Applicant Details

VISITING PILOT APPLICATION FORM & SELF-SCREENING FORM
Applicant Details
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

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
Current Gliding Ratings /Certificates Held

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:
How would you rate your English Language Proficiency?

FluentModerateLimited
Self-Assessment – Communication &Language

Verbal Communication Skills:
How are your verbal communication skills?

StrongAdequateNeeds ImprovementOther
Comments if applicable:
Visit Expectations
What do you expect from your visit with us?

Training (progress toward GPC / advanced skills)Glider HireCross Country FlyingCoaching / Performance DevelopmentOther
Acknowledgement of Standards
I acknowledge:

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

Applicant Details

Flying Experience

Self-Assessment – Communication &Language

Self-Assessment – Communication &Language

Visit Expectations

Acknowledgement of Standards