominations to Service points of contact, so
that the POC can screen all nominations before sending to the JCOC program office.
• JCOC Alumni nominations should be emailed to: [email protected]. To ensure the
form reaches the program office, the subject line should include “JCOC 2020” and the nominee's first and last
name. (e.g., "JCOC 2020 John Doe.")
• The JCOC program manager will screen nominations for eligibility and then forward to a selection panel for
scoring. Selection announcements are expected by mid-January 2020.
• Nominators will be informed of selection results and are responsible for notifying their nominees of the
outcome.
• For any questions, please refer to the JCOC website at jcoc.osd.mil. For further inquiries, please refer to the
"contact us" page for the appropriate Service point of contact, or contact Laura Ochoa at:
[email protected] or 703-614-3246.

2020 Joint Civilian Orientation Conference (JCOC) Nomination Form
Nominator's Full Name and Rank (Only nominations
from DoD officials or JCOC Alumni will be accepted):

Nominator's Organization (Example: 82nd Airborne, XYZ,
Inc.)

Nominator's Email Address:

Nominator's Phone Number:

DoD/Military Only (Indicate Title of Nominating
Authority (Example, SD, SecAF, CJCS, ASD, etc.)

JCOC Alumni Only (Indicate Class (Example, JCOC 93)

Nominee’s Information
Title:

Mr.

Mrs.

Last Name:

Ms.

Dr.

Pastor

First Name:

Middle Name:

Position Title:

Organization/Company:

Work Email:

Personal Email:
Phone Numbers

Alternate Contact/Executive Assistant

Work:

Name:

Cell:

Phone:

Preferred Contact:

Work

Cell

Email:

Organization Website:
Brief Description of Company/Organization Mission or Service:

I am available for:
JCOC 93: March 29 - April 4, 2020 (Pacific)
JCOC 94: July 12-18, 2020 (Southwest)

Joint Civilian Orientation Conference Nomination Form

1. Is the nominee a U.S. Citizen? Non-U.S. citizens, including permanent residents are ineligible.

Yes

No

2. Does the nominee work for the U.S. Federal Government? If yes, nominee is ineligible.

Yes

No

3. Is the nominee in good health? (e.g., capable of climbing eight flights of stairs or ladders, and enduring 12-14 hour days)

Yes

No

4. Has the nominee served in the U.S. Armed Forces (active, guard, or reserve duty) since 2000?
If yes, nominee is ineligible.

Yes

No

5. Is the nominee in campaign status for national, state, or federal political office?
If yes, nominee is ineligible.

Yes

No

6. Has the nominee served in any advisory role to senior Department of Defense or military officials, military
installations, or the White House?
Yes
No
If yes, please provide name of advisory council or board, and dates of Service:
Dates:
Name of advisory board:

7. Is the nominee aware of his/her nomination and the program requirements?
Please notify nominee before submitting nomination.

Yes

No

8. Is the nominee aware of the JCOC dates, and has the nominee agreed to attend the entire conference, if selected?
Locations for will not be revealed until registration.

Yes

No

9. Is the nominee aware that, if selected, it is his or her responsibility to fund their own transportation and lodging costs
to and from the registration site? Note: DoD funds JCOC from time of registration to end of program.

Yes

No

Yes

No

10. Alternates are placed on a standby list and are notified when positions become available. If not selected for the
primary slot, is the nominee willing to be considered as an alternate?

2020 Joint Civilian Orientation Conference (JCOC) Nomination Form
11. Has the nominee attended a previous JCOC?
If yes, nominee is ineligible for future JCOC programs.

Yes

No

13. Has the nominee been nominated for previous
JCOCs?

Yes

No

If yes, how many times was a nomination forwarded?

12. Has the nominee been selected to attend previous
JCOCs, but was unable to attend?
Yes
No
If yes, what year(s)
14. Has the nominee participated in the following?
(Select all that apply below.)

Military Civic Leader or Educator Program

Tandem Jumps with a Military Service
Performance or Special Operations Unit

Served as civilian ambassador for Army programs

Military Orientation Flight

Served as civilian ambassador for Marine Corps

Other installation or Military outreach
programs. If yes, please indicate...

15. How may the DoD benefit from the nominee's participation?
Please note, selection panel will give tremendous weight to this answer. (1400 characters maximum.)

Before you submit, please remember to:
1. Ensure this form is completely and properly filled out.
2. Include a one-page biography of no more than 300 words.