Application for Membership
The Honourable Company of Air Pilots (North America)
Incorporating Air Navigators
Patron: HRH THE PRINCE PHILIP, DUKE OF EDINBURGH KG KT
Grand Master: HRH THE PRINCE ANDREW, DUKE OF YORK KG KCVO
Mailing address: The Honourable Company of Air Pilots (North America)
PO Box 31040 RPO Thunderbird
Langley, BC Canada V1M 0A9
The Honourable Company of Air Pilots is a non-union, non-political organization whose mandate is to assist all in the aviation profession worldwide through networking, education, and through members providing expertise on issues facing the industry.
CATEGORIES OF MEMBERSHIP
UPPER FREEMAN A professional pilot or navigator, military, civil or test pilot, with five or more years experience.
FREEMAN Similar qualifications as above, but with less than five years experience
OR a private pilot with two years experience and a minimum of 75 hours
OR any other person who, in the opinion of the Court (Review Committee), has rendered or may render outstanding service to the profession or to the Air Pilots
ASSOCIATE A person engaged in training as a professional, private or military pilot
OR the holder of a PPL or equivalent with less than two years experience.
NB For all categories, equivalent experience in a glider, hang glider, balloon, microlight or airship is acceptable.
Data Protection The data contained on this form will only be used for internal Air Pilots purposes and will not be released to a third party without the prior permission of the individual and the Clerk.
The Honourable Company of Air Pilots (North America)
Incorporating Air Navigators
Please complete either this section or the Associate section below
APPLICATION AS A FREEMAN OR UPPER FREEMAN
I (name in full) ______
First and Middle Names SURNAME (in CAPITAL LETTERS)
apply to become a Freeman / Upper Freeman* of the Honourable Company of Air Pilots and agree to pay the appropriate fee (see next page). Please accompany application with your cheque(s) made out to: ‘HCAP’ and mail to: HCAP, PO Box 31040 RPO Thunderbird, Langley, BC Canada V1M 0A9 Applications cannot be processed without accompanying pre-payment.
*delete as applicable
I declare that the personal and career details which follow are true. If admitted, I will conform with the following declaration, which I now make.
DECLARATION OF A FREEMAN
"I agree to conform to the Constitution and Bylaws of the Honourable Company of Air Pilots (North America), and through my actions, preserve its status, dignity and prestige in the eyes of all. I will do everything in my power to promote the advancement of aviation and the safety and welfare of those who occupy their business in the skies, to emulate the highest standards in our Profession and to give counsel and help to those entering the Profession."
Signature of Applicant ______Date______
Applicants must be proposed and seconded by two members. Where applicants do not know two members, they should contact the Air Pilots North America Administrator at email:
Signature of Proposer ______Name in Capital Letters______
Signature of Seconder ______Name in Capital Letters______
APPLICATION AS AN ASSOCIATE
I (name in full)______
First and Middle Names SURNAME (in CAPITAL LETTERS)
apply to become an Associate of the Honourable Company of Air Pilots and agree to pay the appropriate fee (see next page). Please accompany application with your cheque(s) made out to: ‘HCAP” and mail to: HCAP, PO Box 31040 RPO Thunderbird, Langley, BC Canada V1M 0A9 Applications cannot be processed without accompanying pre-payment.
Signature of Applicant ______Date______
Signature of Proposer______Name in Capital Letters______
Position/Appointment (eg Air Pilot Member, CFI, Instructor) ______
Signature of Seconder______Name in Capital Letters______
Position/Appointment (eg Air Pilot Member, CFI, Instructor) ______
PERSONAL DETAILS
Title/Rank ______Name ______
Degrees/Decorations ______
Mailing Address ______
______
______
Postal Code ______
Telephone: Home (______)______Mobile_(______)______
Email (for Air Pilot correspondence) ______
Date of Birth ______Place of Birth ______
Nationality ______
Current Position/Job Title ______
Employer (if applicable) ______
The Honourable Company of Air Pilots (London) website (www.airpilots.org) has a secure section through which membership information can be displayed to other members. If you do not wish your email address or telephone number or mailing address to be displayed to other members please tick the box below.
ANNUAL DUES
Per annum / Upper Freeman / Freeman / AssociateCanadian/USD Funds / $129.00CDN/USD / $117.00CDN/USD / $93.00CDN/USD
Fees can be paid in full by your cheque made to ‘HCAP’ and mailed to address on page 1. Contact Donna Farquhar at
or +1 778-242-7019 if you have any questions.
FLYING EXPERIENCE
Please complete either this section or the Associates section below
FOR APPLICANTS AS FREEMAN OR UPPER FREEMAN
Total hours flown as pilot or navigator (powered fixed-wing or rotary aircraft): ______
Analysis of hours: Commercial (Airline/Corporate/Freelance/Medevac/Police etc) ______
Canadian/US Forces (or national equivalent) ______
Private ______
Other (ie non-powered, non fixed-wing or rotary) ______
FLYING LICENCES HELD
Type ______Issuing Authority ______
No. ______Expiry date ______
Date of first issue ______
PARTICULARS OF ANY RATINGS OR OTHER CERTIFICATES
Type______Issuing Authority ______
No.______Expiry date ______
Date of first issue______
Type______Issuing Authority ______
No.______Expiry date ______
Date of first issue______
FOR APPLICANTS AS ASSOCIATE
Do you hold a PPL or Commercial Licence: YES NO
If yes, please state Licence held: ______
Hours flown as qualified Pilot ______
Are you in training (or about to be) for a PPL or commercial licence? YES NO
If yes, total hours flown as pilot under training: ______
Flying Club or Training Establishment ______
Estimated date of completion of training ______
PROFESSIONAL/CAREER RECORD
Please state dates and brief description of main career positions (in chronological order)
DATESFROM - TO
(year only) / POSITION /
CAREER DETAILS
AVIATION RECORD
Types of aircraft flownFOR OFFICE USE ONLY
RECEIVED / CHECKED / ACKNOWLEDGEDACTION TAKEN
GRADING COMMITTEE RECOMMENDATION
PASSED / FREEDOM
NUMBER / FEES
Page 3of 5