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 / Associate
Canadian/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)

DATES
FROM - TO
(year only) / POSITION /
CAREER DETAILS
AVIATION RECORD
Types of aircraft flown
FOR OFFICE USE ONLY
RECEIVED / CHECKED / ACKNOWLEDGED
ACTION TAKEN
GRADING COMMITTEE RECOMMENDATION
PASSED / FREEDOM
NUMBER / FEES

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