The Mike Griffin Award


Application Form

Applicants are advised to read the Rules, Terms & Conditions of the Award before completing this Form.  All entries must be clearly legible, in English and signed by the applicant, who thereby agrees to abide by the rules.  The form must be countersigned by the Applicant's manager, who should affix his appointment stamp or attach his business card.

Please provide the following contact information:

Name of Applicant:

(if applicable, include your title and any supplementary approvals or qualifications)

Company:

Address:

Address (cont):

Zip/Postal Code:

Country:

Position in Company

Nationality

Tel No:

Fax No:

e-mail:

How did you become aware of this Award?     (UKFSC website, personal contact etc)

What are your objectives in applying for this Award?

Which areas of expertise do you wish to visit?

 

 

Applicant's Signature:

Date:

I support the above application and will facilitate the Applicant's participation in the award programme to the best of my ability.

Manager's Signature:

Date:

 

UK Flight Safety Committee, Graham Suite, Fairoaks Airport, Chobham, Woking, Surrey, GU24 8HX, UK
Copyright © 1999 [UK Flight Safety Committee]. All rights reserved. Revised: April 19, 2002