Flight Crew Employment Application 1 Step 1 FLIGHT CREW EMPLOYMENT APPLICATION First Name Middle Initial Last Name Street Address City StateChooseAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Phone Emailemail Date Availabledate_range Position Applying For Background Questionnaire Are you able to travel internationally?YesNo Are there any countries that would deny entry to you?YesNo Please explain why any countries may deny entry to you.0 / Are you prevented from lawfully becoming employed in this country because of visa or immigration status?Proof of citizenship or visa status will be required prior to employment.YesNo If you are working in the U.S. on a visa, does this visa allow unrestricted travel to and from the U.S.?Proof of citizenship or visa status will be required prior to employment.N/AYesNo When does this visa expire?date_range Do you have tatoos or piercings that are visible when wearing short sleeve shirt and pants?YesNo Have you been convicted of a felony?YesNo Please explain felony conviction.0 / Have you ever been arrested in the last five years?YesNo Please explain the arrest.0 / Have you ever been convicted of, under investigation, awaiting adjudication, or sentencing for driving under the influence of alcohol or drugs?YesNo Please explain the DUI.0 / Have you ever been convicted of, under investigation, awaiting adjudication, or sentencing for the violation of narcotics or controlled susbstance laws?YesNo Please explain the controlled substance violation.0 / Have you had any traffic violations or automobile accidents within the last five years?YesNo Please explain traffic violations.0 / Has you driver's license ever been suspended or revoked?YesNo Please explain Driver's License suspension/revocation.0 / Have you ever worked for this company?YesNo What position(s) were held?0 / Do you hold a FAA Certificate?YesNo Enter Your FAA Airmen Certificate Number Check all that apply:ATPCommercialMELSELInstrumentCICFIIMEI Please list all type ratings that you hold. Have you ever failed an FAA or company flight test above the CFI Level?YesNo Please explain the failed flight test.0 / Have you ever received a letter of warning or counsel from the FAA?YesNo Please explain the letter or counsel from the FAA.0 / Are you currently the subject of a FAA investigation?YesNo Please explain FAA investigation.0 / Have you ever had your airman certificate revoked or suspended?YesNo Please explain suspension/revocation of airman certificate.0 / Are you able to lift at least 75 lbs?YesNo Are you sure? This is a minimum job requirement. Do you hold a current FAA medical certificate?YesNo Please check the type of medical.First ClassSecond ClassThird Class To the best of your knowledge, is there any reason that would prevent you from obtaining a First of Second Class Medical as required by the job position?YesNo Have you ever been involved in an aviation incident or accident as a member of the flight crew?YesNo Please explain the incident or accident.0 / Please provide a summary of your flight experience. Round to nearest whole hour. All fields are required. Enter 0 if no applicable hours. Total Flight Jet PIC Total PIC Turboprop PIC Total SIC LR-60 PIC Total Turbine Total LR-60 Total Instrument Total Night Last 90 days Last 12 Month Education High School High School Address Did you graduate high school?YesNo Dates Attended High School College College Address0 / Did you graduate college?YesNo Dates attended college Other Other Address0 / Did you graduate other?YesNo Dates attended other Please provide three professional references. Reference 1 Reference 1 Name Reference 1 Contact Information (email OR phone) Reference 1 Relationship Reference 1 Company Reference 2 Reference 2 Name Reference 2 Contact Information (email OR phone) Reference 2 Relationship Reference 2 Company Reference 3 Reference 3 Name Reference 3 Contact Information (email OR phone) Reference 3 Relationship Reference 3 Company Please provide 5 years previous employment history from the most current to the oldest. Are you currently under contract with another employer?YesNo 1. Operation typeAir Carrier (121, 135, 125, 91K)Non-Air Carrier (91, 141, 142)Foreign Air CarrierGovt/MilNon-Aviation 1. May we contact this employer for references?YesNo 1. Dates of Employment 1. Company Name 1. Your Job Title 1. Phone 1. Address 1. Supervisor 1. Supervisor's Email 1. Starting Salary 1. Ending Salary 1. Did you participate in a DOT drug testing program?YesNo 1. Reason for leaving0 / 1. Please describe your duties and responsibilities.more details0 / 1. Do you need fields to add another employer?YesNo 2. Operation typeAir Carrier (121, 135, 125, 91K)Non Air Carrier (91, 141, 142)Foreign Air CarrierGovt/MilNon-Aviation 2. May we contact this employer for references?YesNo 2. Dates of Employment 2. Company Name 2. Your Job Title 2. Phone 2. Address 2. Supervisor 2. Supervisor's Email 2. Starting Salary 2. Ending Salary 2. Did you participate in a DOT drug testing program?YesNo 2. Reason for leaving0 / 2. Please describe your duties and responsibilities.more details0 / 2. Do you need fields to add another employer?YesNo 3. Operation typeAir Carrier (121, 135, 125, 91K)Non Air Carrier (91, 141, 142)Foreign Air CarrierGovt/MilNon-Aviation 3. May we contact this employer for references?YesNo 3. Dates of Employment0 / 3. Company Name 3. Your Job Title 3. Phone 3. Address 3. Supervisor Name 3. Supervisor's Email 3. Starting Salary 3. Ending Salary 3. Did you participate in a DOT drug testing program?YesNo 3. Reason for leaving0 / 3. Please describe your duties and responsibilities.0 / 3. Do you fields to add another employer?YesNo 4. Operation typeAir Carrier (121, 135, 125, 91K)Non Air Carrier (91, 141, 142)Foreign Air CarrierGovt/MilNon-Aviation 4. May we contact this employer for references?YesNo 4. Dates of Employment0 / 4. Company Name 4. Your Job Title 4. Phone 4. Address 4. Supervisor Name 4. Supervisor's Email 4. Starting Salary 4. Ending Salary 4. Did you participate in a DOT drug testing program?YesNo 4. Reason for leaving0 / 4. Please describe your duties and responsibilities.0 / 4. Do you need fields to add another employer?YesNo 5. Operation typeAir Carrier (121, 135, 125, 91K)Non Air Carrier (91, 141, 142)Foreign Air CarrierGovt/MilNon-Aviation 5. May we contact this employer for references?YesNo 5. Dates of Employment0 / 5. Company Name 5. Your Job Title 5. Phone 5. Address 5. Supervisor Name 5. Supervisor's Email 5. Starting Salary 5. Ending Salary 5. Did you participate in a DOT drug testing program?YesNo 5. Reason for leaving0 / 5. Please describe your duties and responsibilities.0 / If the above list of employers does not cover your previous 5 years of employment, please use this space to provide details.more details0 / Military Service Branch0 / Dates of Service0 / Rank at Discharge0 / Type of Discharge (if currently serving, write "none")0 / If other than honorable, please explain.0 / Have you failed any annual flight check?YesNo Disclaimer I understand that this job has a rotating schedule; and that my duty will fall on weekends, holidays, and or religious observances. I certify that my answers are true and complete to the best of my knowledge. I acknowledge that all or part of the selection process may be recorded for later review by the Company. If this application leads to employment, I understand that false, misleading, or inaccurate information on my application or in my interview may result in my termination for cause. Pilot's LicensePlease upload a copy of the front and back of your Pilot's Licensecloud_uploadUpload Driver's LicensePlease upload your Driver's Licensecloud_uploadUpload Pilot's MedicalPlease upload your Pilot's Medicalcloud_uploadUpload Pilot's PassportPlease upload a copy of the signature page & photo in your Passportcloud_uploadUpload Pilot's Radio Operator LicensePlease upload a copy of your radio operator license.cloud_uploadUpload SUBMIT keyboard_arrow_leftPrevious Nextkeyboard_arrow_right