Name:______
Address:______
CREW ACHIEVEMENT AWARD PROGRAM
CREW CHIEF -LEVEL III
TASKS:
Completion of Level II Plus Experience In:
CheckDescription of Task
______Completion of Eight or More Units of a BFA Continuing Education Program or completion of a Red Cross approved first aid and/or CPR
course within the last 12 months.
______Reading Pibal Headings
______Plotting Probable Course by Estimating Wind Speed and Direction
______Being Capable of Giving Passengers Pre-flight Briefing
______Inspecting Cables Before Final Pilot Check
______Connecting Temperature Gauge.
______Weigh Off
______Driving & Navigating in Chase Vehicle.
______Disconnecting Gas Lines & Removing Burner
______Assisting in Refueling Tanks.
______Tying at least Three Different Knots Used in Balloon Operations- Including a Bowline and Being Capable of Teaching the Knots to Others.
ADDITIONAL TASKS (SEE WORKSHEETS): Completion of Three of the Following:
Check Description of Task
______Crew for Three Separate Flights in Unfamiliar Geographic Territory
______Crew for Three High Density (more than 25 Balloons) Flights.
______Crew (including Chase) for One Gas Balloon Flight
______Directly Communicate With and Assist Pilot in at least Two Drop Line Procedures
______Participate in Three Tethers
______Crew for at least Two Airship Flights
BFA MEMBERSHIP:
Membership Number:______Membership Category:______
MINIMUM CREWS: 75
APPLICANT CERTIFICATION STATEMENT:
I certify that I have completed the requirements for the BFA Crew Achievement Award Program Level III as specified:
Signature:______Date:______
PILOT CERTIFICATION STATEMENT:
This if to certify that I have personally reviewed the applicant’s qualifications and appropriate documentation and have determined that the applicant has satisfactorily completed the tasks for Level III as specified.
Signature:______Date:______
Address:______Certification Number:______
______
ATTACHMENTS REQUIRED: (Three of first six and numbers seven though nine)
(1) Flights in Unfamiliar Territory Worksheet (7) BFA Continuing Education Program Worksheet
Verification Verification
(2) High Density Flights Worksheet Verification(8) Level II Certification
(3) Tether Operations Worksheet Verification(9) Check payable to BFA for $10.00
(4) Gas Balloon Flight Worksheet Verification(10) BFA Crew Achievement Award Application
(5) Drop Line Worksheet Verification (Applicant’s Section Completed & Signed)
(6) Airship Flights Worksheet Verification
FORWARD COMPLETED FORM TO A BFA CREW AWARD DESIGNEE
Name:______
Address:______
CREW ACHIEVEMENT AWARD PROGRAM
CREW CHIEF - LEVEL III
UNFAMILIAR GEOGRAPHIC TERRITORY WORKSHEET
LOCATION OF FLIGHT:______
DATE OF
FLIGHT:______EVENT:______
DISTANCE FROM REGULAR FLYING AREA (MINIMUM 150 MILES):______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______EVENT:______
DISTANCE FROM REGULAR FLYING AREA (MINIMUM 150 MILES):______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______EVENT:______
DISTANCE FROM REGULAR FLYING AREA (MINIMUM 150 MILES):______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
Name:______
Address:______
CREW ACHIEVEMENT AWARD PROGRAM
CREW CHIEF - LEVEL III
HIGH DENSITY FLIGHT WORKSHEET
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______EVENT:______
NUMBER OF BALLOONS LAUNCHED (MINIMUM 25):______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______EVENT:______
NUMBER OF BALLOONS LAUNCHED (MINIMUM 25):______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______EVENT:______
NUMBER OF BALLOONS LAUNCHED (MINIMUM 25):______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
Name:______
Address:______
CREW ACHIEVEMENT AWARD PROGRAM
CREW CHIEF - LEVEL III
TETHER OPERATIONS WORKSHEET
LOCATION OF TETHER:______
DATE OF TETHER:______EVENT:______
DUTIES PERFORMED:______
NUMBER OF CREW MEMBERS PARTICIPATING:______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number______
______
LOCATION OF TETHER:______
DATE OF TETHER:______EVENT:______
DUTIES PERFORMED:______
NUMBER OF CREW MEMBERS PARTICIPATING:______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
LOCATION OF TETHER:______
DATE OF TETHER:______EVENT:______
DUTIES PERFORMED:______
NUMBER OF CREW MEMBERS PARTICIPATING:______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
Name:______
Address:______
CREW ACHIEVEMENT AWARD PROGRAM
CREW CHIEF - LEVEL III
GAS BALLOON FLIGHT WORKSHEET
DATE OF FLIGHT:______BALLOON #:______
LAUNCH SITE:______
RETRIEVAL SITE:______
CREW TASKS PERFORMED:______
CHASE CREW MEMBERS:______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
Name:______
Address:______
CREW ACHIEVEMENT AWARD PROGRAM
CREW CHIEF - LEVEL III
DROP LINE PROCEDURE WORKSHEET
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______
DESCRIPTION OF CONDITIONS:______
______
CREW TASKS PERFORMED:______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______
DESCRIPTION OF CONDITIONS:______
______
CREW TASKS PERFORMED:______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
Name:______
Address:______
CREW ACHIEVEMENT AWARD PROGRAM
CREW CHIEF - LEVEL III
AIRSHIP FLIGHTS WORKSHEET
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______
AIRSHIP REGISTRATION NUMBER:______AIRSHIP NAME:______
CREW TASKS PERFORMED:______
______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
LOCATION OF FLIGHT:______
DATE OF FLIGHT:______
AIRSHIP REGISTRATION NUMBER:______AIRSHIP NAME:______
CREW TASKS PERFORMED:______
______
PILOT IN COMMAND VERIFICATION:
Signature:______Date:______
Address:______Certificate Number:______
______
Name:______
Address:______
CREW ACHIEVEMENT AWARD PROGRAM
CREW CHIEF - LEVEL III
BFA CONTINUING EDUCATION WORKSHEET
Participation in a BFA Continuing Education Program in the Last 12 months is a requirement for this level. Listed below are three options for providing verification of this requirement. PLEASE NOTE option three(3) could result in a delay in processing your application.
#1
Name of Sponsoring Group:______
Location of Program:______Date(s):______
Program/Course Name:______
{ } I have attached a certificate of participation provided by the sponsors.
#2
Name of Sponsoring Group:______
Location of Program:______Dates:______
Program/Course Name:______
Sponsor’s Certification:
I hereby certify that______has participated in
the program listed above and has met the BFA requirements for attendance.
Signature:______Dates:______
Print Name:______Title:______
#3
Name of Sponsoring Group:______
Location of Program:______Dates:______
Program/Course Name:______
{ } Please verify attendance with the BFA Continuing Education Records.