2019 CJP Gold Standard Safety Award Application Name: ___________________________________________________ Address: __________________________________________________ Email: ____________________________________________________ ✓ I certify that I have flown 100 PIC Turbine hours between August 1, 2018 and July 31, 2019. TOTAL PIC Turbine Hours from 8/1/18 to 7/31/19: __________________ ✓ I agree that I have read the CJP Standard Operating Practices (SOPs) and incorporated them in to my flying. INITIAL: _______________ ✓ I also verify that I completed a 61.58 check at a Part 142 simulator training provider on the following date between August 1, 2018 and July 31, 2019. Please provide a copy of the completion certificate. DATE: ______________________ ✓ Describe and provide proof of completion of a second 61.58 at a Part 142 simulator training provider or six (6) hours of Citation dual instruction in an aircraft or simulator between August 1, 2018 and July 31, 2019. Please provide a copy/copies of completion certificate(s). Description:__________________________________________________________________________ ____________________________________________________________________________________ Date of training: _______________________ Hours of dual: __________________________________ Date of training: _______________________ Hours of dual: __________________________________ Date of training: _______________________ Hours of dual: __________________________________ Date of training: _______________________ Hours of dual: __________________________________ ✓ Describe and provide proof of completion of one of the following training events between August 1, 2018 and July 31, 2019. Please provide a copy/copies of completion certificate(s). Description:__________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Date of training: _______________________ • Ratings – sea, glider, rotor, ATP, warbird, LOA, etc. • Endorsements – tailwheel or others • Physiology training • Spin/aerobatic • Upset recovery • Other aircraft 142 sim • Specialty training – backcountry, FAST, etc. • Ground school • CJP Convention attendance • Survival training, dunk tank • FSI Pro Card (Elite) • Other accredited aviation training • CFI renewal • Discounted FlightSafety eLearning library courses Cold Weather or Warm Weather