APPLICATION FOR CADET MEMBERSHIP IN CIVIL AIR PATROL
PREVIOUS EDITION (Feb 14) MAY BE USED UNTIL 30 APRIL 2017 OPR/ROUTING: DP
CAP FORM 15, April 16
P
age 1 of 4
Section I: Applicant Information (Please Type or Print)
Social Security #
Unit Charter #
Name (Last, First, MI, Suffix)
Preferred Name
Gender
Birth Date
(mm/dd/yy)
Cadet Phone
M F
Cadet Primary Email
Home Address 1 (Street address, P.O. box)
Home Address 2 (Apartment, suite, unit, building, floor, etc)
City
State
Zip
Parent or Guardian First and Last Name
Relationship
Parent Phone
Parent Email
Name of School or Indicate “Home Schooled”
Grade
Military
Dependant
Prior CAP ID
(If applicable)
Yes No
Citizenship
Are you a citizen of the United States? Yes No*
*If no, are you an alien admitted for permanent residence? Yes No
(*Must possess Form I-151 or I-551)
Ethnicity (Optional and used for demographic purposes only.)
Identification: American Indian/Alaskan Native Asian Black/African American
Hawaiian Native/Pacific Islander Hispanic/Latino White/Caucasian Two or more races
How did you hear about CAP? (Optional)
Air Show CAP Exhibit CAP Member School Friend Family CAP Volunteer
Magazine
Other (please name):
CAP Recruiter First and Last Name
Recruiter ID
CAP FORM 15, April 16 PREVIOUS EDITION (Feb 14) MAY BE USED UNTIL 30 APRIL 2017 OPR/Routing: DP
Page 2 of 4
APPLICANT’S LAST NAME
Section II: Health Status (Completion by Parent/Guardian)
CAP does NOT deny membership due to any health issues, so answer completely and honestly so we can keep your child
safe. Cadets participate in vigorous, age-appropriate physical fitness activities. Some of the most common activities are
listed below. Please tell us if your child is able to participate in each activity. For each activity please use the following
legend to complete the form.
A. No health issuesmy child can participate fully.
B. Some health issuesmy child can participate with some modifications, or my child will be able to participate once he
or she recovers from a temporary health issue.
C. Chronic conditions my child cannot safely participate in this sort of activity due to long-term health issues.
A
B
C
ACTIVITY
A
B
C
ACTIVITY
Calisthenics: push-ups, sit-ups, toe-touches, etc.
Hiking or tramping through the woods.
Flying in a small aircraft.
Swimming.
Obstacle courses requiring balance and flexibility.
Volleyball, flag football and low impact sports.
Participating in the above activities for a full day, with periodic rest breaks.
If you answered B or C to one or more of the above, please explain why your child is unable to participate fully. Please
tell us about his or her health condition.
Is your child doing something to manage this condition? (Medication, asthma inhaler, insulin, insulin injections,
crutches, braces, etc.?) If yes, please explain.
CAP FORM 15, April 16 PREVIOUS EDITION (Feb 14) MAY BE USED UNTIL 30 APRIL 2017 OPR/Routing: DP
Page 3 of 4
APPLICANT’S LAST NAME
Section III. Honor Statement for the
Prospective CAP Cadet
Section IV. Parent/Guardian Authorization
As you apply for membership in the Civil Air Patrol
Cadet Corps, please tell us you're serious about being
a cadet by reading the statements below and signing
the application to indicate that you agree.
I want to be a CAP cadet. I think CAP's for me, and I'm
willing to give it a try for one full year.
I'll participate in most weekly squadron meetings and
will try to attend one 'Saturday' event per month.
I plan to attend the next 1-week, overnight summer
encampment available in my state. Most encampments
are 1-week in duration and take place in the summer or
during winter vacation. Tuition averages $200 - $300.
Local leaders will tell you more about the encampment
opportunities in your area.
If family or school obligations come up, I'll let my local
leaders know in advance that I'll be absent from CAP.
I have been assigned a mentor, an experienced cadet
who is my #1 source for information on how to succeed
in CAP. Or, if I haven't been assigned one, I'm going to ask
for one at my next meeting.
I understand that what I get out of CAP depends on
what I put into it.
As a symbol of my readiness to enter the CAP Cadet
Program, I make the following pledge:
THE CADET OATH
I pledge that I will ser
ve 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.
By signing this application, I agree to the following
statements:
I approve my child's membership application for the
Civil Air Patrol.
I have personally met with the local CAP leaders and
received a basic introduction to CAP. I know CAP policies
are available to me through the CAP website, especially
the parents' home page, capmembers.com/parents.
I understand my child may be flying in CAP aircraft and
participating in vigorous outdoor activities, under the
supervision of CAP adult leaders.
I understand that by joining CAP, my child is expected
to participate in CAP for a minimum of 1 year. He or she
will attend weekly meetings at our local squadron and one
special 'Saturday' event per month, on average, but of
course school and family obligations take priority over
CAP. If we can't participate in an activity, we'll try to let the
local leaders know in advance.
I understand that my child is tentatively scheduled to
attend the next cadet encampment, which is typically a 7-
day, overnight activity conducted in the summer or during
school vacation. I will make an effort to support his or her
participation at that program. (Information about the next
encampment is posted at capmembers.com/encampment
as it becomes available. Your local leaders will also be
providing more information.)
If CAP provides my child with a uniform, I promise to
return that uniform when he or she outgrows it or decides
to leave the CAP Program.
If my child takes medication, I understand that CAP
requires cadets to be able to self-administer their
medicine. CAP’s adult leaders will not administer any
medications.
I HEREBY CERTIFY THAT TO THE BEST OF MY
KNOWLEDGE AND BELIEF THE HEALTH OF THE
APPLICANT IS AS INDICATED IN SECTION II.
Prospective Cadet Signature
Parent/Legal Guardian Full Name (Please Print)
Date
Parent/Legal Guardian Signature
Date
CAP FORM 15, April 16 PREVIOUS EDITION (Feb 14) MAY BE USED UNTIL 30 APRIL 2017 OPR/Routing: DP
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APPLICANT’S LAST NAME
Section V. CAP 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 ap
plication is processed by National Headquarters and the individual’s name
appears on the National Headquarters database.
I certify that that the individual in question has attended three meetings, I have reviewed valid proof
of identity, and have met the parent/guardian to ensure the individual has permission to participate
and discussed any physical limitations or concerns.
Signature
Date
Printed/Typed First and Last Name
CAP ID
Charter Number or Unit Name
1. You may be able to apply online. Find more information at www.capmembers.com/cadetjoinonline.
2. Please fill out the application completely. Social Security Numbers and Birth Dates are required. Ensure
Sections III, IV and V are all signed. Missing information will delay processing.
3. CAP accepts checks (made payable to Civil Air Patrol), money orders and credit cards. Dues amount for
your Wing can be found at www.capmembers.com/dues
.
Credit cards must include the following information:
Type of Card (Visa, MasterCard or Discover are all accepted)
Card Number
Expiration Date
Security Code (three digit code on the back of the card)
Name on Card
4. Send the completed application (four pages total) and dues to:
CAP/DP
105 S. Hansell St. Bldg 714
Maxwell AFB, AL 36112
If you choose to expedite mailing, FedEx and UPS are recommended. USPS priority mail is first delivered to
the Maxwell AFB post office, which can result in delivery delays to NHQ.
Fax: Applications can also be faxed with credit card payment information to 334-953-7771.
5. An automated welcome email will be sent to the primary email address when the application is processed.