First Canadian Chapter, Inc.

Annual Excellence Award Application Form

Address:  _________________________________   City: ___________

Province: _____  Postal Code:  ________ Phone #: (____)____ -______

C.F.I.: _____________      Licence #: _____________

Name of School: _______________________________

Address:  _________________________________   City: ___________

Province: _____  Postal Code:  ________ Phone #: (____)____ -______

E-mail address: _____________________________________

The criteria for an applicant includes the following:

• Any qualifying female pilot residing in the jurisdiction of the First Canadian Chapter, Inc.
• Must have successfully completed the written examination and flight test for the purpose of obtaining a Private Pilot License during 2007
• Must include a copy of Transport Canada Examination results and a letter from your CFI concerning flight test results.
• Must provide a photocopy of Private Pilot License.

I, _________________verify the accuracy of this application and have examined the credentials of __________________________ and find her to be eligible and deemed fully qualified according to the criteria.

     ______________________                  _________________

     (Signature of CFI)                                   Date

Final assessment:  Written exam: _______   Flight test: ___________

Deadline for applicants:  February 1.

Winner to be contacted by February 14.

Mail completed applications to: 99s First Canadian Chapter, Annual Excellence Award,  c/o Laureen Nelson, 1492 Rougemount, Pickering, ON L1V 1N1 (905) 509 - 1033

Website email:  canadian99s@yahoo.ca