Expedition Name

Expedition Name
Please confirm the name of the exped you are applying for.

Personal Details

Rank
Full Name
Service Number
Present GSA Club
Previous Clubs
Please list membership to any other clubs within the last 5 years.
MOD Email
Personal Email

This will be used as the primary means of communication.
Telephone

Mobile or Landline. Which ever is the most suitable to make contact.

Next of Kin

Contact Name
Contact Address
Relationship
Contact Email
Contact Telephone


Gliding Experience

Instructor Category
Solo Hours

An approximate figure for the total of number of solo gliding hours
Instructor Hours

An approximate figure for the total of number of instructional gliding hours
Total Hours

An approximate figure for the total of number of gliding hours
Please tick the following awards you have achieved:
Silver C Award?  
Gold Distance?  
Gold Height?  
Diamond Goal?  
Diamond Distance?  
Diamond Height?  
Total Cross-Country flights

The grand total of cross-country flights you have successfully completed.
Total Cross-Country Distance

An approximate figure for the combined total kms you have flown.
Total number of field landings

Please do not include landings at aerodromes.
Powered hours (P1)

A summary of hours in which you were acting as P1

Gliders Flown

Have you been involved in any flying accidents or incidents in the previous 5 years?  Yes No

Provide the details and dates of these accidents / incidents:

Expedition Flying

Are you attending only part of the exped?  Yes No

Arrival Date
Leave Date
Have you been on a previous expedition?  Yes No

Please provide previous exped names and dates:

Provide a short summary to support your application and what you wish to achieve from the exped:

Services to the GSA

Club / Council Appointments

Competition Support / Organisation

Crewing

Other work

CFI Details

The Expedition Leader will contact your CFI to verify the accuracy of this application and provide a summary of your flying ability and suitability for this expedition.

CFI Name
CFI Email

Please ensure this is correct, as this will be the primary means of contacting your CFI.
CFI Tel

I certify that all the details provided in this form are correct

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