Submitting the acp application form



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ACP Application Form

Direct to your POI or Supervisor
Submitting the ACP Application Form (ref: ACP Manual 2.1)

SUBMITTING THE ACP APPLICATION FORM

The ACP Application Form is located in Appendix A of the ACP manual. ACP applicants must complete and forward the form to the appropriate Transport Canada office with the following documentation attached:

(a) a résumé outlining:

(i) the applicant’s background, qualifications and experience, including previous flight check or supervisory experience;

(ii) justification for any deviations from the qualifications and experience requirements specified in this manual, and

(iii) declaration of any interest in the company or other condition that could result in a conflict of interest.

(b) for Type A applicants where training has been completed, a copy of the ACP course certificate(s) which indicate completion of both the theoretical and practical portions of an approved ACP (Initial) Course, including the dates for each portion if completed under separate approved (theoretical/practical) programs. For CAR 702/703 candidates who have completed the Alternate ACP Training Program, a copy of the ACP (Recurrent) Course certificate is required.

If the applicant has not yet attended an ACP course, the “proposed” box in the “Approved Check Pilot Course” section of the application form must be checked and the proposed course location and date indicated.

ACP Initial Application Résumé.

Background, qualifications and experience, including previous flight check or supervisory experience. (Ref: ACP Manual 2.1)




Full Name

License Number

Employee Number

Base

Total Time

Total PIC

Type Endorsements

Total on Type

Years as Captain

Previous Training or Checking Experience



ACP Application Form





 Initial

 if initial then – training rides completed

     

 Revision




Today’s Date (yy/mm/dd)

ACP Nominee

Name

     

License #

     

 ATPL

 CPL

ACP Authority Requested:



Type A



Type B



PPC (simulator only)



ACP



Line Checks









PPC/IFR



PPC/VFR













Aircraft Types:

CAR (to be operated under)

1)

 702

 703

 704

 705

2)

 702

 703

 704

 705

3)

 702

 703

 704

 705

Approved Check Pilot Course



completed



proposed



N/A



ACP Initial



ACP Recurrent



Alternate ACP Trng Program (703, 702)

Location(s)

     

Date (s) (yy/mm/dd)

     




     




     

Declarations

The following authorizes Transport Canada to publish a ACP’s name and phone number for the purpose of conducting flight checks.




     







Name




 Authorise  Do not Authorise



















Signature







This certifies that the information provided in this application and the attached resume (for initial applications only) is accurate and that I will abide by the policies and procedures specified in the Approved Check Pilot Manual (TP 6533E).










     







Signature




Date (yy/mm/dd)







For Transport Canada use only

Inspector Verification:

Initial Authority:

The ACP Nominee



meets all applicable requirements of the ACP Manual, or deviations from the required qualifications and experience are justified.



has been briefed on flight check procedures, and



has successfully completed an initial ACP monitor where applicable.

Revised Authority



meets all applicable requirements of the ACP Manual for the revised authority.

Recommendation for Approval



Yes



No



as requested



recurrent PPC only

Comments:      


     










     

Inspector's Name




Signature




Date (yy/mm/dd)

ACP Authority Approval:



Yes



No



as requested



recurrent PPC only

Comments:      


     










     

Issuing Authority




Signature




Date (yy/mm/dd)

Revised Authority 

This approval supersedes and cancels the approval dated

     







Date (yy/mm/dd)






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