COMMANDER’S CERTIFICATION CHECKLIST
for SENIOR RATING
Candidate’s Name
(Last, First, M.I.)
CAP Grade CAPID Unit Charter No.
Current Position Title: (Refer to CAPR 20-1)
Certified Items Date Start & End CC’s Initials
1. “Knowledge” requirements and a passing score on the
Senior rating test have been successfully completed
(CAPP 215, page 12)
2. “Performance” requirements have been successfully
completed (CAPP 215, page 12)
3. “Service” requirements have been successfully
accomplished (CAPP 215, page 13)
* SEND THIS COMPLETED CHECKLIST TO NATIONAL HEADQUARTERS, CAP/DP, 105 S. HANSELL STREET,
BLDG 714, MAXWELL AFB, AL 36112-6332 SO A CERTIFICATE CAN BE SENT TO THE SUCCESSFUL
CANDIDATE. COMMANDERS: REMEMBER TO COMPLETE THE STR REFLECTING SUCCESSFUL
ACCOMPLISHMENT OF RATING.
Commander comments:
Commander’s Signature Date
(Signature may be typed if using this electronic form and sending via e-mail.)
