BGA Instructor Form 1
BRITISH GLIDING ASSOCIATION

FOR OFFICIAL USE ONLY

BGA INSTRUCTOR RATING INITIAL ISSUE
(initial issue of the BGA Basic, Assistant, Full Instructor ratings)
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 (
Instructor Form 1 BGA Instructor Rating Initial Issue v Jul 2009

)

JAR Class 1 ( ) JAR Class 2 ( )

BGA Instructor Form 1 3. RATING TO BE ISSUED - Please tick one box only & note the mandatory fields

Basic Rating 1, 2, 3, 4, 5, 6

Assistant Rating 1, 2, 3, 4, 5, 6

4. COURSE COACH / EXAMINER DECLARATION

Full Rating 1, 2, 3, 4, 5, 6

I confirm that the applicant ………………………………………………………………………….(name) has completed an approved BGA course / full rating test (delete as appropriate) and therefore subject to CFI declaration, I recommend the issue of a BGA Basic / Assistant / Full rating (delete as appropriate).
Date of Instructor Course or Test…………………………Location…………………………………………………….
Name………………………………………………Signature……………………………………Date……………………
5. APPLICANTS DECLARATION
I certify that I have the required gliding experience to hold the rating I am applying for as published in the current edition of BGA Laws and Rules. I understand the privileges and limitations of the rating I am applying for (see section 3 above) I understand that a new assistant rated instructor must complete a BGA instructors course completion course within 18 months I understand that I must submit this application with the completed BGA course/test record I declare that to the best of my knowledge the information on this form is accurate
Name………………………………………………Signature.………………………………………Date…………………
6. 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 applicants Basic / Assistant / Full rating (delete as required – only one rating may be applied for on this form)
Name………………………………………………Signature………………………………………………………………….
Date…………………………………………………BGA Reference No…………………………………………………..

Instructor Form 1 BGA Instructor Rating Initial Issue v Jul 2009

BGA Instructor Form 1

7. 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 1 BGA Instructor Rating Initial Issue v Jul 2009