Senior Engine Licensing

*Links on this page are accessible by students and staff logged in to the maritime.edu domain.

Third Assistant Engineer Application to License Forms and Personal Documents required:

1. A completed CG-719B form  pre-filled application for a Third Assistant Engineer, OICEW,  license.  Download the form, save to your desktop, fill in, print out and SIGN your name.  

2. A single copy of any previously held MMC document, if applicable. (ex.  Launch Tender, 25, 50, or 100 - Ton, etc.,)

3. Only if applicable, the signed CG-719C form, if you are reporting drug use or convictions.  Only if "YES" is in Section III of CG-719B Form has been checked off.

4. A single copy of your TWIC (both sides of the card itself) or a single copy the receipt.

5. A single copy of your U.S. Passport.

6. A single copy of your your Pay.gov payment receipt for $255.00.  Pay all fees to the USCG on-line.  See detailed Pay.gov Instructions for $255.00 fee provided for your senior license application.

7. The completed CG-719K Physical form OR a single copy of your valid Medical Certificate.   You may have your own doctor complete your physical or make an appointment with our health services.  Our Health Services team will send out information to you on sign-ups for appointment times in the fall and spring.  If MMA Health Services completes your physical, they will forward it to the Mariner Credentialing office.  If you go to your own doctor, you must provide our office with the original completed form.  This completed form is required. NO EXCEPTIONS.

For the application, you are to type in all the answers you can and print out, single-sided, SIGN your name and date the form.  The CG forms to be completed for your Senior Engine application are to be submitted to the Mariner Credentialiang office paperclipped together before or on the due date. 

For a PDF version of the License Application Checklist