Gliding Scholarship Form

About You
Name

First NameLast Name
Known As
Address

Street Address

Street Address Line 2

CityState / Province

Postcode
Email
example@example.com
Phone Number
Date of Birth

DayMonthYear
Date
Gender
What is your ethnic group?
Aerobility uses this data to help develop its services, ensuring they are as accessible as possible to as many people as possible
Which funding are you applying for?
To be eligible to fly in the glider the maximum weight is 103kg (16st 4lbs). The minimum weight is 45kg (7st 1lb). Should a hoist be required to allow access into the aircraft, the weight limit for this activity is 14 stone (209 lbs or 95Kg) . Flyers also need to be between 5ft (152cm) and 6ft 4ins (193 cm) tall. Please confirm that you are within these limits.
To be eligible to fly in the front seat of one of our Piper PA28 training aircraft, there is a weight limit of 17 stones (238 lbs or 108 Kg). Should a hoist be required to allow access into the aircraft, the weight limit for this activity is 15 ¾ stone (220 lbs or 100kg) at Blackbushe, 14 stones (209 lbs or 95Kg) at Tatenhill and Lydd. For people who exceed this weight, up to 20 stone (280 lbs or 127 Kg), there is the potential to utilise our larger PA-32 Cherokee 6 at Blackbushe should this be required. Flyers also need to be between 5ft (152cm) and 6ft 4ins (193 cm) tall. Please confirm that you are within these limits.
As a charity we need to ensure that our scholarship funds are directed to those who need it most. Therefore please only proceed if you can tick the box below. If you cannot tick this box in good faith, but would still like to fly, please contact front desk to book
About Your Disability

Please note: In order to be eligible for a scholarship, you must have an impairment, and be considered disabled as per standard government guidelines.
Please tell us about the nature of your disability - and its impact on your life
About Your Flying
Please tell us about your flying experience / interest
Please tell us about your aviation goal and what has been the barrier to achieving this goal?
For example, you are aiming to achieve your PPL, but are short on funding due to restricted income
Why do you feel that you are eligible for a funded introductory flight?
Is there any support you require to complete these 5 hours?
Please outline any previous or existing funding support you may have received, whether this is through Aerobility or another source
Please tell us about your involvement with Aerobility, including why you consider this scholarship funding to be appropriate to you
If successful, how will you ensure that your funding is used within the time allowed?
If successful, which 2 sites would you prefer to use your funds at? We will endeavour to place you at your first choice. If this is not possible, we will offer you your second choice.

Please select your first and second choice from:

Blackbushe Airport, Surrey

Tatenhill Airfield, Staffordshire

Lydd Airport, Kent

Newquay Airport, Cornwall
My first choice location would be
My second choice location would be
Referee
Name, Address, Contact Number and Connection to Referee
This section is not mandatory, but if you feel there is someone such as a flying instructor, who could support or add insight into your application, please provide their details below
Data Protection
For operational reasons we need to store your details for you to fly with us. Please select yes to consent to our storing your details. We promise to protect your data and we will only contact you in relation to your flight.
We promise that your details will only be used as you wish and in line with data protection law. We will never share your details with another organisation or contact you in a way you have not agreed to. However, we would like to send you communications from time to time about our organisation. If that would be ok, please tick if you are happy for us to contact you by:
If you don't want to hear from us, or change your mind about how we contact you, please email frontdesk@aerobility.com or call 0303 303 1230. For more information on how we manage your data, please see our privacy policy.
Film and Photography Consent.

Our Film and Photography consent policy can be found here
I grant Aerobility permission to capture and use my (or my child’s) image, video, and/or voice recordings for the following purposes: Promotional materials (brochures, flyers, posters), social media and website content, Press and media publications, Fundraising campaigns and Training and educational materials.
Terms and Conditions
Please read the following carefully and then sign your application below:

- The information contained within this application is correct to the best of my knowledge.

- I agree that if my application is successful, I will support Aerobility by using my achievements to promote both the funder of this Scholarship/Bursary and the work of the charity.

- Aerobility may contact you for clarification and additional information, if it is felt it may support your application.

- I understand that the Aerobility Scholarship is funded by supporting organisations, and will be awarded to participants who best meet the criteria of each funding provider.

- The Aerobility management team will liaise with the funding provider to award each Scholarship/Bursary and a joint decision will be made.
Typing your name below will act as a signature agreeing to this statement
Should be Empty:

About You

About Your Disability

About Your Flying

Referee

Data Protection

Terms and Conditions