Pilot Volunteer form

Brigade Air Volunteer Pilot Registration Form


Note: Filling out this form does not obligate you in any way, but is simply a method to state your interest in helping at one of our week-long summer aviation camps in the US, providing your schedule and other priorities permit it. If your tentative location and date preferences match with a scheduled camp, you will be contacted at a later time. Camps in the US typically run between June and mid-August. Thank You.
Pilot’s Last Name First Name MI
Organization (If Applicable)
Street Address 1
Street Address 2
City
State/Province
Zipcode
Email
Phone #, Day: Phone #, Evening:
Pilot Qualifications
Please place a check mark next to each that applies to you MINIMUM REQUIREMENTS: 300 hrs. PIC, 50 hrs. in type used at a Brigade Air camp.
Private Commercial ATP Instrument CFI ASEL
Pilot Certificate #
PIC Total Time :
Hours in Type A/C: (Note: Our camps are all conducted in light single engine aircraft)
Cessna C 172							Hours
Cessna C 182							Hours
Piper 140							Hours
Piper 180							Hours
Other							Hours
Other							Hours
Other							Hours
Other							Hours

I have had legal action taken against my pilot certificate by the FAA or other law enforcement agency. Yes No If Yes, You MUST provide a complete and thorough explanation of the violation(s) below

Personal Qualifications
Do you have any prior experience and do you enjoy working with teens?
Do you have any church affiliation?
For what US states would you be available?
What summer week(s) would work best for you?
June Week 1	June Week 2	June Week 3	June Week 4	July Week 1	July Week 2	July Week 3	July Week 4	Aug. Week 1	Aug. Week 2	Aug. Week 3
I have reviewed, understand, and will comply with the AOPA Air Safety Foundation‘s publication, Volunteer Pilots “ Recommendations For Enhanced Safety”, (available free at: http://www.aopa.org/asf/publications/volunteer.pdf). I also have the MINIMUM REQUIRED FLIGHT HRS. LOGGED for Brigade Air Inc. I Agree I Disagree

Submit Reset Form

Brigade Air Volunteer Pilot Registration Form

Pilot Qualifications

Please place a check mark next to each that applies to you

Personal Qualifications