13. OVERVIEW OF THE AWARDS CONTEST. The awards contest is industry-developed and administered by the AMT Safety Awards Program FAA/Industry Steering Committee. The awards contest is held annually on or before March 31st, in which AMT applicant names are drawn at random for the prize(s) that are offered. The purpose of the awards contest is to encourage participation in the FAA’s AMT program by providing industry-provided prizes as an incentive for maintenance personnel and their employers to participate in voluntary maintenance training.
14. HOW THE AMT AWARDS CONTEST IS MANAGED. FAA responsibility in the awards contest is limited to forwarding the applications to the AMT Safety Awards Program FAA/Industry Steering Committee. The FAA is not permitted to solicit prizes or funding for this event. Once the application for an AMT award is received by the FAASTeam Airworthiness Program Manager and entered into the FAA’s Program Tracking and Reporting Subsystem, the application is sent to the chairman of the AMT Safety Awards Program FAA/Industry Steering Committee, on or before February 15th. The National FAASTeam Deputy Manager is responsible to inform all FAASTeam Managers of the current name and address of the chairman of the AMT Safety Awards Program FAA/Industry Steering Committee.
15. HOW TO OBTAIN THIS AC. Copies of this AC can be found at http://www.airweb.faa.gov/rgl.
16. CONTACT. For additional information or suggestions, please contact the Federal Aviation Administration, Flight Standards Service, Aircraft Maintenance Division, AFS-300, ATTN: Aviation Maintenance Technician Awards Program, 800 Independence Ave., SW., Washington, DC 20591, or at (202) 267-3546.
ORIGINAL SIGNED by Roger Forshee for
James J. Ballough Director, Flight Standards Service Page 8 Par 13
Appendix 1 APPENDIX 1. REQUIRED FORMAT
AIRCRAFT MAINTENANCE TECHNICIAN AWARDS PROGRAM
TECHNICIAN AWARD APPLICATION (This form may be duplicated) (To be sent to the local FSDO, CMO, IFO, or FAASTeam Airworthiness Program Manager)
AIRCRAFT MAINTENANCE TECHNICIAN AWARDS PROGRAM
TECHNICIAN AWARD APPLICATION (This form may be duplicated as long as the submitted document is 8 ½” by 3 ¾”)
(Applicant must contact the local FSDO, CMO, or IFO, for the name and phone number of the FAASTeam Program Manager Airworthiness responsible for the area and make an appointment to have his/her application and training records reviewed)
Check the Phase for which you are applying:
□ Phase I □ Phase II □ Phase III □ Phase IV □ Phase V Today’s Date: _________________________
Applicant’s Name: _______________________________________________ Address: ________________________________________________________ City: _______________________________________________ State: ________________________________________________ Zip: _________________________________________________ FAA Certificate # _________________________________________ Home Phone # (Optional): ___________________________________ Work Phone #: _______________________________
AMT APPLICATION FORM Applicant’s Name: ___________________________________ Award Applied For: ______________________ Applicant’s Home Address : ______________________________________________________________________ _____________________________________________________________________________________________ Home Phone # (Optional): _______________________ Work Phone #: __________________________ Employer/School:
______________________________________________________________________________________ Employer’s/School’s Address:
____________________________________________________________________________ ___________________________________________________________________________________________ FSDO: ______________________________________________________ Tie tack/pin: Yes______ No______ (Please submit evidence of training with this application.)
--------------------------------------------------------------
AMT APPLICATION FORM Applicant’s Name: __________________________________ Award Applied For: ______________________ Applicant’s Home Address: ______________________________________________________________________ _____________________________________________________________________________________________ Home Phone # (Optional): ___________________________ Work Phone #: _______________________________ Employer/School:
______________________________________________________________________________________ Employer’s/School’s Address:
____________________________________________________________________________ ______________________________________________________________________________________________ FSDO: ____________________________________________________ (Please submit evidence of training with this application.)
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Appendix 2 APPENDIX 2. AIRCRAFT MAINTENANCE TECHNICIAN AWARDS PROGRAM
EMPLOYER AWARD APPLICATION (This form may be duplicated.)
(To be sent to the local FSDO, CMO, or IFO, which will forward to the FAASTeam Airworthiness Program Manager responsible for the area)
Company Name:________________________________________________________________ Address:______________________________________________________________________ Telephone Number:____________________________________ Date:_____________________ □ Gold Certificate of Excellence □ Diamond Certificate of Excellence □ Five-year Special Recognition Plaque
_______________________________________________________ I certify that the information contained in this application is true.
_______________________________________________________ Authorized company official submitting this application.
______________________________________________________________________________
NAME TITLE SIGNATURE DATE
NOTE: Upon determining that the employer is eligible, the local FSDO, CMO, IFO, or FAASTeam Airworthiness Program Manager will process the application and issue the Gold or Diamond Certificate of Excellence and/or forward the Employer Application for the Five Year Recognition to the Deputy National FAASTeam Manager, ATTN: AFS-8A, 800 Independence Ave., SW, Washington, DC 20591, who will issue the Five Year Special Recognition award.
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