BGA Instructor Form 7 BRITISH GLIDING ASSOCIATION FOR OFFICIAL USE ONLY BGA AEROBATIC INSTRUCTOR INITIAL ISSUE (the applicant must hold an Assistant or Full instructor rating) Please complete the form in clear block capitals using dark ink and submit to the BGA Payment - Please use the attached payment form. Current fees are on the BGA website www.gliding.co.uk Date Received 1. APPLICANTS PERSONAL PARTICULARS Applicants BGA Reference Number (if known) ……………………………………………………………………….. Title………………………………………..Surname…………………………………………………………………………. Forenames………………………………………………………………….Nationality…………………………………….. Date of Birth………………………………Place of Birth……..…………………………………………………………….. Postal Address………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………………………….. Post Code………………… …………Email Address………………………………………………………………………. Tel No…………………………………………….…Mobile No……………………………………………………………… Preferred contact method – email or letter? ……………………………………………………………………………… BGA Club……………………………………………………………………………………………………………………… 2. MEDICAL FITNESS – NPPL MEDICAL DECLARATION OR OTHER MEDICAL STATUS CURRENTLY HELD Please tick - NPPL Group 1 ( ) NPPL Group 2 ( ) Instructor Form 7 Aerobatic instructor Initial Issue v Jul 2009 JAR Class 1 ( ) JAR Class 2 ( ) BGA Instructor Form 7 3. TEST RECORD (Examiner to sign, delete or add as required) Figure ½ Roll Slow Roll Inverted Turn Half Cuban Half reverse Cuban Stall Turn Half Flick Date Aerobatic Examiner Name and Initials Aerobatic Examiner Signature 4. APPLICANTS DECLARATION I understand the privileges and limitations of the Aerobatic Instructor Rating I understand the revalidation requirement for the Assistant or Full rating that I hold I declare that to the best of my knowledge the information on this form is accurate Name………………………………………………Signature.………………………………………Date………………… 5. CFI DECLARATION - to be completed by the applicants BGA CFI I understand the experience requirement as described in BGA Laws and Rules and hereby recommend this application. I confirm that the applicant holds a valid BGA Assistant or Full instructor rating. Name………………………………………………Signature…………………………………………………………………. Date…………………………………………………BGA Reference No………………………………………………….. Instructor Form 7 Aerobatic instructor Initial Issue v Jul 2009 BGA Instructor Form 7 6. PAYMENT All fees are payable in advance with the application Cheques must be payable to ‘The British Gliding Association’ If paying by cheque, please enter the amount here £ ____________________ If paying by credit or debit card, please complete the following: Card Holders Name (in full) Amount in £ sterling £ Card No Expiry Date __ __ / __ __ Valid From __ __ / __ __ Card Security No. (last 3 numbers) Address of Cardholder if different from applicant Postcode: Fees are detailed at www.gliding.co.uk Instructor Form 7 Aerobatic instructor Initial Issue v Jul 2009