Pilot Application
Mechanic Application
Pilot Qualifications and Experience
Current Job Classification
Category
Pilot
Co Pilot
Trainee
Instructor
Air Tanker
Air Tactical
Air Tanker Relief
Air Tactical Relief
Current Employer:
Current Salary:
Wages:
Benefits:
Personal Data
Last Name:
First Name:
MI:
Suffix:
Sex:
Birth Date:
Mailing Address:
Street:
P.O. Box:
City:
State:
Zip:
Phone:
SSN#
Pilot Certificate Number:
Citizenship
Veteran Status
Driver License Number & Class:
Military Data:
Service:
Reserves:
Rank:
Years:
Discharge:
Retirement:
Speciality:
Education (Civilian/Military)
High School
GED
College
Technical Training
Degree/Certificates:
Major/Specialty:
School:
Degree/Certificates:
Major/Specialty:
School:
Ratings:
Date
Recent Flight Experience
FAA Commercial Pilot Certificate
FAA Airplane Multi Engine Land
FAA Airplane Instrument Rating
FAA IFR Type Rating
FAA Class II or Better Medical
Other
Other
PILOT IN COMMAND Experience:
Category
Air Tactical PIC
Air Tanker PIC
Other PIC
Instructor
Airplane
Airplane-Multi Engine
AME:Non Center Line Thrust
Mountain
Instrument(Total)
Instrument(Actual)
Night
AME Turbine
Aerial Fire Fighting
Air Tanker>6000#
Air Tanker<12000#
In Type Flown
Applicant Signature
Date:
