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<tbody>
<tr class="odd">
<td colspan="20"><h1 id="california-wing-civil-air-patrol">CALIFORNIA
WING, CIVIL AIR PATROL</h1>
<h2 id="request-for-aeronautical-authorizations">Request for
Aeronautical Authorizations </h2></td>
</tr>
<tr class="even">
<td colspan="13"><p>Unit Name</p>
<p>     </p></td>
<td colspan="6"><p>Unit Number</p>
<p>PCR-CA-   </p></td>
<td><p>Group</p>
<p> </p></td>
</tr>
<tr class="odd">
<td colspan="20"><p>Unit Mailing Address</p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="10"><p>City</p>
<p>     </p></td>
<td colspan="4"><p>St</p>
<p>  </p></td>
<td colspan="6"><p>Zip</p>
<p>     -    </p></td>
</tr>
<tr class="odd">
<td colspan="20"><h3
id="memorandum-to-headquarters-california-wing-dov">MEMORANDUM TO:
HEADQUARTERS CALIFORNIA WING / DOV</h3>
<p>FROM: UNIT CC:</p></td>
</tr>
<tr class="even">
<td colspan="2">1. Request</td>
<td colspan="4">     </td>
<td>Grade</td>
<td colspan="2">     </td>
<td colspan="3">CAPID</td>
<td colspan="6">     </td>
<td colspan="2">be authorized as a:</td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4">Last Name, First name, MI</td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="6"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="20"></td>
</tr>
<tr class="odd">
<td colspan="5"> <a
href="../../MIMS/mbrachsteps.asp%3FCAPID=100101&amp;AchvID=59&amp;SID=B670F2E8-25A2-456D-8BEC-270CB231095F&amp;OID=188&amp;AppID=81&amp;ModID=65">CAP
Instructor Pilot - Airplane</a></td>
<td colspan="10"> CAP Chief Check Pilot</td>
<td colspan="5"> <a
href="../../MIMS/mbrachsteps.asp%3FCAPID=100101&amp;AchvID=90&amp;SID=B670F2E8-25A2-456D-8BEC-270CB231095F&amp;OID=188&amp;AppID=81&amp;ModID=65">CAP
Mission Check Pilot</a></td>
</tr>
<tr class="even">
<td colspan="5"> <a
href="../../MIMS/mbrachsteps.asp%3FCAPID=100101&amp;AchvID=101&amp;SID=B670F2E8-25A2-456D-8BEC-270CB231095F&amp;OID=188&amp;AppID=81&amp;ModID=65">CAP
Instructor Pilot - Glider</a></td>
<td colspan="10"> <a
href="../../MIMS/mbrachsteps.asp%3FCAPID=100101&amp;AchvID=60&amp;SID=B670F2E8-25A2-456D-8BEC-270CB231095F&amp;OID=188&amp;AppID=81&amp;ModID=65">CAP
Check Pilot - Airplane</a></td>
<td colspan="5"> CAP Tow Pilot</td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="10"> <a
href="../../MIMS/mbrachsteps.asp%3FCAPID=100101&amp;AchvID=100&amp;SID=B670F2E8-25A2-456D-8BEC-270CB231095F&amp;OID=188&amp;AppID=81&amp;ModID=65">CAP
Check Pilot - Glider</a></td>
<td colspan="5"></td>
</tr>
<tr class="even">
<td colspan="20">The tasks that must be completed for all of the above
listed ratings are included in MIMS under OPS-CAPPilot and CAP Awards,
except for CAP Chief Check Pilot and CAP Tow Pilot.</td>
</tr>
<tr class="odd">
<td colspan="20">2. The above named individual understands that he/she
must remain current and proficient as a qualified pilot per the FAR’s,
CAPR 60-1 and applicable California Wing Supplements.</td>
</tr>
<tr class="even">
<td colspan="20">3. I do hereby certify that I have personally verified
that the above listed individual meets the requirements of the FAR’s and
CAPR 60-1</td>
</tr>
<tr class="odd">
<td rowspan="3"></td>
<td colspan="2">Unit Commander</td>
<td></td>
<td colspan="2"></td>
<td colspan="2" rowspan="2"></td>
<td colspan="3" rowspan="2"></td>
<td colspan="5" rowspan="2">     </td>
<td rowspan="2"></td>
<td colspan="3" rowspan="2">     </td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td>     </td>
<td colspan="2">CA   </td>
</tr>
<tr class="odd">
<td colspan="2">Name</td>
<td>Duty Title</td>
<td colspan="2">Unit</td>
<td colspan="2">Approved</td>
<td colspan="3">Disapproved</td>
<td colspan="5">Date</td>
<td></td>
<td colspan="3">Reason for disapproval</td>
</tr>
<tr class="even">
<td colspan="20"></td>
</tr>
<tr class="odd">
<td rowspan="3">4.</td>
<td colspan="2">CAWG CC / DOV</td>
<td></td>
<td colspan="2"></td>
<td colspan="2" rowspan="2"></td>
<td colspan="3" rowspan="2"></td>
<td colspan="5" rowspan="2">     </td>
<td rowspan="2"></td>
<td colspan="3" rowspan="2">     </td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td>     </td>
<td colspan="2">CA   </td>
</tr>
<tr class="odd">
<td colspan="2">Name</td>
<td>Duty Title</td>
<td colspan="2">Unit</td>
<td colspan="2">Approved</td>
<td colspan="3">Disapproved</td>
<td colspan="5">Date</td>
<td></td>
<td colspan="3">Reason for disapproval</td>
</tr>
<tr class="even">
<td>5.</td>
<td colspan="2">Control Number</td>
<td colspan="3"><p>  -    </p>
<p>yy-nnnn</p></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="5"></td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="20"><p>All of these rating applications should be faxed or
mailed to CAWG/DOV, with copies of all paperwork required by CAPR 60-1,
Para 2-8. and CAWM 11-1 Chapter 7</p>
<p><strong>All members must have all data posted and validated in MIMS
before submitting this request.</strong></p></td>
</tr>
<tr class="even">
<td colspan="20">CAWG Form 117 July 2005</td>
</tr>
</tbody>
</table>

CAWG Form 117 Instructions

This revised CAWG Form 117 (CAWGF 117) is designed to be used as a cover
letter for requesting CAWG/DOV approval of the various Instructor, Check
Pilot and Tow Pilot ratings. This form is designed to be prepared using
Microsoft WORD. (This is a "DOT" type document.) This form can be
downloaded from the CAWG Website under Wing Publications, CAWG Forms and
Templates.

For record keeping, each Unit shall retain copies of each form processed
in the folder titled "CAWGF 117", within their Unit/DOV file.

This document may be filled in by the member and printed for the Unit
Commander's approval. This form is to be used only after all tasks have
been completed, entered and approved by the Unit CC in MIMS.

1\. Use Microsoft "WORD" to fill in all of the pertinent information
identifying the Member's Unit.

2\. Enter the Member's Name, Grade and CAPID.

3\. Check Box\[es\] as necessary for the Aeronautical Rating\[s\]
desired. e.g. Instructor Pilot, Check Pilot, Tow Pilot etc..

4\. Print a copy of the CAWGF 117 for inclusion in the CAP Form 5 (CAPF
5) package to be sent to CAWG/DOV for Wing approval. Contents of this
package is defined in CAWGM 11-1 Chapter 7

5\. After reviewing the document, the Unit CC shall fill in his/her
Name, Duty Title, Charter and Date. (Unit Commanders SHOULD personally
see each request) Check the appropriate box as to whether approved or
not. If disapproved, enter the reason in the "Reason for disapproval"
box.

6\. If disapproved, return the CAWGF 117 and CAPF 5 package to the
member.

7\. Mail the document, along with a complete CAPF 5 package to CAWG/DOV.

8\. After reviewing the document, the CAWG/DOV shall verify that this
rating is waiting for his/her approval in MIMS. The CAWG/DOV shall fill
in his/her Name, Duty Title, Charter and Date. Check the appropriate box
as to whether approved or not. The CAWG/DOV shall also approve or
disapprove the rating in MIMS. If disapproved, enter a reason for that
disapproval. CAWG/DOV will enter a Control Number on the CAWGF 117 in
the format, "yy-nnnn".

9\. CAWG/DOV will retain the CAWGF 117 and CAPF 5 package for all
Instructor and Check Pilot ratings and make a two (2) copies of the
approved (or disapproved) CAWGF 117.

10\. Mail one copy of the approved (or disapproved) CAWGF 117 to the
Member's Unit and a copy to the Group CC, to be included in the Group
files.

11\. The Unit shall retain the completed copy of the CAWGF 117 in the
Member's Personnel file