STA_Handbook

U N I T E D STAT E S PA RAC H U T E AS S O C IAT I O N SAFETY& TRAINING ADVISOR HANDBOOK

USPA SAFETY & TRAINING ADVISOR HANDBOOK January 2018 If found, please return to: name __________________________________________ address ________________________________________ city, state, zip __________________________________ phone __________________________________________ email __________________________________________ © 2017 United States Parachute Association all rights reserved United States Parachute Association 5401 Southpoint Centre Blvd. Fredericksburg, Virginia 22407 540.604.9740 (phone) 540.604.9741 (fax) www.uspa.org

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 2 JANUARY 2018 Table of Contents Introduction .....................................................................................................................................................3 The S&TA Symbol ......................................................................................................................................................................... 3 The S&TA and the S&TA Handbook ....................................................................................................................................... 3 The Role of the Safety & Training Advisor .............................................................................................3 What Is an S&TA?.......................................................................................................................................................................... 3 Appointments and Reappointments...................................................................................................................................... 3 S&TA Responsibilities................................................................................................................................................................. 3 Limits of Appointment by Location........................................................................................................................................ 4 Communications........................................................................................................................................................................... 4 Overview of USPA Documents....................................................................................................................4 USPA Governance Manual ......................................................................................................................................................... 4 Skydiver’s Information Manual............................................................................................................................................... 4 Instructional Rating Manual..................................................................................................................................................... 4 Skydiver’s Competition Manual............................................................................................................................................... 5 The USPA Group Membership Manual.................................................................................................................................. 5 Accidents and the S&TA................................................................................................................................5 Serious Accidents and Fatalities ............................................................................................................................................. 5 Investigation and Reporting of Accidents............................................................................................................................ 6 Investigating Non-Fatal Incidents............................................................................................................................................................. 6 Investigating Fatalities .................................................................................................................................................................................. 6 Submission and Disposal of Accident Reports ................................................................................................................... 7 Non-Fatal Incident Reports ......................................................................................................................................................................... 7 Fatality Reports ................................................................................................................................................................................................ 7 The Accident Report Form........................................................................................................................................................................... 7 USPA Policy Regarding Proprietary and Privileged Information ................................................................................ 7 Background......................................................................................................................................................................................................... 7 Policy ..................................................................................................................................................................................................................... 7 FAA Regulations..............................................................................................................................................8 Extraordinary Skydives and Exhibition Jumps ....................................................................................8 Extraordinary Skydives.............................................................................................................................................................. 8 Exhibition Jumps .......................................................................................................................................................................... 8 Wingsuit Skydiving Special Concerns.................................................................................................................................... 8 Requirement Checks for New Wingsuiters and Coaches................................................................................................................ 8 First Flight Curriculum and Progression ............................................................................................................................................... 8 Special Gear Concerns.................................................................................................................................................................................... 9 Gear Checks ........................................................................................................................................................................................................ 9 Safe Exits.............................................................................................................................................................................................................. 9 Pilot Communication...................................................................................................................................................................................... 9 Navigation ........................................................................................................................................................................................................... 9 D-License Verification and Renewal ........................................................................................................9 Licenses ........................................................................................................................................................................................... 9 Rating Renewals ........................................................................................................................................................................... 9 Forms............................................................................................................................................................... 10

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 3 JANUARY 2018 Introduction The S&TA Symbol USPA adopted the inverted triangle symbol for the USPA Safety & Training Advisor upon instituting the S&TA program in March 1985. The volunteer S&TA corps lies at its center, acting as representative and communicator among the three facets of USPA: the dues-paying USPA members, their elected USPA Board and the professional USPA Headquarters staff. The S&TA and the S&TA Handbook S&TAs are the USPA Regional Directors’ designated representatives in the field to advise skydivers and drop zone management and staff on USPA policies. S&TAs also facilitate the administration of USPA safety, training, rating and awards programs. The Safety & Training Advisor Handbook provides USPA Safety & Training Advisors with the necessary guidance, instructions and references to fulfill their responsibilities. As a resource for the S&TA, the S&TA Handbook augments the Skydiver’s Information Manual (SIM), the Instructional Rating Manual (IRM) and the USPA Governance Manual. The Role of the Safety & Training Advisor What Is an S&TA? Skydiving continues to be conducted with minimal control and supervision by local, state and federal agencies. The federal government, in particular, has long since recognized that the most capable people of regulating skydiving are those who do it. Specifically, the Federal Aviation Administration has recognized USPA as best suited for promoting and supporting self-regulation. At the very core of self-regulation is the USPA Safety & Training Advisor. This S&TA, an unpaid volunteer, is appointed to the position by the USPA Director for his or her USPA Region. For the skydivers and staff at the drop zone, the S&TA is the conduit between the members and their governing body. The S&TA interacts directly with the Regional Director and USPA’s administrative staff at USPA Headquarters in Fredericksburg, Virginia, on behalf of all USPA members—temporary, regular and Group Members. Appointments and Reappointments In most cases, the Regional Director will appoint an S&TA for a specific drop zone, whether or not that drop zone is a USPA Group Member. The Regional Director may also appoint multiple S&TAs for a single drop zone if the demand for services so warrants. In special cases, a Regional Director may require an advisor for an area containing more than one drop zone. The Regional Director may also appoint one or more S&TAs-at-large for the entire USPA Region. Some USPA employees function as S&TAs at large and can perform S&TA duties as necessary. Specific qualifications of S&TAs, procedures for appointment and administrative processing procedures are provided in Section 1-4 of the USPA Governance Manual. • The term of each S&TA expires on March 31 of the year following the election of the board of directors unless the appointment is surrendered or revoked. • Each appointment is reviewed by the Regional Director at least annually. S&TA Responsibilities The principal responsibility of the S&TA is to promote safe skydiving. Toward that goal, the S&TA serves specific advisory and administrative functions: • Observes skydiving operations to verify compliance with the Basic Safety Requirements. • Informs the Regional Director of all flagrant and/or recurring safety violations. • In grave cases, takes summary action under Section 1-6 of the USPA Governance Manual. • Provides safety and training advice to skydivers, drop zone operators and rating holders. • Reviews plans for exhibition jumps. • Verifies that drop zones qualify as “sanctioned” by meeting the minimum drop zone requirements (see the BSRs in the Skydiver’s Information Manual). • Assists and advises with extraordinary skydive operations (see the BSRs and Advanced Progression section in the Skydiver’s Information Manual). • Investigates accidents and submits reports (see “Accidents and the S&TA” in this manual). • Verifies the requirements on D-License applications and rating renewals (see “D License and Rating Renewal” in this manual). • Promotes USPA policies and programs, for example, USPA Safety Day. • Unless excused by the Regional Director, attends an annual S&TA meeting called by the Regional Director.

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 4 JANUARY 2018 • The Regional Director may designate other related tasks as necessary. Limits of Appointment by Location Except for specified S&TAs at large, each S&TA is appointed for a specific drop zone or location. S&TAs appointed for a specific location may exercise their duties only at that location. In cases where a visiting S&TA is requested to take care of an administrative duty, such as signing for a rating renewal or administering a D-license test, the visiting S&TA should refer the member to the local S&TA for that drop zone or location. If there is no S&TA assigned for that specific location and it is within the S&TA’s USPA Region, a visiting S&TA may provide services to the member and should advise his or her Regional Director. In cases where a visiting S&TA observes a safety violation or other hazardous activity, the local S&TA should be informed of the action. If the visiting S&TA feels that appropriate actions have not been taken by the local S&TA, the Regional Director should be notified. Once relocating to another USPA Region, an S&TA’s appointment is terminated. He or she may be reappointed by the USPA Director for the new USPA Region. Communications Self-regulation is enhanced if there is continual information flow among the S&TA, the Regional Director and USPA Headquarters. To assist in this effort, headquarters maintains a list of all S&TAs. Each S&TA should update the Regional Director and USPA Headquarters with changes in address, phone number and email address. USPA Headquarters periodically publishes the “USPA Professional” newsletter sent via email to all USPA rating holders, drop zone owners and S&TAs. All the bulletins are archived on the USPA website, www.uspa.org, for access by anyone. Also of interest to S&TAs is the “USPA Update,” sent to all members, and other special bulletins, all found on the website. Overview of USPA Documents USPA publishes several manuals to assist you with the information that you will need as an S&TA. Following is a list of pertinent information that can be found in each manual: USPA Governance Manual (not distributed to S&TAs) The USPA Governance Manual outlines the structure, procedures and policies that govern the USPA Board of Directors and each of its committees. Of particular interest to S&TAs include: • Section 1-1, The Constitution and By-Laws • Section 1-2, Structure, Procedures and Responsibilities • Section 1-4, Regional Directors • Section 1-6, Disciplinary Actions • Section 5, Safety & Training • Section 7, Membership The principal USPA committee affecting the S&TA is the Safety & Training Committee. Another committee of note to the S&TA is the Group Membership Committee, which oversees the USPA Group Member program for drop zones. Regional Directors appoint the S&TAs for the drop zones—USPA Group Member or not—in their USPA Regions. The USPA Membership Committee oversees all USPA awards, some of which require the signature of an S&TA. The USPA Governance Manual also lists the duties of the Regional Directors and offers them guidance with the selection criteria for choosing the S&TA at each drop zone. In Section 1-6, the USPA Governance Manual outlines disciplinary actions that are available to the S&TA, the Regional Director and the USPA Board of Directors. Each S&TA needs to understand his or her potential role in USPA disciplinary actions. The USPA Governance Manual is available as a free download online at www.uspa.org. Skydiver’s Information Manual The SIM contains information regarding student training, awards, licenses, exhibition jumps, extraordinary skydives and recommendations regarding all of the various skydiving disciplines. It also contains a number of applications and forms for USPA awards, licenses and the PRO Exhibition rating. The SIM is updated every two years. The Basic Safety Requirements and information on waivers to the BSRs are found in Section 2 of the SIM. USPA members are required to abide by the BSRs. Except for the BSRs and the FAA regulations pertaining to skydiving that are included within the SIM, all other areas of the SIM are recommendations. Each S&TA may purchase one SIM for personal use at a reduced rate. The SIM is also available as an online reference at www.uspa.org. Instructional Rating Manual (not distributed to S&TAs)

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 5 JANUARY 2018 The IRM contains the course training information for all USPA instructional rating courses: • USPA Coach • USPA Instructor in Accelerated Freefall, Instructor-Assisted Deployment, Static Line and Tandem • Instructor Examiner Instructions and requirements for obtaining the initial rating, as well as renewing the rating annually, are listed. The IRM includes all forms and proficiency cards needed for every rating course, so one manual may be used at multiple rating or rating discipline courses. The USPA Board revises the IRM primarily at USPA Board meetings held twice each year. USPA Headquarters compiles all the changes and updates the IRM every two years, and the revision date is printed on the title page and in the bottom margin of each page. Candidates attending a certification course are required to have an IRM that has been published within two years of the date of that course. “IRM Essentials” is a document containing key excerpts from the IRM, specifically for those preparing for an instructional rating course and rating holders seeking rating renewal information. It is available at no charge online at www.uspa.org. Skydiver’s Competition Manual (not distributed to S&TAs) The SCM contains the rules and regulations regarding all USPA skydiving competition disciplines. It also includes information regarding the USPA Competition Judge Rating, USPA Nationals site selection and United States Parachute Team delegation and financial procedures. The SCM is available from the USPA Store or online at www.uspa.org. The USPA Group Membership Manual (not distributed to S&TAs) The USPA Group Membership Manual contains information on the USPA Group Member program, the Group Member pledge to abide by the rules, and use of the USPA Airport and Airspace Access Defense Fund. The USPA Group Membership Manual is available upon request from USPA Headquarters. Accidents and the S&TA Serious Accidents and Fatalities The USPA Safety & Training Advisor is one of USPA’s most valuable assets in the event of a serious skydiving accident. A difficult situation can be made easier by having an established plan in place, including a current notification list for the appropriate officials and advisors and what steps need to be taken. S&TAs are encouraged to take a basic first-aid course, available through the American Red Cross. Each S&TA should become familiar with the following advice on how to deal with fatalities and serious incidents for the benefit of the victim, the skydiving establishment and to help later with the investigation. 1. Call for medical assistance. A call to 911 will alert the police and rescue personnel. 2. Administer first aid using qualified personnel if there is a chance that the individual may be alive, even if it means disturbing the evidence. 3. Secure the area. Remove all unnecessary people from the scene. 4. Do not allow anyone to tamper with the equipment beyond what is necessary for the treatment of the victim. Historically, law enforcement or rescue personnel cut the equipment off of the victim before an informed skydiving official can investigate the scene. Especially in the event of a fatality, disturbing or destroying the equipment can make it difficult or impossible to conclude what went wrong. The S&TA or someone in charge of handling accidents at the drop zone should advise local officials of the importance of preserving the scene before they disturb it. 5. Stop jumping. In most cases it would be a wise decision to halt jumping while rescue and initial investigation efforts are underway. 6. In the event of a fatality, notify the local FAA Flight Standards District Office and USPA Regional Director or, if during business hours (9-5 Eastern Time), USPA Headquarters (540- 604-9740). You should have emergency numbers available at the drop zone for the FSDO and the USPA Regional Director. Once USPA Headquarters is notified of a fatality, the Director of Safety & Training will advise the USPA Board of the initial information received from the S&TA or the Regional Director. 7. Secure the victim’s personal effects. 8. Secure the victim’s logbook, a copy of the liability release, emergency contacts, manifest record, DZ training log (if applicable) and any other related documents. Copies of various documents may need to be reviewed by the

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 6 JANUARY 2018 coroner, local law enforcement authorities or the next-of-kin. However, only the drop zone owner should give permission to provide access to copies of DZ documents, and original DZ records should never be surrendered. An attorney’s advice may be helpful. 9. Notify the next-of-kin. For every jumper, the drop zone should have an up-to-date release and emergency contact information. In most cases, it is better to let the local law enforcement contact the next-of-kin. 10. Make sure that everyone present understands that there must be no social media posts regarding the fatality until the immediate family has been contacted. Investigation and Reporting of Accidents Fatalities, accidents and other significant incidents are an unfortunate part of skydiving that must be addressed by drop zone staff and S&TAs. Skydivers learn important lessons from the mistakes of others, so the role of the S&TA as impartial investigator is critical to the skydiving community. The S&TA should try to file an effective report. To create an accurate account, USPA needs the S&TA to gather information about incidents and accidents, including witness accounts and the personal observations of the investigator. USPA keeps reports confidential by following the procedures included in this section. The integrity and effectiveness of the reporting system relies on each USPA official to follow USPA’s procedures exactly as outlined. Investigating Non-Fatal Incidents Significant incidents can range from minor to serious and may include injuries, noteworthy malfunctions, unsafe procedures, unusual or ethically unacceptable skydives, or other extraordinary occurrences concerning skydiving operations. Reports of non-fatal incidents should be as detailed as possible. Use the USPA Accident Report Form whenever possible, and complete all applicable sections. The S&TA should compile and forward the report to USPA. In the event of the S&TA’s absence, he or she should appoint a USPA Instructor. Additional copies of the USPA Accident Report Form may be downloaded from the USPA website. Investigating Fatalities The USPA Regional Director will generally call on an S&TA to investigate and prepare an official report on a fatal accident. Whenever possible, the investigating USPA official should be someone other than the drop zone operator. Also, if the investigation requires a rigger, he or she should not be the one supervising the packing at the drop zone or the one who packed the reserve of the deceased jumper. Other circumstances may put a particular S&TA or other resource too close to an accident and interfere with the impartiality of the investigation. Following the plan below can help keep the investigation on track: 1. Advise local officials that the FAA might wish to investigate before the body is removed. Before local officials insist on disturbing the accident scene or removing the body, try to photograph it from as many angles as possible. This will help to provide accurate information in the future. 2. Begin the investigation immediately. Identify yourself as an appointed USPA official and offer assistance with the investigation. 3. If you are not an FAA certified rigger, it may be helpful to enlist an impartial rigger to help. 4. Investigate the equipment. Local officials do not have the expertise with skydiving equipment that is necessary to assess the situation and should be discouraged from confiscating it until your investigation is complete. You should arrange to investigate the equipment further at another time, in case it becomes necessary. 5. As soon as possible after the accident, obtain as many witness statements as possible and attach the written statements to the USPA Accident Report Form. 6. Record the pertinent information. a. The USPA Accident Report Form has itemized entry lines for the information needed for a thorough investigation in most cases. b. Filling out each section completely will help ensure that the necessary information has been recorded. c. The USPA Accident Report Form is included in the back of this manual, and you can download it from the USPA website at www.uspa.org. d. The information can also be submitted securely using the online Accident Report Form available at www.uspa.org. 7. Most skydiving fatalities occur from either human error or a problem with the equipment. It is important that the investigation uncover the true cause of the fatality. This requires that the investigator be impartial and unbiased. Opinions and conjecture will only harm the investigation and could lead to an incorrect conclusion.

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 7 JANUARY 2018 8. Failure to submit accident reports to USPA Headquarters for accidents that result in a fatality, injury that requires medical attention or activation of an automatic activation device may result in the Regional Director revoking the S&TA appointment. Submission and Disposal of Accident Reports To maintain confidentiality of the report and to protect the integrity of the USPA accident and fatality reporting system, USPA observes the following operating procedures. S&TAs should carefully follow the procedures outlined for their role. Non-Fatal Incident Reports 1. The investigating S&TA or, in the absence of an S&TA, a USPA Instructor whom the S&TA assigns, should print or type a detailed report of each significant incident and send the original report to USPA Headquarters. 2. USPA Headquarters stores any information to identify trends for USPA and the skydiving industry. 3. Names and locations are not stored in the electronic database. 4. The submitted reports are destroyed once the accident information is entered into the electronic database. 5. Submitting the information using the online accident report form found at www.uspa.org will help ensure accuracy and also keep the information secure. 6. USPA Headquarters may publish a brief synopsis of the report in Parachutist, excluding the date, specific location and names of anyone involved. Fatality Reports 1. The S&TA or other reporting USPA official notifies USPA Headquarters with a preliminary report. 2. Upon receipt of the initial report, verbal or otherwise, USPA Headquarters notifies the USPA Board of Directors and the president of the Parachute Industry Association of any pertinent details. 3. Upon receipt of the final report from the S&TA or other USPA official investigating the accident, USPA Headquarters: a. enters the pertinent data in an electronic database, removing the name of the deceased and the location of the accident. b. contacts the reporting S&TA if there is any additional information needed. c. disposes of any information pertaining to the identity of the deceased jumper, the investigating official, the location and any witnesses. d. prepares a narrative report for publication in Parachutist magazine of the relevant events of the accident, excluding the date, specific location and names of anyone involved. 4. No later than March 1 of each year, USPA Headquarters sends the electronically stored data of all fatalities (without identities of victims, investigators, locations or witnesses) from the previous year to the author of the annual fatality summary for Parachutist magazine, who is selected by USPA Headquarters. 5. The author of the annual fatality report is to destroy the supplied accident report data no later than 30 days after the publication of the annual fatality report summary in Parachutist magazine. The Accident Report Form 1. Accurate use of the accident report form will help to ensure that all of the necessary information is submitted to USPA. 2. Detailed information in the narrative will help USPA produce an accurate summary of the accident. 3. The types of injuries must be included in both fatal and non-fatal reports. 4. If the report is non-fatal, provide the prognosis for the jumper’s recovery. 5. All of the factors that led to the accident must also be included in order to help determine how the accident occurred. USPA Policy Regarding Proprietary and Privileged Information Background The success of USPA’s safety reporting program depends upon the free exchange of information between field reporters (e.g., S&TAs) and USPA Headquarters. As long as reporting officials believe that the information will be used only for statistical and educational purposes and that the reports themselves will not be released to third parties, the reporting system will continue to serve the best interests of the membership as a whole. If, on the other hand, this privileged information is released to third parties for whatever reason, USPA will lose the trust of the field reporters and, with it, valuable safetygenerating data. Policy USPA incident and accident reports, whether formal or informal, will be considered privileged, confidential

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 8 JANUARY 2018 documents for use only by the reporting party and USPA officials as necessary to enhance safety through education and training. Any and all requests by third parties to access such information or documents will be referred to the USPA Executive Director, who, in consultation with the USPA President, will determine the need to refer to counsel. Failure to adhere to these procedures will subject the violating USPA member to disciplinary action in accordance with Section 1-6 of the USPA Governance Manual. FAA Regulations As an S&TA, it is important that you are familiar with the Federal Aviation Regulations that govern skydiving operations in the United States. Pertinent passages from the FARs are included in the Skydiver’s Information Manual for easy reference. Skydiving remains largely unregulated by the FAA because of the valuable relationship between skydivers and the FAA that USPA officials have forged over the years. However, there are rules that have been established and outlined in various sections of the FARs to regulate skydiving flights and procedures, aircraft modifications, skydiving equipment and parachute packing. These rules are established primarily to protect the public—those on the ground and others using the airspace. The local Flight Standards District Office of the FAA can be a valuable resource on matters that pertain to the FAA. You should visit your local FSDO and introduce yourself to those who are involved with skydiving operations. They are important contacts that you want to make before you need to conduct business with the FAA. Extraordinary Skydives and Exhibition Jumps Extraordinary Skydives Extraordinary skydives include night jumps, water jumps, jumps from above 15,000 feet MSL, exhibition jumps, preplanned breakaway jumps and other jumps requiring special equipment or procedures that might be unfamiliar to most jumpers. S&TAs should refer to the SIM to provide the BSRrequired information and USPA-recommended advice to jumpers on the specific nature of the skydive that they will be performing. The S&TA should also review the SIM for recommended prior experience and licensing of each skydiver involved. Before advising jumpers, the S&TA should be familiar with all FARs, BSRs and USPA recommendations, as well as the specific jump operations being planned. Exhibition Jumps Exhibition jumps are defined in the SIM, and several BSRs specifically apply to the requirements for skydivers making exhibition jumps. USPA and the FAA have agreed on additional definitions for types of demos, based on the size and layout of the landing area. These definitions are included in the SIM and in the FAA Inspector’s Handbook. USPA administers the PRO Exhibition rating to qualify jumpers for exhibitions into stadiums with spectator stands on more than one side of the field and other restricted landing areas defined in the SIM section on PRO ratings. Refer to that section for instructions on administering initial PRO rating applications and other PRO and demonstration jump information. Third-party liability demonstration jump insurance is available for USPA members who are performing demo jumps. Regular membership third-party liability skydiving insurance does not cover demos. Thirdparty demo insurance is contingent on the observance of USPA rules and recommendations for exhibition jumps. The application for demonstration jump insurance requests that an S&TA be consulted for any demonstration jumps that are performed in their area. Wingsuit Skydiving Special Concerns The discipline of wingsuiting presents some different safety concerns because of the increased surface area of the jumper wearing the wingsuit, the ability to fly longer horizontal distances, and reduced mobility during and after deployment. These are guidelines for S&TAs to make wingsuiting safer. Requirement Checks for New Wingsuiters and Coaches The Basic Safety Requirements state: “Any person performing a wingsuit jump must have at least 200 skydives, and hold a current skydiving license.” The S&TA should ensure that new wingsuiters meet this requirement. The S&TA is also responsible for checking the experience and instructional background of those coaching new wingsuiters. Major wingsuit manufacturers offer wingsuit coach rating courses. They require 100 wingsuit jumps to attend the course. First Flight Curriculum and Progression SIM section 6-9 contains a general first flight curriculum and information about gear, exits, navigation, and deployment as well as

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 9 JANUARY 2018 recommendations about moving to more advanced wingsuits as part of a safe progression. Upsizing wingsuits too fast (just as downsizing canopies too fast) can result in serious injuries to the aircraft, wingsuit skydiver, and other jumpers. The S&TA should maintain awareness of wingsuiters’ gear and progression, themselves or through a designated experienced wingsuit representative. Special Gear Concerns The S&TA should be familiar with the main gear recommendations for wingsuiting: A larger pilot chute (minimum 28 inch diameter), longer bridle (minimum 8 feet), and lightweight pilot chute handle are essential to allow the pilot chute to clear the larger burble of the wingsuit on deployment. A lightly loaded, docile main canopy (1.4:1 or lower recommended wing loading). Gear Checks Leg straps are not visible under most wingsuits and the gearing-up process is more complicated when it includes a wingsuit. The S&TA can enforce a "RIG FIRST, THEN WINGSUIT" approach to wingsuit gearing-up. First, the rig should be fully on and ready to skydive. Then, adjustments to the wingsuit can be made (booties, zipping up, etc.) Loaders at the plane should confirm chest strap visually and leg straps either visually before boarding or by asking wingsuiters to shrug for a self-check and confirm verbally. Safe Exits Because of increased surface area, wingsuit skydivers are at higher risk of tail strikes on exit. Whether exiting from inside the plane or from a floater position, wingsuiters must close their wings until they clear the aircraft. S&TAs can confirm this knowledge and understanding and post signage near manifest and/or on board the aircraft. Pilot Communication S&TAs, drop zone owners, and jumpers should communicate with pilots about an appropriate cut in airspeed on jump run that will make exits safer. Navigation S&TAs should oversee a flight pattern and airspace rules. The three main reasons for this are to ensure that wingsuiters: 1. Avoid other canopy traffic 2. Adhere to the drop zone’s airspace restrictions and avoid other aircraft, and 3. Land on the drop zone. S&TAs or their designated experienced wingsuit representatives can advise new wingsuiters on the rules and post clear guidelines at manifest. S&TAs can require jumpers new to the drop zone to do a nonwingsuit skydive first to become familiar with the aerial view, jump run, and airspace. Below is a basic sample of possible wingsuit flight patterns. D-License Verification and Renewal USPA can issue licenses and renew ratings only with complete and correctly submitted applications. USPA Headquarters returns rejected applications to the applicant. Rejects can present a hardship for the USPA member, who may be traveling or otherwise inconvenienced in trying to get an S&TA to correct a mistake on an application. Before signing any license or rating renewal application, verify that your own membership, ratings and appointment as an S&TA are current. USPA officials, including S&TAs, may not verify the requirements for renewing their own ratings. Licenses A USPA Instructor may administer the test and verify all qualifications for A, B and C licenses, but a D license requires an S&TA or higher USPA official. Refer to the instructions for USPA skydiving licenses in the Skydiver’s Information Manual for all license verifications. Rating Renewals An S&TA or higher USPA official is required to verify renewal applications for instructional ratings and the

SAFETY & TRAINING ADVISOR HANDBOOK UNITED STATES PARACHUTE ASSOCIATION 10 JANUARY 2018 PRO rating. Refer to the renewal requirements for instructional ratings listed in the Introduction and Orientation section at the beginning of the training syllabus for each instructional rating and duplicated in “IRM Essentials,” available for free on the USPA website at www.uspa.org. For PRO rating and renewal, refer to the SIM section on the PRO rating. Rating renewal instructions also appear on the standard USPA membership and rating renewal application. Forms Attached are USPA forms for your reference. For the most current, up-to-date forms published by USPA, go to www.uspa.org/downloads. Accident Report Form A-License Progressions Card for ISP (4-page) A-License Proficiency Card (2-page) Canopy Piloting Proficiency Card B-D License Application Coach Proficiency Card AFF Instructor Proficiency Card IAD/Static-Line Proficiency Card Tandem Proficiency Card A-D License Exams A-D License Exam Answer Keys PRO Rating Exam #1 PRO Rating Exam #2 PRO Rating Exam Answer Key

Age:__________ Height: __________ Exit Weight: ______ Wing Loading: _______ Sex: ❏ Male ❏ Female Student or USPA License held: ❏ Student ❏ A ❏ B ❏ C ❏ D ❏ None Time In Sport: ______________ Number of jumps: Total: ___________ Last 30 days: ________ Last 12 mo.: _____ Student jump (by type): ❏ SL ❏ IAD ❏ AFF ❏ Tandem ❏ Coach ❏ Other: ____________________ Experienced (check all that apply): ❏ Formation Skydiving ❏ Freeflying ❏ Video ❏ Canopy Formation ❏ Demo ❏ Night ❏ Water ❏ Freestyle ❏ Skysurfing ❏ Canopy Swooping ❏ Other: __________________ Harness and container system: Manufacturer: ______________________________ Model: ______________________ Main Canopy: Manufacturer: ______________________________ Model: ______________ Square feet: ________ Main packed by: ❏ Jumper ❏ FAA Rigger ❏ Supervised packer Condition: ____________________________ Reserve Canopy: Manufacturer: __________________________ Model: ______________ Square feet: __________ AAD: Manufacturer: ______________________ Model: ______________________ Turned on? ❏ Yes ❏ No RSL: ❏ Yes ❏ No Hooked up? ❏ Yes ❏ No Visual Altimeter: ❏ Analog ❏ Digital ❏ None Location: ❏ Wrist ❏ Chest ❏ Other: ________________ Audible Altimeter: ❏ Yes ❏ No Turned on? ❏ Yes ❏ No Helmet? ❏ Yes ❏ No Type: __________ Did the equipment, as far as can be determined, comply with Federal regulations? ❏ Yes ❏ No Include any other relevant equipment information (use a a separate page if necessary). ________________________ ____________________________________________________________________________________________________ United States Parachute Association® Publications May 2007 Accident Report Form Accident Report Purpose: USPA collects information on skydiving accidents for the sole purpose of enhancing safety and preventing accidents. Applicability: This form should be submitted in all cases in which a skydiving incident raises a safety issue, involves an injury requiring attention at a medical facility, or results in a death. It can also be used to report near-accidents or other incidents from which a lesson can be learned. Instructions: A USPA Safety & Training Advisor or (in the absence of an S&TA) a USPA Instructor assigned by the S&TA should complete this form. In the event of a fatality involving more than one person, please use a separate form for each individual. Submit this original form to: Director of Safety & Training, USPA Headquarters, 5401 Southpoint Centre Blvd., Fredericksburg, VA 22407; (540) 604-9741 (fax). Confidentiality: To ensure confidentiality of both the accident victim and the reporting official, USPA Headquarters will separate and destroy Section 2 of this form as soon as any necessary adjustments to the deceased member’s data record is made. Do not retain any copies of this form. Section 1: Complete for all incidents. Section 2: Required for fatal accidents only. Name of deceased:______________________________________________ USPA membership #: ________________ Address: ____________________________________________________________________________________________ Address 2: __________________________________________________________________________________________ City: __________________________________________________ State: ________ Zip: ____________________ Location of incident: __________________________________________________________________________________ Date and time of incident: ______________________________________________________________________________ Equipment Jump Demographic Type Info. Victim Info.

Section 1 (cont.): Complete for all incidents. Description Weather Aircraft of Incident Info. Type of aircraft:_______________________________________________________________________________________ Other applicable aircraft and pilot information: ___________________________________________________________ ____________________________________________________________________________________________________ Visibility: _________________ Ceiling: ________________ Surface winds: ____________ Temperature: __________ Other applicable weather conditions: ____________________________________________________________________ ____________________________________________________________________________________________________ Provide a description of the incident including factual information obtained from the investigation and any witness accounts. Do not add speculation or conjecture to the investigation report. Use a separate sheet, if necessary, and attach all statements to this form. All accompanying documentation will be destroyed with this report. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Name: __________________________________________________________________ USPA #:__________________ Ratings: _____________________________________________________________________________________________ Phone number: ________________________________________ E-mail: ______________________________________ Signature: __________________________________________________________________ Date: __________________ Section 2 (cont.): Required for fatal accidents (optional for non-fatal reports). Investigator Info.

A-license check dive License Requirement Instructor Lic. # • Check dive with USPA Instructor (See SIM Sec. 3-2.A.1.c) ________ ______ • 25 skydives ________ ______ • A-license oral exam ________ ______ • A-license written exam ________ ______ (See SIM Sec. 3-2.A.1.a) • Joined USPA ________ ______ All blocks on this record must be initialed or signed as indicated. Application instructions: Email, fax or mail this completed form to USPA to register your license. DO NOT SEND THIS ORIGINAL DOCUMENT. Keep this document in a safe place until you receive a new membership card. Include the registration fee of: $ ______ License Fee ($36) $ ______ Expedite with fax or email confirmation ($20) Fax # or email address (for expedites only) _____________________________________________ $ ___________ Total Official USPA A-license stamp: This stamp and signature of a USPA Instructor or I/E, verifies that the applicant has completed all qualifications for the USPA A skydiving license and performed satisfactorily on the USPA A-license check dive. This temporary USPA A license expires with the holder’s USPA regular membership or when replaced by any registered license issued from USPA Headquarters. Instructor’s Name ____________________ Signature __________________________ USPA # ____________________________ Date ______________________________ Drop Zone Name ____________________ This official document is your temporary license.Please do NOT send the original to USPA. Send a photocopy or fax the complete original. Email copy to: Mail copy to: U.S. Parachute Association 5401 Southpoint Centre Blvd. Fredericksburg, VA 22407 Or fax original to: (540) 604-9741 ® Valid for 60 days. (Stamp not required for registration at USPA Headquarters.) expiration date Applicant’s Signature ________________________ Foreign payments must be with American Express, VISA, Discover or MasterCard. MO YR 3-digit security code credit card number Note: Each shaded line must be initialed by a current USPA Instructor. All other lines may be initialed by a current USPA Coach or Instructor.

Category A FJC Date ______ Meth. ____ Adv. Criteria C/I Sign Lic.# • Aircraft & exit safety _________ ______ • Safe exit _________ ______ AFF and Tandem Only • Overall FF awareness _________ ______ • Stable for last 10 secs. _________ ______ • Altitude aware _________ ______ • Asst. pull w/in 1,000' _________ ______ • Land 60 deg. w/asst. _________ ______ • Land 100m w/asst. _________ ______ • Category quiz Date _________ ______ Category B Exit and Freefall Date ________ I ______ Canopy Date ________ I ______ Emerg. Review Date ________C/I______ Equipment Date ________C/I______ Spot. and A/C Date ________C/I______ Adv. Criteria C/I Sign Lic.# • Stable throughout _________ ______ • Leg control _________ ______ AFF and tandem only • Solo pull w/in 500' ________ ______ Static line and IAD only • 3 successive practice pulls ________ ______ • Descent strategy _________ ______ • Clearing before turns _________ ______ • Land 30 deg. w/asst. _________ ______ • Asked to join USPA _________ ______ • Category quiz Date _________ ______ USPA A License Progression Card and Application Name __________________________________________________________ USPA # ______________ Address________________________________________________________________________________ City, State, and Zip ______________________________________________________________________ Telephone_____________________________________________________________________________ Email ________________________________________________________________________________ © 2018 United States Parachute Association January 2018 Category C Exit and Freefall Date ________ I ______ Canopy Date ________ I ______ Emerg. Review Date ________C/I______ Equipment Date ________C/I______ Spot. and A/C Date ________C/I______ Adv. Criteria C/I Sign Lic.# • Control w/in 5 secs. _________ ______ • Relaxed fall _________ ______ • FF heading awareness _________ ______ • Wave-off _________ ______ • FF w/one I (AFF) _________ ______ • Solo pull at correct alt. _________ ______ • Plan pattern for wind _________ ______ • Fly pattern w/min. asst. _________ ______ • Flare w/min. asst. _________ ______ • Category quiz Date _________ ______ Solo transition course (from tandem) (may be completed after Category A or B) Date _________Method ______Instructor __________ (or enclose new membership application)

Category D Exit and Freefall Date ________ I ______ Canopy Date ________ I ______ Emerg. Review Date ________C/I______ Equipment Date ________C/I______ Spot. and A/C Date ________C/I______ Adv. Criteria C/I Sign Lic.# • Solo exit, stable w/in 5 secs. __________ ______ • 90-degree FF turns w/in 20 degrees (4) (1) __________ ______ (2) __________ ______ (3) __________ ______ (4) __________ ______ • 180-degree FF turns w/in 45 degrees (2) (1) __________ ______ (2) __________ ______ • 360-degree FF turns w/in 45 degrees (2) (1) __________ ______ (2) __________ ______ • 90-degree rear riser turns with brakes set (2) (1) __________ ______ (2) __________ ______ • 90-degree rear riser turns with brakes released (2) (1) __________ ______ (2) __________ ______ • 180-degree rear riser turn with brakes released __________ ______ • 360-degree rear riser turn with brakes released __________ ______ • Stand-up landing _________ ______ • Land w/in 50m (asst.) _________ ______ • Operate AAD _________ ______ • Observe jump run _________ ______ • Category quiz Date _________ ______ Category E Exit and Freefall Date ________C/I______ Canopy Date ________ I ______ Emerg. Review Date ________C/I______ Equipment Date _______C/R/I_____ Spot. and A/C Date ________C/I______ Adv. Criteria C/I Sign Lic.# • Stability recovery w/in 5 secs. (2) (1) __________ ______ (2) __________ ______ • Jump without FF supervision __________ ______ • Barrel roll _________ ______ • Backloop _________ ______ • Frontloop _________ ______ • Land w/o asst. w/in 50m _______ ______ • Calculate opening point ________ ______ • Participate w/jump run_________ ______ • Category quiz Date _________ ______ z z Note: Prior to freefall self-supervision (typically after the first jump in Category E), all students must meet the standards listed in the USPA BSRs. Clearance to freefall self-supervision requires the endorsement of an appropriately rated USPA Instructor (signature in logbook). Under the supervision of a USPA Instructor, a USPA Coach may train only the freefall portions of Categories E-H.

Category F Exit and Freefall Date ________C/I______ Canopy Date ________ I ______ Emerg. Review Date ________C/I______ Equipment Date ________C/I______ Spot. and A/C Date ________C/I______ Adv. Criteria C/I Sign Lic.# • Tracking sequence w/in 30 degrees (3) (1) __________ ______ (2) __________ ______ (3) __________ ______ • Clear and pull (5,500') _________ ______ • Clear and pull (3,500') _________ ______ • 180-degree turns in deep brakes (4) (1) __________ ______ (2) __________ ______ (3) __________ ______ (4) __________ ______ • Braked approach _________ ______ • Land 25m w/o asst. (2) (1) __________ ______ (2) __________ ______ • Pack w/asst. _________ ______ • Check other jumper’s gear __________ ______ • Select spot _________ ______ • Spot w/min. asst. _________ ______ • Category quiz Date _________ ______ Category H Freefall Date ________C/I______ Canopy Date ________ I ______ Emerg. Review Date ________C/I______ Equipment Date _______C/R/I_____ Spot. and A/C Date _______C/P/I_____ Adv. Criteria C/I Sign Lic.# • Swoop and dock w/min. asst. (2) (1) __________ ______ (2) __________ ______ • Break-off at alt. w/o prompt ______ ______ • Track 100' w/in 10 degrees _______ ______ • 90-degree front riser turns (2) (1) __________ ______ (2) __________ ______ • 180-degree front riser turns (2) (1) __________ ______ (2) __________ ______ (Front riser turns may be waived if too difficult.) • Land 20m w/o asst. (3) (1) __________ ______ (2) __________ ______ (3) __________ ______ • Replace closing loop _________ ______ • Assemble 3-ring _________ ______ • Category quiz Date _________ ______ Category G Exit and Freefall Date ________C/I______ Canopy Date ________ I ______ Emerg. Review Date ________C/I______ Equipment Date _______C/R/I_____ Spot. and A/C Date _______C/P/I_____ Adv. Criteria C/I Sign Lic.# • Redock from 10' w/o asst. (2) (1) __________ ______ (2) __________ ______ • Redock w/adj. fall rate (2) (1) __________ ______ (2) __________ ______ • Break-off at alt. w/o prompt ______ ______ • Track 50' w/in 10 degrees _______ ______ • Reverse canopy turns (4) (1) __________ ______ (2) __________ ______ (3) __________ ______ (4) __________ ______ • Land 20m w/o asst. (2) (1) __________ ______ (2) __________ ______ • Pack w/o asst. _________ ______ • Spot w/o asst. _________ ______ • Category quiz Date _________ ______

Exit and freefall skills 1. Demonstrate freefall control on all axes, with a backloop, front loop, and barrel roll. Date________ I* _____ Lic. #*_____________ 2. Dive a minimum of 100 feet after another jumper and dock safely without assistance from the other jumper (two times). Jump #______ I ______ Lic. # _____________ Jump #______ I ______ Lic. # _____________ 3. Plan and independently execute a break-off from a group skydive with a minimum 100 feet of horizontal separation from another jumper or group. Separation must be gained independently in a straight track within ten degrees of a radial heading from the center of the formation. Jump #______ I ______ Lic. # _____________ 4. Locate and open clear of other jumpers and wave off to signal deployment. Jump #______ I ______ Lic. # _____________ 5. Jump and deploy while stable within five seconds after exit from 3,500 feet AGL. Jump #______ I ______ Lic. # _____________ 6. Complete 25 skydives. Date # ______ I ______ Lic. # _____________ Canopy skills 1. Plan and fly a landing approach pattern that promotes smooth traffic flow and avoids obstacles. Jump #______ I ______ Lic. #_____________ 2. Demonstrate a stand-up landing. Jump #______ I ______ Lic. #_____________ 3. Perform a braked approach and landing. Jump #______ I ______ Lic. #_____________ *All verification blocks require the initials and C- or D-license number of a USPA Instructor or I/E. 4. Land within 20 meters of a preselected target on at least five jumps. Jump #______ I ______ Lic. # _____________ Jump #______ I ______ Lic. # _____________ Jump #______ I ______ Lic. # _____________ Jump #______ I ______ Lic. # _____________ Jump #______ I ______ Lic. # _____________ 5. Perform rear-riser turns (brakes set and released). Jump #______ I ______ Lic. # _____________ 6. Above 2,500 feet, perform a maximum-performance 90-degree toggle turn, followed immediately by a turn of at least 180 degrees in the opposite direction (two times). Jump #______ I ______ Lic. # _____________ Jump #______ I ______ Lic. # _____________ 7. Above 1,000 feet, perform front riser dives and turns (may be waived if insufficient strength). Jump #______ I ______ Lic. # _____________ 8. Accurately predict the presence and effects of turbulence in the landing area. Jump #______ I ______ Lic. # _____________ Equipment knowledge 1. Demonstrate knowledge, inspection, donning, use, and owner maintenance of all equipment to be used on the jump. Date________ I ______ Lic. # _____________ 2. Calculate the wing loading of both main and reserve canopies and compare the sizes against the manufacturer’s published recommendations. Date________ I ______ Lic. # _____________ 3. Demonstrate the understanding, use, and disconnection of a reserve static line. Date________ I ______ Lic. # _____________ 4. Demonstrate the understanding and use of an automatic activation device. Date________ I ______ Lic. # _____________ 5. Pack a main parachute without assistance. Date________ I ______ Lic. # _____________ 6. Check equipment for another skydiver. Jump #______ I ______ Lic. # _____________ USPA A License Proficiency Card and Application Name __________________________________________________________ USPA # ______________ Address________________________________________________________________________________ City, State, and Zip ______________________________________________________________________ Telephone_____________________________________________________________________________ Email ________________________________________________________________________________ ©2018 United States Parachute Association January 2018 (or enclose new membership application)

7. Perform manufacturer-recommended owner service on a canopy release system. Date________ I ______ Lic. # _____________ 8. Change or adjust a main closing loop. Date________ I ______ Lic. # _____________ 9. Show knowledge of FAA rules on parachute packing intervals and required personnel. Date________ I ______ Lic. # _____________ Aircraft and spotting 1. Demonstrate understanding of seat belt use and applicable FARs. Date________ I ______ Lic. # _____________ 2. Identify local runway headings, lengths, and aircraft approach and departure patterns. Date________ I ______ Lic. # _____________ 3. Using an aviation winds aloft forecast, select the correct exit and opening point. Jump #______ I ______ Lic. # _____________ 4. Recite cloud clearance and visibility requirements for above and below 10,000 feet MSL. Date________ I ______ Lic. # _____________ 5. Receive a briefing on weight and balance, the effect of a jumper on aircraft control surfaces when outside an aircraft, spotting, and radio and onboard communication procedures. Date________ I ______ Lic. # _____________ 6. In routine jump conditions, plan with a jump pilot and spot the aircraft without assistance. Jump #______ I ______ Lic. # _____________ Emergency review (Each qualifying review session must be conducted after initial solo jump training on later dates.) 1. In a training harness, recognize and take appropriate action for all parachute malfunctions (two review sessions following the first-jump course). Date________ I ______ Lic. # _____________ Date________ I ______ Lic. # _____________ 2. Review power line avoidance and landings. Jump #______ I ______ Lic. # _____________ 3. Review tree avoidance and landings. Jump #______ I ______ Lic. # _____________ 4. Review building avoidance and landings. Date________ I ______ Lic. # _____________ 5. Review water avoidance and landings. Date________ I ______ Lic. # _____________ 6. Review aircraft emergency procedures. Date________ I ______ Lic. # _____________ License examination License Requirement Instructor Lic. # • Check dive with USPA instructor (See SIM Sec. 3-2.A.1.c) _________ ________ • 25 Skydives _________ ________ • A license oral exam _________ ________ • A license written exam _________ ________ • Joined USPA _________ ________ Application instructions: Email, fax or mail this completed form to USPA to register your license. DO NOT SEND THIS ORIGINAL DOCUMENT. Keep this document in a safe place until you receive a new membership card with your permanent A license number. Include the registration fee of: $ ______ License Fee ($36) $ ______ Expedite with fax or email confirmation ($20) Fax # or email address (for expedites only): ____________________________________________________ Official USPA A-license stamp: This stamp and signature of a USPA Instructor or IE, verifies that the applicant has completed all qualifications for the USPA A skydiving license and performed satisfactorily on the USPA A-license check dive. This temporary USPA A license expires with the holder’s USPA regular membership or when replaced by any registered license issued from USPA Headquarters. Instructor’s Name _______________________ Signature_______________________________ USPA # ______________Date______________ Drop Zone Name _______________________ Valid ovnly when stamped. (Stamp not required for registration at USPA Headquarters.) expiration MO YR date three-digit security code Applicant’s signature_______________________ Mail copy to U.S. Parachute Association,5401 Southpoint Centre Blvd., Fredericksburg, VA 22407; or fax to (540) 604-9741, or email to [email protected]. $ ______ Total Foreign payments must be with American Express, VISA, Discover or MasterCard.

Instructions This completed and signed canopy proficiency card is required to obtain a USPA B license. Candidates must include a copy of this card with the USPA B license application to USPA Headquarters in order for USPA to issue the B license. USPA does not issue advanced canopy ratings or qualify canopy piloting instructor examiners. USPA requires drop zone management to verify the qualifications of the S&TA and verifying officials. A current USPA Safety & Training Advisor (S&TA), Instructor Examiner, Coach Examiner, or Board Member must verify that the training has been completed by endorsing this proficiency card. See Section 6-11.D of the USPA Skydiver's Information Manual (SIM) for the course director requirements. Candidates must perform these training jumps during dedicated clear-and-pull skydives from at least 5,000 feet. Canopy Pilot: By observing recommendations outlined in Section 6-10 and 6-11 (and other related sections) of the SIM, you have exhibited a level of commitment to safe canopy piloting. Training Reviewed SIM Section 6-10 Authorized Signature: ________________________________________________________ USPA Membership or License Number: ____________________________________ Date: _________ Reviewed SIM Section 6-11 Authorized Signature:_________________________________________________________ USPA Membership or License Number: ____________________________________ Date: _________ Canopy pilot information Name: ____________________________________________________________________ USPA Number: ___________________________ Expiration Date: ______/______/______ Mailing Address: ______________________________________________________________________ Add’l. Address: ______________________________________________________________________ City: ___________________ State: _____ Zip or Postal Code: __________ Country: _______________ Weekday Phone: (______) ___________________ Email: ____________________________________ License Number:_____________________________ Total Sport Jumps: ____________________________ Canopy Type and Size: _________________________________________________________________ USPA CANOPY PILOTING PROFICIENCY CARD

Canopy discovery drills Jump 1) Evaluation Jump • Collapse slider • Loosen chest strap • Check brake line length • Practice flares up high • Plan and execute a distinct downwind, base and final approach Jump 2) Basic Aerodynamics, Effective Flaring and Riser Turns: • Practice flares, five with eyes open • Practice flares, five with eyes closed • 90, 180, 360-degree turn with rear risers • 90, 180, 360-degree turn with front risers • Plan and execute a distinct downwind, base and final approach Jump 3) Stalls • Rear riser flare (simulated landing) • Full ram-air stall using toggles • Full ram-air stall using rear risers • Plan and execute a crosswind oriented downwind, base and final approach Jump 4) Flat Turns and Crosswind Landings • Flare from 1/4, 1/2, 3/4 brakes (simulated landing) • 180-degree braked turn (1/4, 1/2, 3/4 brakes) • Plan and execute a distinct downwind, base and final approach • Jump 5) Long Spot • Return from long spot Comparison: • Using toggles • Using rear risers • Plan and execute a distinct downwind, base and final approach Signature identification (S&TA, IE, CE, BOD) (Print Name):_______________________________________________________________ (Signature): ________________________________________________________________ USPA Membership or License Number: _________________________________________ Verifying Official's Name: _______________________________________ Signature: ______________________________ License: ________________________________ Date: __________________________________ Verifying Official's Name: _______________________________________ Signature: ______________________________ License: ________________________________ Date: __________________________________ Verifying Official's Name: _______________________________________ Signature: ______________________________ License: ________________________________ Date: __________________________________ Verifying Official's Name: _______________________________________ Signature: ______________________________ License: ________________________________ Date: __________________________________ Verifying Official's Name: _______________________________________ Signature: ______________________________ License: ________________________________ Date: __________________________________ JAN. 2018

Total Jumps Total Freefall Time Mail to USPA • 5401 Southpoint Centre Blvd. • Fredericksburg, VA 22407 • with $36 for each license requested; or Email to [email protected] STATES PARACHUTE ASSOFill in the number of the highest license you curinformation requested for each license that is higcurrently hold, up to and including the license yeach license requirement met, write in either theNOTE: License applications must be signed by a verifying official. A D-license application requires the signature of a member of the USPA Board of Directors, a Safety & Training Advisor or an Instructor Examiner. Applications for B and C licenses may be signed by any current USPA Instructor or higher. I certify that I have personally checked the applicant’s logboothe applicant has met all applicable requirements as specified ◊ List jump numbers used to meet the accuracy requir__________________________________________(Please type or print.) Name __________________________________________________________________ Street Address____________________________________________________________ _______________________________________________________________________ City _____________________________________ State ___________Zip___________ Country___________________ U.S. Citizen ❏ Yes ❏ No DOB___ / ___ /___ _______ X ______________________________________________ Signature of Applicant 1. EXPERIENCE (Fill in both categories) 3. KNOWLEDGE A USPA Instructor administers the written exam(s) (B, C, and D licenses), records the passing score(s) in the skill table(s), and initials the box(es). 4. VERIFICATION (#_B LICE#______________ A LICENSE Number* Name of verifying official (Print legibly.) Signature of verifying official USPA # *If applying for an A-license, provide a photocopy of a completed USPA A-License Application, signed by a USPA Instructor, Instructor Examiner or member of the USPA Board of Directors. UFNRequAccuracy (10Maneuvers Water TrainiCanopy CourExam Score

❏ check Make U.S. checks only payable to “USPA.” org or FAX (540) 604-9741 with your credit card authorization. 01/18 OCIATION® LICENSE APPLICATION License Number(s) Issued: ____________________________________________________ Type ❏ B ❏ C ❏ D 2. SKILL TABLES rrently hold and all the gher than the one you you are applying for. For e number of the jump, the date of the training or the score, accordingly. The verifying official must initial each block of the skill verification table and sign the verification box. Refer to the Skydiver’s Information Manual, Section 3, for specific requirements. ok(s) and found documentation that in the Skydiver’s Information Manual, Section 3-1. ements: _____________________________________________________________________________________ ____________________________________________________________________________________________ ❏ Experience table completed—Block 1. ❏ All appropriate boxes on skill table completed—Block 2. ❏ Signature (in verification box) of appropriately-rated verifying official—Block 4. (Please print or type) 5. CHECK LIST ______________ ENSE Number (or fill out below) #______________ C LICENSE Number (or fill out below) D Membership number and title Date NOTE: D LICENSE REQUIRES SIGNATURE OF S&TA OR HIGHER. U.S. payments—Mail check or money order payable to “USPA” or pay by American Express, VISA, Discover and MasterCard. Foreign payments: American Express, VISA, Discover and MasterCard accepted for foreign payment. No foreign checks or money orders. $ _____ License Fee ($36 each license) $ _____ Expedite with fax or email confirmation (add $20) $ _____ Total Fax # or email address ___________________ Phone #_______________________________ MO YR expiration date three-digit security code uirements Jump No. or date Initial 0 jumps) ◊ ing rse (See SIM 3-1) Requirements Jump No. or date Initial Accuracy (25 jumps) ◊ Maneuvers Exam Score Requirements Jump No. or date Initial Night Jumps 1 2 Exam Score

APPLICATION CHECKLIST The verifying official signing the license application should double check that each of these items has been completed: A. Applicant’s personal information B. Experience verification: 1. Number of jumps 2. Freefall time C. Skill verification: Verify (with your initials) that the jump number, date, or score for each requirement is correct and can be found in the applicant’s logbook, OR enter the applicant’s appropriate license number in the box provided. D. Knowledge verification: Check that the written exam answer sheet is complete with a passing score recorded on the application. E. Final Verification: 1. Sign the verifying official’s certification statement and print your name, license number (or title), and date. 2. Mail the completed license application along with the fee. LICENSE EXAM INSTRUCTIONS A. Exam administrator: 1. Give the applicant this answer sheet and the questions to the exam. Do not permit references or other assistance during the exam. After the test, collect the materials and grade the exam. 75% (19 or more for the B-license and C-license exam; 30 or more required for the A-licese and D-license exam) is required to pass. 2. Record the score on the license application and in the applicant’s logbook. The applicant not passing will be eligible to retake this exam after seven days. To qualify for a higher license, the applicant must have passed all lower class license exams. B. Applicant: 1. Write your name on this answer sheet. 2. Select the best available answer for each question and write the corresponding letter in the space provided. 3. When you finish, return this answer sheet and all exam questions to the person administering the test to you. NOTE: USPA license exams must be administered by a USPA Instructor, Instructor Examiner, Safety & Training Advisor, or a member of the USPA Board. APNaUSUNITED STATES PARACHUTE ASSOCIA1. 2. 3. 4. 5. 6. 7. 8. 9. 10 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Sco

A B C D PPLICANT (Please Type or Print) ame: ________________________________ Signature: ___________________________ SPA Membership No. ______________________________________________ Date________ / ________ /________ ATION® LICENSE EXAM ANSWER SHEET A B C D 26. 1. 1. 1. 26. 27. 2. 2. 2. 27. 28. 3. 3. 3. 28. 29. 4. 4. 4. 29. 30. 5. 5. 5. 30. 31. 6. 6. 6. 31. 32. 7. 7. 7. 32. 33. 8. 8. 8. 33. 34. 9. 9. 9. 34. 35. 10 10 10 35. 36. 11. 11. 11. 36. 37. 12. 12. 12. 37. 38. 13. 13. 13. 38. 39. 14. 14. 14. 39. 40. 15. 15. 15. 40. 16. 16. 16. 17. 17. 17. 18. 18. 18. 19. 19. 19. 20. 20. 20. 21. 21. 21. 22. 22. 22. 23. 23. 23. 24. 24. 24. 25. 25. 25. ore: Score: Score: Score:

Coach Candidate: Refer to the rating requirements listed in the Introduction and Orientation section of the USPA Coach Rating Course outline in the USPA Instructional Rating Manual. Some requirements are listed there alone, and some are listed only on this proficiency card. Sign-off dates prior to the course may not be more than 12 months old as of the course start date. Many requirements may be performed in conjunction with a USPA Coach Rating Course. Verifying Officials: Use this form to record that the candidate has met all necessary requirements for the USPA Coach rating. The level of official verification is indicated with each requirement. Each of the undersigned certifies that he or she has personally verified those qualifications listed. BEFORE THE USPA COACH RATING COURSE: 1. Correctly answered at least 80% of the questions on the USPA Coach Final Examination. Course examiner signature Date 2. Assisted in one complete solo first-jump course. USPA Instructor signature Date AT THE USPA COACH RATING COURSE: 3. Successfully conducted two satisfactory training sessions from the topics listed in the Coach Rating Course Evaluation outline. Evaluator signature Date Evaluator signature Date 4. Demonstrated the ability to teach the following topics from Categories F-H of the ISP. • floater exit Evaluator signature Date • diver exit Evaluator signature Date • forward and dock Evaluator signature Date • fall rate Evaluator signature Date • tracking with awareness Evaluator signature Date 5. Demonstrated the ability to conduct a satisfactory debriefing. Evaluator signature Date 6. Correctly performed a pre-jump equipment check. Evaluator signature Date I CERTIFY THAT _____________________________________________________________________________________________ HAS: name of candidate USPA COACH RATING APPLICATION Name_____________________________________________________ USPA #: _________ Expiration Date:______/______/______/ Mailing Address __________________________________________________________________________________________________ Add’l. Address ___________________________________________________________________________________________________ City ___________________________________ State _________ Zip or Postal Code __________________ Country _____________ Weekday Phone ( _________ ) _______________________ Email ______________________________________________________ DOB:______/______/______/ Sex: ❑ M ❑ F Occupation: ______________________________________________________ License Number: ___________________ (Must be USPA B or higher) Total Freefall Time: ____________ Total Sport Jumps: ____________ Applicant’s Signature (for future authentication purposes): _________________________________________________________________ COACH RATING COURSE PROFICIENCY CARD $45 RATING FEE: ❑ Paid by candidate with application ❑ Returned with After-Action Report CARD NUMBER (American Express, Discover , MasterCard, and Visa) SECURITY CODE EXP. DATE (MMYY) Information below this line will be destroyed after processing

Coach 7. Successfully completed two air evaluations. Evaluator signature Date Evaluator signature Date 8. Participated in all portions of the USPA Coach Rating Course. Course examiner signature Date RATING RECOMMENDATION I have personally examined and recommend this applicant for the USPA Coach rating. He or she has demonstrated the ability to, under the supervision of a USPA Instructor, teach the general (non-method-specific) sections of the first jump course, conduct group freefall skills training, supervise students making group freefall training jumps, and conduct recurrency training and jumps with licensed skydivers. Course examiner name (please print) Member # Course examiner signature Course Date_____________________ Original Course Location Page 2 CANDIDATE NAME __________________________________ Member # ________________ COURSE/EXAMINER VERIFICATION CHECKLIST (Examiners, please verify the following) ❑ Examiner membership and rating expiration date__________ ❑ Course Location_____________________(must be a current USPA Group Member drop zone) ❑ Candidate USPA Membership expiration date___________ ❑ Full Course ❑ Challenge Course (See Section 1 of course syllabus for requirements) ❑ Proof of non-USPA Coach rating (challenge only) Coach

Candidate: Refer to the rating requirements listed in the Introduction and Orientation section of the USPA AFF Instructor Rating Course outline in the USPA Instructional Rating Manual. Some requirements are listed there alone, and some are listed only on this Proficiency Card. Sign-off dates may not be more than 12 months old as of the course start date. Many requirements may be performed in conjunction with a USPA AFF Instructor Rating Course. Verifying Officials: Use this form to record that the candidate has met all necessary requirements for the USPA AFF Instructor rating. The level of official verification is indicated with each requirement. Each of the undersigned certifies that he or she has personally verified those qualifications listed. *Current USPA Instructors need not meet starred requirements. AFF INSTRUCTOR RATING COURSE PROFICIENCY CARD PRIOR TO ARRIVAL AT THE USPA INSTRUCTOR RATING COURSE: 1. Assisted in two AFF first-jump courses. AFF Instructor signature Date AFF Instructor signature Date 2. Assisted in two Category C and two Category D AFF ground preps. Category C AFF Instructor signature Date Category C AFF Instructor signature Date Category D AFF Instructor signature Date Category D AFF Instructor signature Date 3. Observed all AFF ground preps in Categories A through E. AFF Instructor signature Date 4.* Correctly taught freefall stability and basic freefall maneuvers, including freefall turns, backloops, barrel rolls, front loops, and tracking. USPA Instructor signature Date 5.* Prepared an effective canopy flight plan and provided ground-to-air (for example, radio) instruction for winds up to 14 mph. USPA Instructor signature Date 6.* Participated in the spotting and aircraft lessons from Categories D through H (or equivalent training). (initials:) Category D_________ Category G __________ Category E ________ Category H __________ Category F ________ USPA Instructor signature Date AFF I CERTIFY THAT _____________________________________________________________________________________________ HAS: name of candidate $60 RATING FEE: ❑ Paid by candidate with application ❑ Returned with After-Action Report CARD NUMBER (American Express, Discover , MasterCard, and Visa) SECURITY CODE EXP. DATE (MMYY) Information below this line will be destroyed after processing USPA AFF INSTRUCTOR RATING APPLICATION Name _____________________________________________________ USPA #: _________ Expiration Date:______/______/______/ Mailing Address __________________________________________________________________________________________________ Add’l. Address ___________________________________________________________________________________________________ City ___________________________________ State _________ Zip or Postal Code __________________ Country _____________ Weekday Phone ( _________ ) _______________________ Email ______________________________________________________ DOB:______/______/______/ Sex: ❑ M ❑ F Occupation: ______________________________________________________ License Number: ________________ (USPA C or higher required) Total Freefall Time: ___________ (six hours minimum required) Total Sport Jumps: ___________ Applicant’s Signature (for future authentication purposes): _________________________________________________________________

7.* Made 10 jumps to teach and observe basic group freefall skills (verification of 10 entries in the candidate’s logbook). AFF Course Examiner signature Date 8. Correctly answered at least 80% of the questions on the USPA AFF Instructor Final Examination. Course examiner signature Date AT THE USPA INSTRUCTOR RATING COURSE: 9.* Demonstrated competence to gear up and check a student. USPA Instructor signature Date 10. On practice release jumps using an AFF Instructor as a student: • stabilized inverted student AFF evaluator signature Date • stopped a spin AFF evaluator signature Date • deployed for a student AFF evaluator signature Date 11. Completed one satisfactory Category C and one Category D ground preparation evaluation. • Category C AFF evaluator signature Date • Category D AFF evaluator signature Date 12. Completed three satisfactory air evaluations, Category C main side, Category C reserve side, and Category D (modified). • Category C (m) AFF evaluator signature Date • Category C (r) AFF evaluator signature Date • Category D AFF evaluator signature Date 13. Participated in all portions of the USPA AFF Instructor Rating Course. Course examiner signature Date RATING RECOMMENDATION I have personally examined and recommend this applicant for the USPA AFF Instructor rating. He or she has demonstrated the ability to train and jump with AFF students and to train and supervise non-method-specific students for the USPA A license. Course examiner name (please print) Member # Course examiner signature Course Date_____________________ Original Course Location COURSE/EXAMINER VERIFICATION CHECKLIST (Examiners, please verify the following) ❑ Examiner membership and rating expiration date__________ ❑ Course Location_____________________(must be a current USPA Group Member drop zone) ❑ Candidate USPA Membership expiration date___________ ❑ Full Course ❑ Challenge Course (See Section 1 of course syllabus for requirements) ❑ Proof of non-USPA AFF rating (challenge only) AFF Page 2 CANDIDATE NAME __________________________________ Member # ________________

IAD/Static-Line Candidate: Refer to the rating requirements listed in the Introduction and Orientation section of the USPA IAD and Static-Line Instructor Rating Course outline in the USPA Instructional Rating Manual. Some requirements are listed there alone, and some are listed only on this proficiency card. Sign-off dates may not be more than 12 months old as of the course start date. Many requirements may be performed in conjunction with a USPA IAD or Static-Line Instructor Rating Course. Verifying Officials: Use this form to record that the candidate has met all necessary requirements for the USPA IAD or Static-Line Instructor rating. The level of official verification is indicated with each requirement. Each of the undersigned certifies that he or she has personally verified those qualifications listed. *Current USPA Instructors need not meet starred requirements. IAD AND STATIC-LINE INSTRUCTOR RATING COURSE PROFICIENCY CARD PRIOR TO ARRIVAL AT THE USPA INSTRUCTOR RATING COURSE: 1. Assisted in two IAD or static-line first-jump courses. ❑ IAD or ❑ Static-Line Instructor signature Date ❑ IAD or ❑ Static-Line Instructor signature Date 2. Assisted in training a skydiver on at least three practice deployment IAD or static-line jumps, including debriefing. ❑ IAD or ❑ Static-Line Instructor signature Date ❑ IAD or ❑ Static-Line Instructor signature Date ❑ IAD or ❑ Static-Line Instructor signature Date 3. Conducted four simulated or actual IAD or static-line jumps with experienced jumpers (B license and 100 jumps) acting as students. ❑ IAD or ❑ Static-Line Instructor signature Date ❑ IAD or ❑ Static-Line Instructor signature Date ❑ IAD or ❑ Static-Line Instructor signature Date ❑ IAD or ❑ Static-Line Instructor signature Date 4.* Observed ground preps in Categories B, C, E, and F. USPA Instructor signature Date IAD/Static-Line $60 RATING FEE: ❑ Paid by candidate with application ❑ Returned with After-Action Report CARD NUMBER (American Express, Discover , MasterCard, and Visa) SECURITY CODE EXP. DATE (MMYY) Information below this line will be destroyed after processing I CERTIFY THAT _____________________________________________________________________________________________ HAS: name of candidate USPA IAD AND STATIC-LINE INSTRUCTOR RATING APPLICATION Name_____________________________________________________ USPA #: _________ Expiration Date:______/______/______/ Mailing Address __________________________________________________________________________________________________ Add’l. Address ___________________________________________________________________________________________________ City ___________________________________ State _________ Zip or Postal Code __________________ Country _____________ Weekday Phone ( _________ ) _______________________ Email ______________________________________________________ DOB:______/______/______/ Sex: ❑ M ❑ F Occupation: ______________________________________________________ License Number: ___________________ (USPA C License or higher) Total Freefall Time: ____________ Total Sport Jumps: ____________ Applicant’s Signature (for future authentication purposes): _________________________________________________________________

5. *Assisted in training at least two first-solo freefall students, including debriefing. USPA Instructor signature Date USPA Instructor signature Date 6. *Correctly taught freefall stability and basic freefall maneuvers, including freefall turns, backloops, barrel rolls, front loops, and tracking. USPA Instructor signature Date 7. *Prepared an effective canopy flight plan and provided ground-to-air (for example, radio) instruction for winds up to 14 mph. USPA Instructor signature Date 8. *Participated in the spotting and aircraft lessons from Categories D through H (or equivalent training). (initials:) Category D_________ Category G __________ Category E ________ Category H __________ Category F ________ USPA Instructor signature Date 9.* Made 10 jumps to teach and observe basic group freefall skills (verification of 10 entries in the candidate’s logbook). Course Examiner’s signature Date 10. Correctly answered at least 80% of the questions on the USPA (check one) ❑ IAD or ❑ Static-Line Instructor Final Examination. Course examiner signature Date AT THE USPA INSTRUCTOR RATING COURSE: 11. Demonstrated satisfactory knowledge of static-line rigging procedures for both direct-bag and static-line assist (static-line only). Course examiner signature Date 12. *Demonstrated competence to gear up and check a student. Evaluator signature Date 13. *Demonstrated competence to spot for a student. Evaluator signature Date 14. Received personal instruction from an USPA IAD or Static-Line Instructor (per rating sought) on the following emergency areas: • aircraft Course examiner signature Date • static-line student in tow Course examiner signature Date 15. Completed one satisfactory IAD or static-line Category B training evaluation. Course examiner signature Date 16.* Completed one satisfactory Category D freefall and canopy training session and air evaluation. Course examiner signature Date 17. Conducted at least two actual IAD or static-line jumps. Course examiner signature Date Course examiner signature Date 18. Participated in all portions of the USPA (check one) ❑ IAD or ❑ Static-Line (check one) Instructor Rating Course. Course examiner signature Date RATING RECOMMENDATION I have personally examined and recommend this applicant for the USPA IAD or Static-Line Instructor rating. He or she has demonstrated the ability to train and supervise ❑ IAD ❑ static-line (check one) students and to train and supervise non-method-specific students for the USPA A license. Course examiner name (please print) and member # Course examiner signature Date Course Location Training Method (IAD or Static-Line) COURSE/EXAMINER VERIFICATION CHECKLIST (Examiners, please verify the following) ❑ Examiner membership and rating expiration date__________ ❑ Course Location_____________________(must be a current USPA Group Member drop zone) ❑ Candidate USPA Membership expiration date___________ ❑ Full Course ❑ Challenge Course (See Section 1 of course syllabus for requirements) ❑ Proof of non-USPA Static-Line/IAD rating (challenge only) IAD/Static-Line Page 2 CANDIDATE NAME __________________________________ Member # ________________

Candidate: Refer to the rating requirements listed in the Introduction and Orientation section of the USPA Tandem Instructor Rating Course outline in the USPA Instructional Rating Manual. Some requirements are listed there alone, and some are listed only on this proficiency card. Sign-off dates may not be more than 12 months old as of the course start date. Many requirements may be performed in conjunction with a USPA Tandem Instructor Rating Course. Course only requirements must be completed within 12 months of the start of the course. Verifying Officials: Use this form to record that the candidate has met all necessary requirements for the USPA Tandem Instructor rating. The level of official verification is indicated with each requirement. Each of the undersigned certifies that he or she has personally verified those qualifications listed. *Current USPA Instructors need not meet starred requirements. TANDEM INSTRUCTOR RATING COURSE PROFICIENCY CARD PRIOR TO ARRIVAL AT THE USPA INSTRUCTOR RATING COURSE: 1. Assisted in two tandem first-jump courses toward Category A requirements. USPA Tandem Instructor signature Date USPA Tandem Instructor signature Date 2. Assisted in two Category B tandem ground preps. USPA Tandem Instructor signature Date USPA Tandem Instructor signature Date 3.* Assisted in two Category D ground preps. USPA Instructor signature Date USPA Instructor signature Date 4.* Observed ground preps in Categories B, C, E, and F. USPA Instructor signature Date 5.* Correctly taught freefall stability and basic freefall maneuvers, including freefall turns, backloops, barrel rolls, front loops, and tracking. USPA Instructor signature Date 6.* Prepared an effective canopy flight plan and provided ground-to-air (for example, radio) instruction for winds up to 14 mph. USPA Instructor signature Date 7.* Participated in the spotting and aircraft lessons from Categories D through H (or equivalent training). (initials:) Category D_________ Category G __________ Category E ________ Category H __________ Category F ________ USPA Instructor signature Date Tandem I CERTIFY THAT _____________________________________________________________________________________________ HAS: name of candidate USPA TANDEM INSTRUCTOR RATING APPLICATION Name_____________________________________________________ USPA #: _________ Expiration Date:______/______/______/ Mailing Address __________________________________________________________________________________________________ Add’l. Address ___________________________________________________________________________________________________ City ___________________________________ State _________ Zip or Postal Code __________________ Country _____________ Weekday Phone ( _________ ) _______________________ Email ______________________________________________________ DOB:______/______/______/ Sex: ❑ M ❑ F Occupation: ______________________________________________________ License Number: ___________________ (USPA D License or higher) FAA Medical Exp. Date: ____________ (include copy of medical with this application) Total Freefall Time: ____________ Total Sport Jumps: ____________ (minimum 500 required) Applicant’s Signature (for future authentication purposes): _________________________________________________________________ $60 RATING FEE: ❑ Paid by candidate with application ❑ Returned with After-Action Report CARD NUMBER (American Express, Discover , MasterCard, and Visa) SECURITY CODE EXP. DATE (MMYY) Information below this line will be destroyed after processing

8. Demonstrated five practice tandem cutaways wearing tandem equipment and with a simulated student in the student harness in the presence of a USPA Tandem Instructor or Tandem Instructor Examiner. Supervising USPA Tandem Instructor signature Date 9.* Made 10 jumps to teach and observe basic group freefall skills (verification of 10 entries in the candidate’s logbook). Course examiner signature Date 10. Correctly answered at least 80% of the questions on the USPA Tandem Instructor Final Examination. Course examiner signature Date AT THE USPA INSTRUCTOR RATING COURSE: 11. During tandem jumps, demonstrated the ability to perform all the following: • Establish and maintain stability throughout the jump. Evaluator signature Date • Recover from intentional, planned instability on exit. Evaluator signature Date • Heading control during tandem freefall and droguefall. Evaluator signature Date 12. Earned a score of Satisfactory on all sections and subsections of the Tandem In-Air Skills and Instruction Evaluation Form and the Training, Supervision, and Debriefing Evaluation Form. Course examiner signature Date 13. Correctly and completely rigged a simulated student for a tandem jump and completed a satisfactory pre-jump check of all associated systems. Evaluator signature Date 14. Conducted five successful initial tandem evaluation jumps. 1. Evaluator signature Date 2. Evaluator signature Date 3. Evaluator signature Date 4. Evaluator signature Date 5. Evaluator signature Date 15.* Correctly prepared and checked a solo student’s equipment, including canopy selection, prior to rigging up. USPA Instructor signature Date 16. Participated in all portions of the USPA Tandem Instructor Rating Course. Course examiner signature Date 17. Has a minimum of 3 years of experience in parachuting. Course examiner signature Date 18. Conducted five practice tandem jumps. 1. Supervising USPA Tandem Instructor signature Date 2. Supervising USPA Tandem Instructor signature Date 3. Supervising USPA Tandem Instructor signature Date 4. Supervising USPA Tandem Instructor signature Date 5. Supervising USPA Tandem Instructor signature Date 19.Demonstrated the correct response to each emergency procedure while harnessed together with a stand-in student using a practice harness or an actual tandem container rigged with auxiliary handles for the drogue release and emergency handles. Supervising USPA Tandem Instructor Examiner signature Date RATING RECOMMENDATION I have personally examined and recommend this applicant for the USPA Tandem Instructor rating. He or she has demonstrated the ability to train and jump with tandem students and to train and supervise non-method-specific students for the USPA A license. USPA Tandem Instructor Examiner name and Member # USPA Tandem Instructor Examiner signature Date Course Location Tandem Equipment Used for Rating Tandem COURSE/EXAMINER VERIFICATION CHECKLIST (Examiners, please verify the following) ❑ Examiner membership and rating expiration date__________ ❑ Course Location_____________________ (must be a current USPA Group Member drop zone) ❑ Candidate USPA Membership expiration date___________ ❑ Full Course ❑ Manufacturer Rating Conversion (See Section 1.G.) ❑ Foreign Tandem Instructor Rating Conversion (See Section 1.G.) Page 2 CANDIDATE NAME __________________________________ Member # ________________