Civil Air Patrol
Aerospace Education
Membership Application
For: Individuals, Schools,
Aerospace Organizations,
Science Clubs, etc.
Aerospace Education Member (AEM) $35 Per Year
Name:
SS#:
Birth Date
(MMM DD YY)
:
Home Phone: ( )
Residence Address:
(Include Zip Code)
E-Mail Address:
Employment:
Teacher Counselor Principal Superintendent Other ____________________
Grade Level(s) ____
School Type: Public Private Parochial Charter Homeschool Other ____
Background Information
1. Citizen of the United States? Yes No
2. If no, are you a resident alien with green card? Yes No If “no” attach sheet with explanation
3. Ever convicted of a felony? Yes No If “yes” attach sheet with explanation
4. Are you currently charged with any felony? Yes No If “yes” attach sheet with explanation
5. Served in the armed forces? Yes No
6. If yes, were you honorably discharged? Yes No If “no” attach sheet with explanation
Organizational Aerospace Education Member (OAEM) $35 Per Year
Name of Organization:
Contact Person:
FEIN or Identification Number:
Address of Organization:
(Include Zip Code)
E-Mail Address:
Payment Information:
Checkpayable to: National Headquarters, Civil Air Patrol
Credit cardcomplete the form below.
Visa Master Card
Mail Completed Form & Payment to:
FAX: 334.953.6891
E-mail: ae@capnhq.gov
Card Number:
Expiration (MM YY):
Name as it appears on card:
Signature of cardholder:
Signature of Applicant:
Date
(MMM D YY):
NATIONAL HEADQUARTERS REVIEW:
I certify that this applicant is accepted as a member of Civil Air Patrol. Initial/Date:
CAP FORM 13, NOV 10 PREVIOUS EDITIONS WILL NOT BE USED AFTER 28 FEB 11 CAP UNIT CHARTER 99004
Civil Air Patrol/AE
Aerospace Education Membership
105 South Hansell Street, Bldg. 714
Maxwell AFB, Alabama 36112-6332
Aerospace Education Membership
Aerospace Education Membership (AEM) is a special category of Civil Air Patrol membership. It
is open to any reputable individual or organization that has an interest in supporting CAP's
Aerospace Education Program.
MEMBERSHIP ELIGIBILITY CRITERIA:
Individuals: (1) Citizen of the United States or alien admitted for permanent residence. (2) Never
convicted or plead guilty to a felony (State or Federal) or currently charged with a felony. (3) Honorably
discharged from the armed forces, if served.
Organizations: Any reputable group, organization, business, club, or association. Examples include
PTAs, PTOs, schools, school districts, businesses, science clubs, aero clubs, public libraries, nonprofit
organizations, aerospace industry groups, etc. No particular affiliation with aerospace is required for
membership, only the desire to promote and support aerospace education in America. Each organization
joining CAP as an AEM must assign a point of contact (POC) individual. Only the organizational POC is
authorized to receive the benefits of membership listed below.
PRIVILEGES AND BENEFITS OF MEMBERSHIP:
Civil Air Patrol membership card; Aerospace Education Membership certificate; Civil Air Patrol Volunteer
magazine; Aerospace Education Member Newsletters; free educational products developed especially for
AEMs; free publications from the US Air Force Air University Press; eligibility (for individuals only) to travel
on USAF aircraft, when available, for approved aerospace education activities; eligibility to apply for CAP
VISA card; eligibility for car rental discount from Hertz; tax benefits, including deductible membership
dues and some participation expenses for CAP conferences. Note: A current CAP ID card is required to
receive any CAP AEM benefits.
RESTRICTIONS:
(Individuals and the Organizational Point of Contact)
a. Not authorized to wear CAP uniform, hold CAP grade, or participate in the senior
member program.
b. May not serve in authorized senior member positions in a CAP unit at any level.
c. Special permission is required for flights in Civil Air Patrol aircraft.
d. Aerospace Education Membership time is not creditable towards retirement in CAP.
SCREENING:
Each application will be screened for completeness and eligibility. The CA
P Executive Director or
designee must approve membership.
MEMBERSHIP YEAR:
The member year starts on the date the AEM application is approved by HQ CAP. It terminates 1 year
later on the last day of the application approval month. Note: If the AEM application is disapproved, the
applicant's dues are refunded.
TRANSFER TO REGULAR CIVIL AIR PATROL MEMBERSHIP:
To transfer from AEM to regular CAP membership (at no additional cost for the membership year), submit
a CAP Form 12, "Application for Senior Membership in Civil Air Patrol," with "AEM to Senior- No Charge"
annotated across the top, along with an FBI fingerprint card, through the gaining CAP unit.
CAP FORM 13, NOV 10 REVERSE