Civil Air Patrol - Nebraska Wing
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Thank you for your interest in the Civil Air Patrol.
Please fill out the form below and you will be contacted by someone from a local squadron.

MR.    MRS.    MS.
First Name:   MI: Last Name:
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City:   State:   Zip Code:
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*Parent's Name:    Required for prospects under 18 years of age

How did you hear about CAP:
Air Show CAP Exhibit
CAP Member Family Member
Former CAP Member Friend
Magazine NASCAR
Other Radio
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Interests
(check all that apply):
Aerospace Education Associate Member
Cadet Membership Cadet Mentor
Cadet Sponsor Membership Communications Training
Disaster Relief Flight Training
Glider Program Instructor, Aerospace Education
Instructor, Communications Instructor, Computer/Data Processing
Instructor, Drill and Ceremonies Instructor, Orientation Flight
Leadership Training Military Training
Model Rocketry Program Other
Pilot, Glider Public Relations / Marketing
Search and Rescue Senior Membership
Squadron Commander Survival Training

Demographics
(check all that apply):
AOPA Member Air Force Association Member
Aircraft Owner Armed Forces Active Duty
Armed Forces Reserve Armed Forces Retired
EAA Member FAA Certificated Flight Instructor (CFI)
Former CAP Member NASAR Member
National Guard Non-Commissioned Officer
Officer Pilot, FAA
Pilot, Military Prior Military Service
Soaring Society of America Member



For technical questions and concerns regarding this site please contact: webmaster@newg.cap.gov