Pilot/Commander Mission Specialist/Tourist Astronaut Candidate Application

Transcription

1 Pilot/Commander Mission Specialist/Tourist Astronaut Candidate Application Version: Copyright Universal Aerospace Inc. All Rights Reserved.

2 Universal Aerospace Inc. Astronaut Candidate Program Universal Aerospace Inc. (UAI) has a need for Astronauts to support our suborbital and orbital programs. UAI is accepting applications continuously and will select Astronauts on an ASAP basis. People from all over the world can apply, be selected, and will become a certified Astronaut after successful completion of our one (1) year training and evaluation program. VolksRocket Project Description VolksRocket "The World's First Civilian Manned Rocket!" A fully reusable suborbital vehicle designed for training, orientation, and gaining experience with the rigors of "Riding a Rocket!" Ascender II Project Description Ascender II "The World's First Civilian SubOrbital Manned RocketPlane!" A fully reusable suborbital vehicle designed for training, orientation, and gaining experience with the rigors of "Riding a Rocket to the Edge of Space!" Alpha Project Description Alpha "The World's First Civilian Orbital Manned RocketPlane!" A fully reusable suborbital and orbital vehicle designed for training, orientation, and gaining experience with the rigors of "Riding a Rocket in Space!"

3 Pilot/Commander Astronaut Pilot/Commander Astronauts (P/CA) serve as Pilot, Commander, or both depending on the vehicle and mission requirements. During a mission the Commander has the onboard responsibility for the vehicle, crew, and safety. Pilots assist the Commander in controlling and operating the vehicle. In addition the Pilot may assist with deployment and retrieval of space hardware, extravehicular activities, payload operations, and operation of the remote manipulator systems. Mission Specialist/Tourist Astronaut Mission Specialist/Tourists Astronauts (MS/TA) work with the P/CA in accomplishing the needs of a mission. Those needs maybe crew activities, consumable usage, experiment and payload operations. Also they assist in space station assembly and operations. MS/TAs have a detailed knowledge of vehicle and station systems, operational characteristics, mission requirements and objectives, and supporting systems and equipment for payloads on a mission. MS/TAs will perform extravehicular activities, payload handling, experiment operations, and operation of the remote manipulator systems. Basic Qualification Requirements Applicants must meet the following minimum requirements before submitting an application. Pilot/Commander Candidate: 1. Pilots License or Equivalent Flight Training from an accredited training institution dependent upon the vehicle being piloted. 2. At least 500 hours Pilot-In-Command time or Equivalent Flight Training in a twin engine jet aircraft. Flight Test experience is highly desirable. 3. Ability to pass the UAI Class 1 Space Physical which is similar to a military or civilian Class I flight physical and includes the following specific standards: Distance Visual Acuity: 20/100 or better uncorrected, correctable to 20/20 each eye. Blood Pressure: 140/90 measured in a sitting position. 4. Height between 60 and 78 inches. Mission Specialist/Tourist Candidate: 1. Applicable Degree or Equivalent Academic Training from an accredited institution in the field of study required by the mission. 2. Ability to pass the UAI Class 2 Space Physical which is similar to a military or civilian Class II flight physical and includes the following specific standards: Distance Visual Acuity: 20/200 or better uncorrected, correctable to 20/20 each eye.

4 Blood Pressure: 140/90 measured in a sitting position. 3. Height between 48 and 84 inches. Citizenship Requirements Applicants for UAI's Astronaut Candidate Program must be US citizens or Citizens of "good standing" from any other country. Application Procedures The application package maybe obtained by downloading the latest package from: Selection Process Once the Candidate has completed the application and returned it to UAI, it is initially screened and additional information maybe requested from some Candidates, and individuals listed in the application may be contacted. Once a Candidate's application is deemed completed they will undergo a weeklong process of personal interviews, medical evaluation, and orientation. A complete background investigation will be performed on all Candidates. General Program Requirements Candidates who complete the selection process will be designated Astronaut Candidates (AC) and will be assigned to the Astronaut Training Division (ATD) of UAI. ACs will undergo training and evaluation during which they will participate in our Basic Astronaut Training Program (BAT) which is designed to develop the knowledge and skills required for a mission. ACs who are going to become P/CAs will also participate in the Pilot/Commander Astronaut Training Program (P/CAT). All ACs will complete water survival training and will complete SCUBA training as required if they are to perform extravehicular activity. Consequently, all ACs will be required to pass a swimming test consisting of: 1. Being able to swim 3 lengths of a 25M pool without stopping in a flight suit and tennis shoes using either freestyle, breast, or sidestroke. There is no time limit. 2. They must be able to tread water continuously for 10 minutes. Upon completion of all applicable training ACs will graduate and become P/CAs or MS/TAs!

5 UAI Astronaut Candidate Application Thank you for your interest in applying for UAI's Astronaut Candidate Program! To follow are the application forms. (Please read the following instructions carefully before completing these forms.) a. UAI Form 100, "Application / Update for the UAI Astronaut Candidate Program" Complete all items, Sign, and Date. If more space is required you may insert additional sheets of paper. You may include a resume or curriculum vitae, but do not send copies of publications, thesis, research papers, videotapes, award or training certificates, etc. b. UAI Form 101, "Supplemental Information" Complete all items, Sign, and Date. c. UAI Form 102, "Summary AeroSpace Experience" Complete all items, Sign, and Date. This form is only required for P/CA applicants and is optional for MS/TA applicants. d. UAI Form 103, "Medical History" Complete all items except for items 3, 5, 6, 25, and 26ac, Sign, and Date. Explain all "yes" answers thoroughly. You are not required to obtain a physician's exam. e. UAI Form 104, "Supplemental Medical History" Complete all items, Sign, and Date. Explain all "yes" answers thoroughly. You are not required to obtain a physician's exam. f. UAI Form 105, "Race and National Origin Identification" Completion of this form is VOLUNTARY!, Sign, and Date. This form is only for historical statistical information gathering. But, you are encouraged to complete and submit it for historical purposes. g. Official College Transcript(s) or Equivalent Educational Training Transcript(s) Provide a legible copy of your transcripts. Transcripts must show type or degree/education conferred and date conferred. They do not have to be in a sealed envelope. Do not send copies of your diplomas. Do not place the application in a plastic cover, binder, or any other type of folder. You may include Letters of Recommendation with your application. You will be notified if additional information is required. Please mail your complete application (do not return them electronically) to: UNIVERSAL AEROSPACE INC 7704 TERRY DR FT WORTH TX You will receive a confirmation of receipt call, card, or . If you have any questions, please contact our office: Astronomically, Terry W. Wheelock PdD.

6 Enclosed Forms: UAI Form(s) 100, 101,102,103,104, and 105. Privacy Act Notice General This information is provided in accordance with UAI Privacy Agreement for individuals completing UAI records and forms that solicit personal information. Authority UAI Privacy Agreement. Purpose and Routine Use The information on these forms is needed to make a determination of qualifications, including medical qualifications, for the position you are applying for. This information maybe shared with other entities for lawful purposes only, consistent with the UAI Privacy Agreement. Effect of Nondisclosure Providing this information is VOLUNTARY! However, it is in your best interest to answer all the questions, since omission of any item means you might not receive full consideration for the position. Synopsis of Medical Standards for Astronaut Candidate Selection The purpose of these standards is to assure that Candidates are physically and temperamentally fit for the performance of AeroSpace Crew Duties! In general, defects and diseases are considered disqualifying if they: 1. Interfere with duties requiring considerable physical exertion and dexterity, visual and auditory acuity, and the ability to speak clearly. 2. Interfere with the wearing or use of specialized equipment such as pressure suits, helmets, and controls. 3. Reduce the ability to withstand exposure to rapid changes in atmospheric pressure, or to forces of acceleration, or the weightlessness. 4. Require frequent of regular medical treatment or medication, or are periodically disabling. 5. Are likely to become disabling with time. Detailed medical standards, in most cases, are similar to those imposed for aerospace service by the Universal Aerospace Administration. A complete list of potentially disqualifying disorders would be too long to include here. Specific standards are instituted in the following areas:

7 1. Height Minimum Maximum Pilot/Commander Candidates 60 inches 78 inches Mission Specialist/Tourist Candidates 48 inches 84 inches 2. Visual Acuity: Pilot/Commander Candidates: uncorrected distance visual acuity of 20/100 or better, correctable to 20/20 in each eye. Mission Specialist/Tourist Candidates: uncorrected distance visual acuity of 20/200 or better, correctable to 20/20 in each eye. 3. Blood Pressure: Preponderant systolic not to exceed 140 mm Hg, nor diastolic to exceed 90 mm Hg, measured in the sitting position. 4. Auditory Acuity: Hearing loss not to exceed: Frequency (Hz) Pilot/Commander Candidates 30db 25db 25db 50db Mission Specialist/Tourist Candidates 30db 25db 25db 50db Note: All individuals selected for UAI's Astronaut Candidate Program are subject to voluntary drug testing to screen for illegal drug use.

8 UAI Form 100 "Application / Update for the UAI Astronaut Candidate Program" New Application Update to Application on File Please PRINT and complete all items on this form if this is a new application. If this is an update, complete only your name, address, and the information Mailing Address Phone Numbers (include area code) (Daytime) (Evening) Social Security Number (or Universal Identification Number) Date of Birth (yyyy-mm-dd) Place of Birth (Country, State, Town) Citizenship (Are you a US citizen?) Yes No (if no give country of citizenship) Military Service (Have you ever served in a military service?) No Yes (if yes give date and branch of service) May we contact other persons about you? Yes No Contact me first

9 UAI Form 101 "Supplemental Information" In addition to information called for on UAI Form 100, the following information is requested. I wish to be trained for: Pilot/Commander Astronaut Mission Specialist/Tourist Astronaut Both For Pilot/Commander Candidates: Scuba Training (level achieved): None Survival Training (date): None For Mission Specialist/Tourist Candidates: Flight Experience (hours): None Include any experience, except commercial passenger (i.e., pilot, co-pilot, crew member, test subject, etc.) Combat Experience (number of missions): None Type of Aircraft(s): Scuba Training (level achieved): None Survival Training (date): None

10 UAI Form 102 (Page 1) "Summary AeroSpace Experience" Summary of Flying Experience: Total Flying Experience Total Flying Hours: Total Pilot Flying Hours: Total Co-Pilot Hours: Total Pilot Hours in Jet Aircraft: Total Pilot Hours in Multi Engine Jet Aircraft: Past Experience Total Flying Hours within the Last 12 months: Combat Experience: First Pilot Hours in Jet Aircraft during the last 3 years: (begin with current/recent and work back) Flying Experience: (types of aircraft flown in and hours in each.)(if you need additional space attach an additional sheet of paper) Jet Aircraft: Make/Model Date Last Flown First Pilot Hours Co-Pilot Hours Other Crew Member Hours Other Aircraft:

11 UAI Form 102 (Page 2) "Summary AeroSpace Experience" Flight Training: (List Flight Training e.g. undergraduate pilot training, test pilot training, test pilot school, simulator training, etc.) Training Description Date Completed Class Ranking (if any) Flight Test Experience: (briefly describe your test experience, role, project type, dates, types of aircraft, and number of hours in each)

12 UAI Form 103 (Page 1) "Medical History" Note: This information is for Official and Medically Confidential use ONLY and will not be released to unauthorized personal. Social Security Number (or Universal Identification Number) Statement of Applicant's Present Health and Medications Currently Used: (attach additional sheets if needed) Present Health: (describe your current overall health) Current Medication:(s) Regular or Interm. (R/I) Allergies: (insect bites/stings, foods, chemicals, etc.) Patient's Occupation: Height: ft. in. Weight: lbs.(kg) Are You: (check one) Left Handed Right Handed Past/Current Medical History: (circle statements with "yes or don't know" answers and explain on separate sheet) Household contact with anyone with tuberculosis? Tuberculosis or positive TB test? Blood in sputum coughing? Excessive bleeding after injury or dental work? Suicide attempt or plans? Sleepwalking? Wear contact lenses? Eye surgery to correct vision? Lack vision in either eye? Wear a hearing aid? Stutter or stammer? Wear a brace or back support? Scarlet fever? Rheumatic fever? Swollen or painful joints? Frequent or severe headaches? Dizziness or fainting spells? Eye trouble? Hearing loss? Recurrent ear infections? Chronic or frequent colds? Severe tooth or gum trouble? Sinusitis? Hay fever or allergic rhinitis? Head injury? Asthma? Shortness of breath? Pain or pressure in chest? Chronic cough? Palpitation or pounding heart? Heart trouble? High or low blood pressure? Cramps in your legs? Frequent indigestion? Stomach, liver, or intestinal problems? Gall bladder trouble or gallstones? Jaundice or hepatitis? Broken bones? Adverse reaction to medication? Skin disease? Tumor, growth cyst, cancer? Hernia?

13 UAI Form 103 (Page 2) "Medical History" Note: This information is for Official and Medically Confidential use ONLY and will not be released to unauthorized personal. Past/Current Medical History: Cont. (circle statements with "yes or don't know" answers and explain on separate sheet) Hemorrhoids or rectal disease? Frequent or painful urination? Bed wetting since age 12? Kidney stone or blood in urine? Sugar or albumin in urine? Sexually transmitted disease? Recent gain or loss of weight? Eating disorder (anorexia, bulimia, etc.)? Arthritis, Rheumatism, or Bursitis? Thyroid trouble or goiter? Bone, joint, or other deformity? Loss of fingers or toes? Painful or "trick" shoulder or elbow? Recurrent back pain or any back injury? "Trick" or lock knee? Foot trouble? Nerve injury? Paralysis (including infantile)? Epilepsy or seizure? Car, train, sea, or air sickness? Frequent trouble sleeping? Depression or excessive worry? Loss of memory or amnesia? Nervous trouble of any sort? Periods or unconsciousness? Parent/sibling with diabetes, cancer, stroke, or heart disease? X-ray or other medical therapy? Chemotherapy? Asbestos or toxic chemical exposure? Plate, pin, or rod in bones? Easy fatigability? Been told to cut down or criticized for alcohol use? Used illegal substances? Used tobacco? Used alcohol? Females Only: (circle statements with "yes or don't know" answers and explain on separate sheet) Treated for a female disorder? Change in menstrual pattern? Date of Last Menstrual Period: Date of Last PAP Smear: Date of Last Mammogram: Medical History Questions: (circle each item, if "yes" explain, state reason, give dates, details on separate sheet) Have you been refused employment or been unable to hold a job or stay in school because of: 1. Sensitivity to chemicals, dust, sunlight, etc.? Yes / No 2. Inability to perform certain motions? Yes / No 3. Inability to assume certain positions? Yes / No 4. Other medical reasons? Yes / No Have you ever been treated for a mental condition? Yes / No Have you ever been denied life insurance? Yes / No Have you ever had or been advised to have any operations? Yes / No Have you ever been a patient in any type of hospital? Yes / No

14 UAI Form 103 (Page 3) "Medical History" Note: This information is for Official and Medically Confidential use ONLY and will not be released to unauthorized personal. Medical History Questions: Cont. (circle each item, if "yes" explain, state reason, give dates, details on separate sheet) Have you consulted or been treated by clinics, physicians, healers, or other practitioners within the last 5 years for other than minor illness? Yes / No Have you ever been rejected for military service because of physical, mental, or any other reason? Yes / No Have you ever been discharged from military service because of physical, mental, or any other reason? Yes / No Have you ever received, are pending, or have you applied for pension or compensation for existing disability? Yes / No Have you ever been arrested or convicted of a crime, other than minor traffic offenses? Yes / No Have you ever been diagnosed with a learning disability? Yes / No List all Immunizations Received: (type and date)

15 UAI Form 104 (Page 1) "Supplemental Medical History" In addition to information called for on UAI Form 103, the following information is requested. General: 1. List medications for any illness during the last three years. (other than over-the-counter preparations) 2. What medications for allergies have you taken within the last three years? 3. Document any history or tumor, growth, or malignancy and any treatment required. Ear, Nose, and Throat: 1. If you have any hearing loss please explain the loss and attach a copy of any recent audiogram. 2. Please describe any history of dizziness, fainting, or vertigo. Vision: 1. Record your visual acuity for each eye. If you do not know your acuity please obtain a vision test and attach the results. Near Vision Distant Vision Left Eye Right Eye Left Eye Right Eye Uncorrected Corrected

16 UAI Form 104 (Page 2) "Supplemental Medical History" 2. Do you have color blindness or abnormal depth perception, if yes please explain and attach test results. 3. Have you undergone treatment to improve visual acuity, such as radial keratotomy or orthokeratology? (specify dates and treatment) Pulmonary: Have you ever been treated for any of the following disorders? (if "yes" please explain) 1. Pneumothorax (collapsed lung) 2. Chronic bronchitis or emphysema Cardiovascular: Have you been treated for any of the following disorders? (if "yes" please explain) 1. Hypertension (high blood pressure) 2. Heart dysrthymia (irregular heartbeat) 3. Heart murmur 4. Chest pain

17 UAI Form 104 (Page 3) "Supplemental Medical History" Genitourinary: Have you ever had an episode of kidney stones or blood in the urine? (if "yes" please explain) Neuro/Psychiatry: Have you ever received a head injury that resulted in a loss of consciousness? (if "yes" please explain) Please explain any history or chronic headaches and treatment required. Have you ever sought help for a psychiatrist or other mental health professional or ever required hospitalization for a psychiatric problem? (if "yes" please explain)

18 UAI Form 105 "Race and National Origin Identification" Privacy Act Statement: You are asked to furnish this information VOLUNTARILY! This form is only for historical statistical information gathering. You are encouraged to complete and submit it for historical purposes. If you do not complete this form it will have no bearing on your selection. Specific Instructions: Identification can be based on basic ethnic, racial, geographical, or nation origin identification, etc. Please give a brief description of your identity. (identify who you are)