Kickoff Questionnaire: License

This form is intended for students at Massachusetts Maritime Academy ONLY.
Members of the general public can find information on the MMC and licensing at the National Maritime Center website.

This information form is to be completed by enrolled MMA students to initiate the license application process. The information gathered here will facilitate efficient processing of your license application and preparation for issuance.

Mariner Reference Number. You will need your 7-digit Mariner Reference Number in order to complete this form. The Mariner Reference Number is easily obtained. Look it up at the USCG National Maritime Center's Credential Verification Page - on that page, scroll down to Name, DOB, SSN search and enter your information - click SEARCH, and then your Reference Number will be listed at the upper-right of the results page.

Seniors applying for their license should hold a Cadet MMC at this point. In rare and exceptional cases, a student might have reached this point without holding a Cadet MMC. If you do NOT hold a Cadet MMC but you are a graduating senior, STOP HERE, do not complete this form, and make an appointment with Seagoing Career Services to make sure your application is filled out and processed correctly.

Fill out this form if you are a senior with a valid and current Cadet MMC. Make sure the information is complete and accurate and then hit the SUBMIT button at the bottom of the page.

(one letter only, without a period)
(7 digits, often starting with 0)
(Advisor's last name only - omit title, rank, and first name)
(Scroll up and see instructions at the top of this page for obtaining your Mariner Ref. Number)
For example, Master, 100 tons, Near Coastal; Mate, 50 tons, Inland; QMED; AB Seaman (limited)
2 + 10 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.