LAST NAMEFIRST NAMEMI / GRADE / CAPID / DATE ENTERED CAP / CHARTER NO.
SENIOR MEMBER
AWARDS AND
DECORATIONS / / SENIOR MEMBER
MASTER RECORD / AERONAUTICAL
RATINGS, PILOT DESIGNATIONS, ANDOTHER OPERATIONS BADGES
NAME / Date
Earned / INITIAL / ANNUAL AIRCREW TRAINING AND EVALUATION CHECKS / Date
Qualified
Date / Type / Year / Date / Type / Year / Mission Scanner
Observer
Senior Observer
Master Observer
Pre-Solo Pilot
Solo Pilot
Pilot
Senior Pilot
Command Pilot
Transport MissionPilot
SAR/DR Mission Pilot
Cadet Orientation Pilot
Instructor Pilot
Check Pilot
Mission Check Pilot
Glider Pilot
Balloon Pilot
FAA INFORMATION / Basic Ground Team
FAA Medical Date/Class / FAA License Number / FAA Ratings / Senior Ground Team
IIIIII / Master Ground Team
AIRCRAFT OWNER INFORMATION / Basic IC
Aircraft Personally Owned / Make and Model / Aircraft Number / Fuel Cap (Hrs) / Senior IC
Yes No / N / hr / gal / Master IC
AEPSM AWARD / COMMUNICATIONS TRAINING
GEN CHUCK YEAGER / BCUT / ACUT / FCC LICENSES TechnicianGeneralExtra GROL

CAPFORM 45, AUG 09PREVIOUS EDITIONS MAY BE USEDOPR/ROUTING: DP

PROFESSIONAL DEVELOPMENT RECORD
DIRECTIONS:
1. Level I - Foundations Course is required except as outlined in CAPR 50-17 for Mitchell Award Recipients. Cadet Protection Training cannot be waived for any senior member.
2. Level II – V - Enter date activity was completed. Unit commander certifies by initialing.
3. Specialty Training - Enter date training level was attained. Unit commander initials block.
LEVEL I–INTRODUCTION / DATE COMPLETED / SPECIALTY TRAINING
Foundations Course or MitchellAward / CODE/SUBJECT / TECHNICIAN / SENIOR / MASTER
Cadet Protection Training
OPSEC Training / 200 Personnel
LEVEL II – TECHNICAL RATING / DATE COMPLETED / CERTIFICATION / 201 Public Affairs
SquadronLeadershipSchool (SLS) / 202 Finance
AFIADL Course 13 or Equivalent / 203 Inspector General
Specialty Technician Rating / 204 Professional Development
205 Administration
206 Logistics
LEVEL III – MANAGEMENT / DATE COMPLETED / CERTIFICATION / 210 Flight Operations
Command/Staff Position for One Year / 211 Operations
Corporate Learning Course (CLC) / 212 Standardization-Evaluation
Attend Two National (N), Regional (R),
Wing (W) Conferences / 1. / 213 Emergency Services
2. / 214 Communications
Specialty Senior Rating / 215 Aerospace Education
LEVEL IV – COMMAND AND STAFF / DATE COMPLETED / CERTIFICATION / 216 Cadet Programs
Command/Staff Position for Two Years / 217 Safety
RegionStaffCollege or Equivalent (CAPR 50-17) / 218 Plans and Programs
Serve as a Staff Member at National
Region, or Wing Conference, or Serve as
Staff Member or Presenter at CAP Course (CAPR 50-17 para 6-1, and Attachment 14) / 219 Legal
220 Health Services
221 Chaplain
Prepare and Present a CAP Presentation
to a Non-CAP Group on a CAP-Related
Subject or Earn the Yeager Award / 223 Historian
225 Moral Leadership
226 Recruiting and Retention
Specialty Master Rating / 227 Information Technology
LEVEL V – EXECUTIVE / DATE COMPLETED / CERTIFICATION / 228 Drug Demand Reduction
Command/Staff Position for Three Years / 229 Organizational Excellence
NationalStaffCollege or Equivalent (CAPR 50-17) / Other:
Conduct “Summary Conversation” for the Level I Foundations Course and one of the Following:
Serve as Director of CAP Course (CAPR 50-17, para 7-1, and Attachment 14)
orServe as a Staff Member for the
RegionStaffCollege
orServe as a Staff Member for the
NationalStaffCollege
PERSONAL INFORMATION
Home Address / Unit (Name, Charter, Address) / Date and Place of Birth
Weight / Height / Eyes BRNBLUGRNHZLGRY / Hair BRNBLKBNDBLDGRYWHTREDOTH / Occupation
Military Service UNKNOARAFNVMCCG / Highest Grade E1E2E3E4E5E6E7E8E9CWO1CWO2CWO3CWO4CWO5O1O2O3O4O5O6O7O8O9O10 / No. of Years Served / Present Status N/AActive DutyReserve - ActiveReserve - InactiveRetiredDischarge - HonorableDischarge - AdminDischarge - Medical
EDUCATION – ALL CIVILIAN AND MILITARYSCHOOLS
From / To / Name and Location of School / Graduate / Degree
Yes / No
DUTY ASSIGNMENTS
Inclusive Dates / Title / Grade / Inclusive Dates / Title / Grade
to / SM2LT1LTCAPTMAJLCOLCOL / to / SM2LT1LTCAPTMAJLCOLCOL
to / SM2LT1LTCAPTMAJLCOLCOL / to / SM2LT1LTCAPTMAJLCOLCOL
to / SM2LT1LTCAPTMAJLCOLCOL / to / SM2LT1LTCAPTMAJLCOLCOL
to / SM2LT1LTCAPTMAJLCOLCOL / to / SM2LT1LTCAPTMAJLCOLCOL
to / SM2LT1LTCAPTMAJLCOLCOL / to / SM2LT1LTCAPTMAJLCOLCOL
GRADE
NCO / Officer
Date / Date / Date
Sergeant / Flight Officer / Major
Staff Sergeant / Technical Flight Officer / Lieutenant Colonel
Technical Sergeant / Senior Flight Officer / Colonel
Master Sergeant / Second Lieutenant / Brigadier General
Senior Master Sergeant / First Lieutenant / Major General
Chief Master Sergeant / Captain
ENCAMPMENT AND ACTIVITY PARTICIPATION
Activity Name & Location / Inclusive Dates / Notes (Assignment, DG, etc.) / Activity Name & Location / Inclusive Dates / Notes (Assignment, DG, etc.)
to / to
to / to
to / to
to / to
to / to
to / to
to / to
to / to
to / to
to / to
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to / to
to / to
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to / to
Other Information