USS Mississippi's Alpha Roster

First Name*
Last Name*
Email*
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Date or Year Entered

MM
/
DD
/
YYYY
Date or Year Departed

MM
/
DD
/
YYYY
Rank*
 Captain 
 Commander 
 Lieutenant Commander 
 Lieutenant 
 Lieutenant Junior Grade 
 Ensign 
 Master Chief 
 Senior Chief 
 Chief 
 1st Class Petty Officer 
 2nd Class Petty Officer 
 3rd Class Petty Officer 
 Seaman 
 Seaman Apprentice 
 Seaman Recruit 
 Firemand 
 Fireman Apprentice 
 Fireman Recruit 
 Not a Crew Member 
Check the following which apply to you when you
left the MISSISSIPPI
Enlisted Rating
 BM 
 CTA 
 CTM 
 CTO 
 CTR  
 DC 
 DK 
 DS 
 EM 
 EN 
 ET 
 EW 
 FC 
 GMG 
 GMM 
 HM 
 HT 
 IC 
 IS 
 MA 
 MM 
 MR 
 MS 
 NC 
 OS 
 PC 
 PN 
 QM 
 RM 
 SH 
 SK 
 SM 
 STG 
 TM 
 YN 
 Non-Rate 
Surface Warfare Qualification*
 Yes 
 No 
Nuclear Trained*
 Yes 
 No 
Let me know which ET's, MM's and EM's are leaded
or unleaded
Please list current rate/ rank/ profession,
current duty station, location and any other
information you feel is important
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