That form is a standard Navy form known as a “page 13,” which serves as an all-purpose record of counseling and acknowledgement. The department head and instructors in the Naval Science Dept are active duty and no doubt get guidance from the Navy chain of command they report to, even though they are embedded at USMMA, a DOT school.
There is a tangled web of relationships and statuses there, which I make no claim to understand. I just wanted to shed light on the form, which has been in use in the Navy for decades as a general counseling sheet as a NAVPERS form, which is identified on the form as “NAVPERS 1070/613.” See:
This link at the Naval Education and Training Command (NETC), describes some of the linkage with USMMA and the Navy Reserve. NETC also oversees NROTC, and OCS, plus other officer and enlisted accession programs.
Finally, the USMMA website itself describes the hybrid relationship with the Navy and refers to “Midshipman, MMR, USNR” status.
At the Academy you will receive an excellent education and the skills necessary for a successful career. Since the Federal Government has a substantial investment in your education, you will be required to fulfill the terms of a service obligation after graduation.
www.usmma.edu
I have no thoughts or arguments on this one, just wanted to share some primary sources info. It’s a truly unique status at USMMA, and I will leave it to the alumni, school, DOT leadership and NETC folks to figure it all out. No doubt JAGs and DOT counsel are involved. The Navy Reserve has no doubt pushed out vaccination policy for various Reserve statuses. I don’t know how USMMA midshipmen status is accounted for.
Edit: I just stumbled across this 9/21/21 update:
September 21, 2021
www.usmma.edu