San Fernando Valley Ninety-Nines

Pilot of the Year / Rookie Pilot of the Year Award

Application 2017

Name: (as you wish it to appear on award) / Date Joined 99s:
Address: / Home: ( ) ______
Cell: ( ) ______
Applying for: □ Pilot □ Rookie Pilot /

E-Mail:

Logged hours on 5/01/2016: ______

Logged hours on 4/30/2017: ______

/ Total logged hours
for the year covered: ______

GENERAL INFORMATION & ELIGIBILITY REQUIREMENTS:

1.  An applicant for Pilot of the Year must have been a member of the SFV 99s prior to May 1, 2015 (2 years).

2.  An applicant for Rookie Pilot of the Year must have been a member or Future Woman Pilot (FWP) of the SFV 99s prior to May 1, 2016 (1 year).

3.  An applicant must have attended at least 10 meetings/functions to be eligible for either award.

4.  It is the responsibility of each applicant to substantiate all items used for point credit, e.g.,

a.  Flight time documented in logbook.

b.  Copies of logbook entries for May 1 thru April 30.

c.  Attendance at meetings and functions (to be confirmed if necessary).

d.  Publicity listed by date and place and CLIPPINGS ATTACHED.

e.  Ratings received.

f.  Attachments, as necessary, of listed activities, memberships, events, course certificates, etc.

5.  Fraction/partial points count.

6.  Please also list any “unclassified activities” which you think should be considered by the Award committee. The judges’ decision will be final.

7.  Winner will be ineligible to compete for 3 years following the award and will serve on Pilot of the Year Committee during that time.

8.  Entry must be postmarked or received by May 30, 2017. Please send completed forms, listings of activities, logbook copies, and publicity clippings to:

Alisa Liley at

Good Luck!

SFV 99s Pilot/Rookie Pilot of the Year Award Application Printed 4/6/2017 Page 1 of 4

FLIGHT TIME

Total Hours Logged ______(Must match total of hours listed below)

Attach copy of logbook covering May 1 thru April 30.

1 hour = 1 point Hours

1 / Day PIC
2 / Night PIC
3 / Dual Instruction with CFI
4 / Instrument Time
(Actual must be logged. Hooded or Simulated must have Instructor or safety pilot sign log).
5 / Instruction Given as CFI
6 / Charter or for Hire time
7 / Check Flight in different models
8 / Donated flight time (Young Eagles, Angel Flight, Challenge Air, etc.)
9 / IFR Safety pilot

RATINGS AND ADDITIONAL POINTS

1 / FAA written exam passed (List) / 3 points
2 / FAA Flight Check for Additional Ratings
(List each rating & date passed) / 5 points each
3 / Licenses & Rating currently held (List) / 1 point each
4 / BFR (Give date) / 2 points
5 / FAA “Wings” program (Provide dates for both flights & ground session) / 1 point
6 / Ground School (Organized classes only)
Attach certificate(s) of completion / 5 points each completed course
7 / AOPA, EAA, WIA online courses, Attach certificate(s) of completion / 1 point each completed course
8 / 99 or FAASTeam Seminars (list) / 2 points for 99 Seminars,
1 point for others
Total Points on This Page


POINTS FOR OFFICES HELD & MEMBERSHIPS

1 /

ELECTED OFFICE

A. Chapter: ______
B. Section: ______
C. International: ______/ 2 points
4 points
6 points
2 / APPOINTED OFFICE (List all)
A. Chairman Chapter Committee
B. Chairman Section Committee
C. Chairman Int’l Committee
D. Member Chapter Committee
E. Member Section/Int’l Committee / 1 point
2 points
3 points
5 points
5 points
3 / Member of Gov’t aviation committee (List) / 2 points
4 / Member of Civil Air Patrol, Air Force Reserve, Coast Guard Auxiliary, etc. (List) / 2 points
5 / Member of civic or service club aviation committee (List) / 1 point
6 / Member of other aviation organization (List all) / 1 point each
7 / Attendance at meetings of organizations in
3, 4, 5, 6 (List dates of each meeting) / ½ point each meeting
8 / Officer, Board Member, Squadron Leader of group listed in 3, 4, 5, 6 (List org & office) / 1 point each

POINTS FOR COMPETITIVE FLIGHTS

1 / CONTESTANT IN 99s OR OTHER OPEN COMPETITION RACE: (List event(s)
A. Pilot: ______
B. Co-Pilot: ______/ 3 points each
3 points each
2 / PLACEMENT IN RACE:(List race and placement) / 1st = 3 points
2nd = 2points
3rd = 1 point
3 / CONTESTANT IN SPOT LANDING (or other similar flying skills event): (List event(s)) / 2 points each
Total Points on This Page


OTHER POINTS

1 / ATTENDANCE(List dates for each)
A. Chapter/Board meetings, Summer Potluck, Holiday Party, other functions
B. Socials, fly-ins, Committee meetings
C. Spring/Fall Section Meetings
D. International Conference
E. Section/Int’l Business Meetings / 2 points each
1 point each
4 points each
6 points
4 points each
2 / PUBLICITY
A. Recruit new member (including FWP) Name: ______
B. Aviation achievement awards (List)
C. Article in Aux Tank or other 99 newsletter (Attach copy and include dates)
D. Featured in newspaper or magazine article (Attach copy and include dates)
E. Named in newspaper or magazine article (Attach copy and include dates)
F. On TV or in a Movie (Include dates, program, role played)
G. Speech for civic body, club, or school on aviation / 2 points each
5 points each
2 points each
2 points each
1 point each
2 points each
2 points each
3 / Please list any additional activity that you would like us to consider, e.g.:
A. Aircraft building and restoration work (Give details)
B. Attendance and/or participation in air shows (List all, including dates)
C. Other 99s Chapter, Section or Int’l meetings or activities (List) / (TBD)
Total Points on This Page
Points From Page 3
Points From Page 2
Total Points

SFV 99s Pilot/Rookie Pilot of the Year Award Application Printed 4/6/2017 Page 1 of 4