BGA Instructor Form 8 BRITISH GLIDING ASSOCIATION FOR OFFICIAL USE ONLY BGA EXAMINER AUTHORISATION ISSUE/REISSUE OR RENEWAL Please complete the form in clear block capitals using dark ink and submit to the BGA office Payment - Please use the attached payment form. Current fees are on the BGA website www.gliding.co.uk 1. APPLICANTS PERSONAL PARTICULARS Date Received 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 ( ) EASA Class 1 ( ) EASA Class 2 ( ) LAPL ( ) Instructor Form 8 BGA Examiner Aug 11 BGA Instructor Form 8 3. APPLICATION (please tick one box only) This application is for; ISSUE REISSUE Of the following authorization; (please tick one box only) RENEWAL BGA FLIGHT EXAMINER BGA FLIGHT INSTRUCTOR EXAMINER 4. RECOMMENDATION BY A BGA SENIOR REGIONAL EXAMINER OR OTHER PERSON SPECIFICALLY APPROVED TO ISSUE BGA FE OR FIE AUTHORISATIONS I confirm that the applicant ………………………………………………………………………….(name) has met the criteria defined in the BGA Examiner Standards Document. Where required, I confirm that the applicant has completed the required BGA course/seminar. I recommend the issue / reissue / renewal (please delete as required) of a (delete one); BGA Flight Examiner Authorisation BGA Flight Instructor Examiner Authorisation Date of Course……….…………………………Location………………………………………………………………… Name………………………………………………Signature……………………………………Date…………………… 5. APPLICANTS DECLARATION I certify that I have the required gliding experience to hold the authorisation I am applying for as published in the current edition of BGA Laws and Rules and the BGA Examiner Standards Document I understand the privileges and limitations of the Examiner authorisation I am applying for, and that those privileges can only be exercised on receipt of a valid BGA Examiner authorisation certificate issued by the BGA. I understand that a BGA Examiner authorization is valid for 3 years and requires the Examiner to hold a valid BGA Instructor Rating I declare that to the best of my knowledge the information on this form is accurate Name………………………………………………Signature.………………………………………Date………………… Instructor Form 8 BGA Examiner Aug 11