CAP: Where Imagination Takes Flight

TEACHERS, motivate your students about science, technology, engineering and mathematics (STEM) subjects and careers with fun and

exciting aerospace activities that align with National Academic Standards of Learning.

Become a Civil Air Patrol Aerospace Education Member TODAY to receive FREE Programs & Products!

www.gocivilairpatrol.com

Building A Better Tomorrow One Student at a Time

Civil Air Patrol’s MARS ProgramMaking Aerospace Real for Students

CAP: Where Imagination Takes Flight

Aerospace is for everyone!Civil Air Patrol promotes the use of the aerospace

education theme to help educators excite and motivate their students to excel in science,

math, technology, language arts, socialstudies, and other traditional subjects.

The Aerospace Education Member(AEM) is a unique CAP member whohas access to free products andprograms designed especially tointegrate the fascinating subject ofaerospace into the curriculum. TheK-12 Aerospace Education Excellence

(AEX) Award Program, the K-6 grade-level specific Aerospace Connections in

Education (ACE) Program, the TeacherOrientation Program (TOP) Flights,

opportunities for grants and awards, and

over 20 free aerospace education products all serveto help educator members inspire their students toexplore aerospace-related careers. Teachers canalso introduce their students to CAP’s Cadet Programfor youth, ages 12-20. CAP Cadets have theopportunity to become engaged in leadershipdevelopment, character education,physical fitness, emergency services, orientation airplane flights, andaerospace career exploration. For more information about CAP’s AE andCadet Programs, go towww.capmembers.com.

Let your classroom take flight . . .

How can YOU become an Aerospace Education Member (AEM)?Civil Air Patrol is proud to offer persons who work with young people in any capacity, be it the classroom ora youth organization, the opportunity to become a CAP AEM. Membership requires no uniform; nomeetings—just a desire to use CAP’s AE programs and products to ignite the minds and spirits of youngpeople toward STEM subjects and careers. Each membership is only $35 and includes a plethora ofspecial benefits, such as:

>> receipt of over 20 free K-12 national academic standards-based STEM materials, including a full-color, 675-page comprehensive aerospace textbook

>> unique programs, awards, grants, and college credit courses>> free Teacher Orientation Program (TOP) Flight at your local airport>> receipt of a nice teacher plaque and beautiful student certificates in the free K-12 Aerospace

Education Excellence (AEX) Program * Find out details of all products and programs online at www.capmembers.com/ae. You will be amazed at the benefits for ourAEMs that will enrich any youth development program. >>>>>To receive your membership, use the easy online registrationat www.capmembers.com/joinaem. (Don’t forget to mark “yes” for the AEX Program* when you register. You will receive5 AEX hands-on activity booklets for use with K-12 students at any time.) We hope that YOU will become an AEM so that youcan Make Aerospace Real for Students by teaching ordinary subjects in an EXTRAORDINARY way!

For more information, contact ae@capnhq.gov.

What is CAP?Congressionally incorporated by the United States Congress in 1946, Civil Air Patrol is a nonprofit, humanitarian organization and the volunteer Auxiliary of the United States Air Force. The approximately 61, 000 volunteer members carry out the missions of Civil Air Patrol across America,which include:

• Emergency Services (Search and Rescue; Disaster Relief; Homeland Security)• Cadet and Youth Development• Promotion of Science, Technology, Engineering & Math (STEM) Via Aerospace Education

Where Imagination Takes Flight

Aerospace Education Membership (AEM)

Application

(Please print clearly)

____________________________________________________Last Name First MI____________________________________________________DOB Gender____________________________________________________Address____________________________________________________City State Zip Code____________________________________________________ E-mail____________________________________________________Home Phone

EMPLOYMENT: nn Teacher nn Counselor nn Principal nn Superintendent nn Other

CLASSROOM: nn PreK-Grade 2 nn Grades 3-5 nn Grades 6-9 nn Grades 10-12 nn Other

INSTRUCTIONAL AREA: nn Science nn Math nn Social Studies nn Language Arts nn Aerospace Education nn JROTC nn Other nn Not Applicable

SCHOOL NAME: ______________________________________________________________________________

BACKGROUND• Are you a citizen of the United States? _______ • Do you have prior Military Service? _______

• Have you ever been convicted of a felony? _______ • Are you currently charged with any felony? _______

$35 MEMBERSHIP DUESl Select payment option below:

q Check - payable to Civil Air Patrol NHQq Credit card - complete the following information:q Visa q Master Card q Discover

Credit Card Number ______________________________________________

Expiration Date ________________________

Daytime Telephone ________________ Email ________________________

Name as it appears on credit card ___________________________________

Signature of credit card holder ______________________________________

SIGNATURE OF APPLICANT DATE SOCIAL SECURITY NUMBER

__________________________________________ ______________ ____________________________

For CAP NHQ use only!NAT CC/DESIGNEE: INITIAL / DATE _____________________________________ Special Application Number 021507

SEND TO:CIVIL AIR PATROL / AEAerospace Education Membership105 S. Hansell St. Maxwell AFB, AL 36112-6332

FAX: (334) 953-6891E-mail: ae@capnhq.gov (send scanned, completed application as attachment)

Membership commences on the date processed by National Headquarters and the individual’s name appears on theNational Headquarters database.