Minnesota Wing, Civil Air Patrol
United States Air Force Auxiliary
Prospective Member Information

Thank you for your interest in the Civil Air Patrol and Minnesota Wing. Please take a moment to fill this form out. We will use the information to refer you to a local unit and provide you with more information on your areas of interest.

First Name:   MI: Last Name:
Address:
 
City:   State:   Zip Code:
Email Address:  
Phone:       Age:
*Parent's Name:
Required for prospects under 18 years of age

How did you hear about Civil Air Patrol?
Air Show CAP Exhibit
CAP Member Family Member
Former CAP Member Friend
Magazine Other
Radio School
Television CAP Website


Interest (Check all that Apply)
Aerospace Education Associate Member
Cadet Membership Cadet Mentor
Cadet Sponsor Membership Communications Training
Disaster Relief Flight Training
Glider Program Instructor, Aerospace Education
Instructor, Communications Instructor, Computer/Data Processing
Instructor, Drill and Ceremonies Instructor, Orientation Flight
Leadership Training Military Training
Model Rocketry Program Other
Pilot, Glider Public Relations / Marketing
Search and Rescue Senior Membership
Squadron Commander Survival Training


Demographic Information (Please complete all that apply.)
AOPA Member Air Force Association Member
Aircraft Owner or Co-Owner Armed Forces Active Duty
Armed Forces Reserve Armed Forces Retired
EAA Member FAA Certificated Flight Instructor (CFI or CFII)
Former CAP Member NASAR Member
National Guard Non-Commissioned Officer
Officer (Commissioned or Warrant) Pilot, FAA
Pilot, Military Prior Military Service
Soaring Society of America Member

Please contact me as soon as possible joining Civil Air Patrol.

Minnesota Wing/RS
Copyright © 2002. All rights reserved.
Revised: October 17, 2004 .