Cap Form 31 - Application For Cap Encampment Or Special Activity Page 2

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TO BE COMPLETED BY FLIGHT AND GROUND INSTRUCTOR APPLICANTS
FAA CERTIFICATES AND RATINGS
CFI CERTIFICATE NUMBER & EXPIRATION DATE
MEDICAL CERTIFICATE CLASS & DATE
TOTAL FLIGHT TIME IN HOURS
TOTAL FLIGHT TIME IN HOURS (Last 12 Months)
AIRCRAFT FLOWN (Last 12 Months)
TOTAL FLIGHT INSTRUCTION GIVEN
FLIGHT INSTRUCTION GIVEN IN HOURS (Last 12 Months)
AIRCRAFT FLOWN IN INSTRUCTION (Last 12 Months)
IN HOURS
TOTAL SOLO ENDORSEMENTS
TOTAL SOLO ENDORSEMENTS (Last 12 Months)
AIRCRAFT FLOWN IN SOLOS ENDORSED (Last 12 Months)
CAP FORM 5
AIRCRAFT MAKES AND MODEL AUTHORIZED ON CAPF5
PLEASE INCLUDE A COPY OF YOUR PILOT LOGBOOK FOR
CHECKRIDE DATE
THE LAST 12 MONTHS AND A COPY OF YOUR CURRENT
CAPF 5 WITH THIS APPLICATION.
TO BE COMPLETED BY MAINTENANCE OFFICER APPLICANTS
FAA CERTIFICATES AND RATINGS
CERTIFICATE NUMBER & EXPIRATION DATE
TO BE COMPLETED BY INTERNATIONAL AIR CADET EXCHANGE APPLICANTS
FOREIGN LANGUAGE EXPERIENCE
LANGUAGE
SPEAKING ABILITY
WRITING ABILITY
OVERALL UNDERSTANDING
Good
Fair
Poor
Good
Fair
Poor
Good
Fair
Poor
Good
Fair
Poor
Good
Fair
Poor
Good
Fair
Poor
COUNTRY PREFERENCE (Countries are announced each year in the November issue of the Civil Air Patrol News.)
1.
2.
3.
AIRPORT INFORMATION (List the Name, City, and State of the two closest major airports within 250 miles of your home. This information will be used to purchase your airline ticket once
selected.)
1.
2.
RELEVANT EXPERIENCE (Use this section to relate any CAP or non-CAP experiences that could have a beneficial impact on your being selected to attend the special activity or
encampment that
you have requested. Use an additional sheet if necessary, but please limit additional documentation.)
CAP FORM 31 JUN 07 PAGE 2/4
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