APPLICATION FOR CADET MEMBERSHIP	CHARTER NUMBER	SOCIAL SECURITY NUMBER
IN CIVIL AIR PATROL (Type or print.)
LAST NAME - FIRST NAME - MIDDLE INITIAL

MALE

FEMALE	HEIGHT

WEIGHT

BLOOD TYPE

DATE OF BIRTH

DAY	MONTH YEAR

MAILING ADDRESS (Number and Street)

APT

CITY

STATE

ZIP CODE

HOME PHONE

( )
Email address (This address may be used to contact you concerning CAP events, special interest items and other membership information)

NEXT OF KIN (Name and address)

RELATIONSHIP:
PHONE: ( )
SCHOOL PRESENTLY ATTENDING (NAME AND ADDRESS) Check here if Home Schooled

GRADE

MEMBER MOST RESPONSIBLE FOR YOUR JOINING CAP (OPTIONAL : For recruiting purposes)

NAME	CAPSN	CHARTER NUMBER

To help us better serve our members, please tell us how you heard about Civil Air Patrol (check all that apply):
Air Show

NASCAR Race Program

CAP Member

Friend

Magazine

Family Member	CAP Exhibit

School

Radio

Television
Other (please name):
BACKGROUND INFORMATION:
A. CITIZENSHIP

1) Are you a citizen of the United States?

2) Are you an alien admitted for permanent residence? (Must possess current alien registration receipt card [Form I-151 or I-551]).	B. IDENTIFICATION GROUP

WHITE	BLACK (NOT OF HISPANIC ORIGIN)

HISPANIC	ASIAN/PACIFIC ISLANDER

AMERICAN INDIAN/ALASKAN NATIVE
C. PRIOR CAP MEMBERSHIP (WRITE “NONE” IF APPROPRIATE)

Old Charter Number	Membership Date (From)	Membership Date (To)	Highest Cadet Award Earned
I hereby make application for cadet membership in Civil Air Patrol. I pledge that I will serve faithfully in the Civil Air Patrol Cadet Program and that I will attend meetings regularly, participate actively in unit activities, obey my officers, wear my uniform properly, and advance my education and training rapidly to prepare myself to be of service to my community, state, and nation.
APPLICANT SIGNATURE	DATE

This application has my approval. I understand that my child may be flying in CAP aircraft and participating in vigorous outdoor activities. I agree to help support my child’s efforts to attend official Civil Air Patrol functions and activities.
PRINT PARENT OR LEGAL GUARDIAN FULL NAME

SIGNATURE	DATE

To be completed by commander or designated representative: I certify that the applicant is accepted as a member of Civil Air Patrol subject to approval by higher headquarters with National Headquarters as the final approving authority. Membership becomes effective when this application is processed by National Headquarters and the individual’s name appears on the National Headquarters database.
CHARTER, UNIT NAME, AND ADDRESS

PRINT FULL NAME

SIGNATURE	DATE

A NOTE TO THE NEW CADET

Congratulations on joining Civil Air Patrol! To fly in CAP aircraft and be credited for achievements in the Cadet Program, your application must be processed by CAP National Headquarters. So please rush this application and your check for dues to:

NATIONAL HEADQUARTERS CAP/DP

105 S. HANSELL ST.

MAXWELL AFB AL 36112-6332

CAP FORM 15, MAR 03	PREVIOUS EDITION MAY NOT BE USED AFTER 30 JUN 03	OPR/ROUTING: DP

Free Cadet Uniform Voucher Attached

HEALTH CERTIFICATE

PARENT’S EVALUATION

The activities in which your child will participate while a member of CAP are generally comparable to those experienced in high school, including physical education activities. To assure the fullest degree of pleasure and success in Civil Air Patrol, the cadet should be healthy, both physically and mentally. If you mark “NO” in all the boxes below, your cadet will be placed in a Physical Fitness Category I, and will not require a physical examination. It you mark “YES” in any box, an examination by a physician is required.

YES	NO

FREQUENT OR SEVERE HEADACHES

DIZZINESS OR FAINTING SPELLS

UNCONSCIOUSNESS FOR ANY REASON

EYE TROUBLE (not correctable with glasses)

HEART TROUBLE

CHRONIC OR RECENT EAR TROUBLE

HIGH OR LOW BLOOD PRESSURE

SIGNIFICANT ABDOMINAL TROUBLE (INCLUDING HERNIA) UNLESS CORRECTED

SUGAR OR ALBUMIN IN URINE

EPILEPSY

MENTAL OR NERVOUS DISORDER

DRUG OR NARCOTIC HABIT

EXCESSIVE DRINKING HABIT

REJECTION FOR LIFE INSURANCE

ASTHMA

ALLERGIES

OTHER LIMITATIONS

I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE HEALTH OF THE APPLICANT IS AS SHOWN ABOVE.
PARENT OR LEGAL GUARDIAN SIGNATURE	DATE

PHYSICIAN’S CERTIFICATE

(Required if “YES” was marked in any box above)

I certify that I have examined the applicant whose name appears hereon and that he/she does not possess physical limitations that would preclude participation in Civil Air Patrol as explained in the above parent’s evaluation.

NOT RESTRICTED: Physically capable of full participation.

TEMPORARILY RESTRICTED: Medical condition or injury is temporary in nature.

PERMANENTLY RESTRICTED: Medical condition or injury is chronic or permanent in nature and individual is restricted from all Civil Air Patrol physical activities.
PHYSICIAN’S SIGNATURE	DATE
PHYSICIAN’S ADDRESS	PHYSICIAN’S PHONE
CAP FORM 15, MAR 03	PAGE 2 OF 4

CIVIL AIR PATROL FREE CADET UNIFORM VOUCHER. If you do not want the free uniform, do not complete this voucher for processing. Otherwise, follow the instructions below. If you have any questions, contact CAP NHQ/LGS at Comm 1-334-953-1501, DSN 493-1501 or e-mail logeqp@cap.gov. Return the voucher at page 4 with your membership application. You and one of your parents or legal guardians need to read the terms also at page 4 and sign in the space provided. Your squadron commander can answer your questions about the FCU program.

HAT SIZE CONVERSION CHART

Using a tailor’s tape measure, measure the circumference of the cadet’s head. Look for the approximate measurement on the chart and cross-reference to the appropriate cap size for women or men.
APPROXIMATE MEASUREMENT	WOMEN’S

SIZE	MEN’S

SIZE
20 1/8	20	6 3/8
20 ½	20 ½	6 ½
20 7/8	21	6 5/8
21 ¼
6 ¾
21 5/8	21 ½	6 7/8
22	22	7
22 3/8
7 1/8
22 ¾	22 ½	7 ¼
23 1/8	23	7 3/8
23 ½	23 ½	7 ½
23 7/8	24	7 5/8
24 ¼
7 ¾
24 5/8	24 ½	7 7/8
25	25	8
FEMALE PANT/SKIRT SIZE CONVERSION CHART

Using a tailor’s tape measure, measure the circumference of the cadet’s waist and hip. Look for the approximate measurement on the chart and cross-reference to the appropriate pant/skirt size. All measurements are in inches. To measure Short (S), Regular (R), Long (L): Sit cadet down on flat surface. Measure from the waist to the flat surface. Seven inches and shorter requires (S); 8” requires (R); 9” or longer requires (L)

PANT/SKIRT

SIZE	WAIST

CIRCUMFERENCE	HIP

CIRCUMFERENCE
2M	22 – 23 ½	34 – 36
2W	22 – 23 ½	36 ½ – 38 ½
4M	23 – 24 ½	35 – 37
4W	23 – 24 ½	36 ½ – 38 ½
6M	24 – 25 ½	36 – 38
6W	24 – 25 ½	37 ½ – 39 ½
8M	25 – 26 ½	37 – 39
8W	25” – 26 ½”	39 – 41
10M	26 ½” – 28”	38” – 40”
10W	26 ½” – 28”	40” – 42”
12M	28” – 29 ½”	39 ½” – 41 ½”
12W	28” – 29 ½”	41 ½” – 43 ½”
14M	30” – 31 ½”	41 ½” – 43 ½”
14W	30” – 31 ½”	43 ½” – 45 ½”
16M	31 ½” – 33”	43” – 45”
16W	31 ½” – 33”	44 ½ - 46 ½
18M	33 – 34 ½	45 – 47
18W	33 – 34 ½	46 – 48
20M	35 – 36 ½	47 – 49
20W	35 – 36 ½	48 – 50
22M	37 – 38 ½	49 – 51
22W	37 – 38 ½	50 – 52

Please Detach Here	Please Detach Here

Important Contact Numbers. You May Keep This Portion For Your Records

For status of your cadet membership application call NHQ CAP/DPP at 877-227-9142.

For status of your uniform voucher call the Army/Air Force Exchange Service [AAFES] at 800-527‑2345 or NHQ CAP/LGS at 334-953-2945. Be prepared to provide your CAPID shown on your membership card.

If you need to return a uniform item or have a question about your return, please contact 210-674-0190, or mail: Lackland Military Clothing Sales Store 1520 Kirkland, Building 6659 San Antonio TX 78236. Your CAP identification number [CAPID], name, address and phone number will need to accompany all correspondence. Please do not contact the CAP Bookstore about the status of your voucher or uniform returns.

Free Cadet Uniform [FCU] Voucher terms. Cadets and adults should understand the following:

This program provides an opportunity for a new cadet to receive, at no cost to the cadet, a basic blue Air Force uniform (shirt, pants or skirt, belt and buckle, flight cap and shoes) valued at about $100, provided the unit commander approves the request and funds continue to be available in the program.

Cadets are responsible for purchasing the CAP accessories (name tag, ribbons, grade insignia, hat device, etc.) required for proper wear of the uniform. To purchase accessories, contact the CAP Bookstore at 1- 800-633-8768.

In the event the cadet withdraws from the cadet program (within the first year of membership), free uniform items must be returned (or replaced, if lost or damaged) to the local CAP unit. The parent assumes the responsibility on behalf of their minor child. The squadron commander must make every reasonable effort to retrieve these uniform items.

These uniforms will not be sold, rented or given to anyone other than CAP cadets. The squadron commander will maintain the accountability of these uniforms with records that are available for audit.

The uniforms will be mailed directly to the new cadet. (Exceptions will be handled by request on a case-by-case basis.)

Please Detach Here	Please Detach Here

This Voucher Must Remain Attached To The New Member Application Form When Submitted

FREE CADET UNIFORM VOUCHER	FOR NHQ CAP/DP USE ONLY	CAPID:
Submitting a fraudulent voucher is illegal and individuals may be prosecuted. Incomplete vouchers will be returned to the cadet to complete. Please type/print all information.
Ship to Name:	Ship to Address:	Contact Phone Number:
( )

Home

( )	Work
ALL FIELDS FOR MALE/FEMALE MUST BE MARKED

MALE	FEMALE (Choose either Pants or Skirt)
Shirt

M202E	Pant Waist

M202C	Shoe Size

M206A	Cap

M204G	Blouse

M212M	Pants

M212D	Skirt

M212C	Shoe Size

M110K	Cap

M214G
13 ½	26	39	3	9.5	6 3/8	2	2	2	4	10.5	20
14	27	40	3.5	10	6 ½	4	4	4	4.5	11	20 ½
14 ½	28	42	4	10.5	6 5/8	6	6	6	5	11.5	21
15	29	44	4.5	11	6 ¾	8	8	8	5.5	12	21 ½
15 ½	30	46	5	11.5	6 7/8	10	10	10	6
22
16	31
5.5	12	7	12	12	12	6.5
22 ½
16 ½	32
6	12.5	7 1/8	14	14	14	7
23
17	33
6.5	13	7 ¼	16	16	16	7.5
23 ½
17 ½	34
7	13.5	7 3/8	18	18	18	8
24
18	35
7.5	14	7 ½	20	20	20	8.5
24 ½
18 ½	36
8	14.5	7 5/8
22	22	9
25
19	37
8.5	15	7 ¾
9.5
38
9
7 7/8
10
Buckle

M208E1	Belt

M208G2	Pant Length

Shoe Width	Pant/Skirt Length	Belt

M208E1	Buckle

M208G2	Shoe Width
X	X	XS	L	C

Narrow	EEE

X-Wide

No 3-5.5	MS	WS	X	X	A

Narrow

No 4-5.5	B

Medium
S	XL	D

Regular
MR	WR
C

Wide	E

X-Wide

No 4-4.5
R
E Wide
ML	WL
The signatures below acknowledge that the uniform request accompanies an application for a new cadet membership in Civil Air Patrol, that all signatories agree to all terms of the FCU voucher listed on the detachable section above, and that the information listed on the voucher is correct.

Cadet’s Signature and Date

Parent’s or Legal Guardian’s Signature and Date

Signature of the Squadron/Deputy Commander for Cadets and Date

CAP FORM 15, MAR 03 FREE CADET UNIFORM VOUCHER INSTRUCTIONS	PAGE 3 OF 4

Free Cadet Uniform Voucher	Page 3 of 4

CAP FORM 15, MAR 03 FREE CADET UNIFORM VOUCHER	PAGE 4 OF 4

Civil Air Patrol

Donald C Kowalewski

2004-02-03

PRIMARY

cap hq