Exped Application 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 NoneBasic InstructorAssistant InstructorFull Category Instructor 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? Date Achieved: Gold Distance? Date Achieved: Gold Height? Date Achieved: Diamond Goal? Date Achieved: Diamond Distance? Date Achieved: Diamond Height? Date Achieved: 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 Prevent automated spam. Complete this question... What does the 'G' in GSA stand for?