sUASO Badge – Application Form
sUASO Badge – Application Form
SGAUS membership required. Incomplete applications will not be processed.
Date
Name
*
Name
First Name
First Name
Last Name
Last Name
Middle Initial
Personal Email
*
IE: joe.snuffy@gmail.com
Official Email
*
IE: joe.snuffy@army.mil | joe.snuffy@zulustateguard.gov
Rank
*
Spelled out – IE: Staff Sergeant (Do not include numbers, state, US, etc)
Service
Spelled out – IE: Air Force, Air National Guard, Zulu Defense Force. If not in a service: Leave Blank
Address
*
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Phone
*
I am a SGAUS Member
*
Yes
No
Military/Civilian Resume
*
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
PDF Only
FAA Part 107 Certification Number
*
Name as it appears on FAA Cert
*
Certificate Upload – IS-100
*
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
Official Certification Certificate as issued from certification vendor
Certificate Upload – IS-200
*
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
Official Certification Certificate as issued from certification vendor
Certificate Upload – IS-700
*
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
Official Certification Certificate as issued from certification vendor
Certificate Upload – IS-800
*
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
Official Certification Certificate as issued from certification vendor
Hazmat: IS-5.A or OSHA 1910.120
*
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
Official Certification Certificate as issued from certification vendor
FAA ALC-704: Crew Resource Management (proof of exam pass)
*
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
Official Certification Certificate as issued from certification vendor
Memo Upload – Signed by applicant’s senior officer – – Must contain DATE OF LAST DRILL/EXERCISE and DATE OF LAST FLIGHT PROFICIENCY DEMONSTRATION
*
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
Official Certification Certificate as issued from certification vendor
Blue Flash
*
Yes, requesting
No, not requesting
Documentation proving Search & Rescue activation required
Blue Flash – Documentation
Drop a file here or click to upload
Choose File
Maximum file size: 5MB
Documentation proving Search & Rescue activation
I have completed the federal baseline training requirements and all relevant official documents have been provided with this application.
*
I Attest.
Submit
If you are human, leave this field blank.