Applicant Details

Emergency Contact (Name)

First NameLast Name
Emergency Contact (Phone Number)
Please enter a valid phone number.Format: (000) 000-0000.
Flying Experience
Total Glider Hours
Number of Launches
GPC (Glider Pilot Certificate)Silver CGold CInstructor RatingOther
Recency (flights in last 6 months)
Current Glider(s) Flown
   Type a label   Type a label   Type a label
   Type a label   Type a label   Type a label
Self-Assessment – Communication &Language

English Language Proficiency:
FluentModerateLimited
Self-Assessment – Communication &Language

Verbal Communication Skills:
StrongAdequateNeeds ImprovementOther
Comments if applicable:
Visit Expectations
Training (progress toward GPC / advanced skills)Glider HireCross Country FlyingCoaching / Performance DevelopmentOther
Acknowledgement of Standards
I have read and understood the GCV operational standards and safety culture.Additional resources (e.g., instructor time) may be required if my competency level isbelow GCV minimum requirements.My booking request will only be confirmed after I complete the screening panelinterview, and my suitability is verified.I acknowledge that GCV is not a commercial business where services are provided, but a volunteer-based club which welcomes visitors on the basis that they acknowledge and adapt to a volunteer club culture.
Signature
Date

MonthDayYear
Date
Should be Empty:

VISITING PILOT APPLICATION FORM & SELF-SCREENING FORM