JUMP PILOT @ FYROSITY®

    ABOUT YOU

    First Name (required):
    Last Name (required):
    Address (required):
    City (required):
    State (required):
    Zip (required):
    Country (required):
    Personal weight (required):
    Name of LLC (if any):
    State of Incorporation:
    Date of Birth: mm/dd/yyyy (required):
    Phone # +1-555-555-5555 (required):
    Your Email (required):
    Social Media Profile (required):

    Pilot History Form

    AOPA Membership No (if any).:
    FAA Airman Certificate No.:
    Date & Class of Last Physical:
    Date of Biennial Flight Review:
    Pilot Ratings - Student:
    Private:
    Commercial:
    Instructor:
    ATP:
    Instrument:
    Aircraft Ratings - S.E.L.:

    M.E.L.:

    S.E.S.:

    M.E.S.:

    Helicopter:

    Other:
    Total Logged Hours Pilot in Command (PIC):
    Co-Pilot:



    Enter breakdown of LOGGED PILOT IN COMMAND hours below:

    Single Engine Fixed Gear:
    Tailwheel:
    Single Engine Retractable Gear:
    Seaplane - All:
    Turbo Prop Single Engine:
    Seaplane - SES:
    Multi Engine Piston:
    Last 12 Months:
    Multi Engine Turbine:
    Last 90 Days:



    Applicant Requests Approval in the Following Makes and Models of Aircraft:

    Make and Model:
    Cessna 182
    Total Logged PIC This MM:
    Number of Jump Flights:
    Are you flying under a waiver?:
    Ever penalized for violation of F.A.R.?:
    Accident, Incident or Viol?:
    Has any insurance company or underwriter cancelled, declined or refused to renew any insurance on your behalf?:
    Describe Yes Answers in Detail:


    Absence of entry means negative answer.

    I affirm the truth of the above statements and further affirm that no material information has been withheld or suppressed.

    Pilot’s Signature (Please type your name)(required):
    Date(required):

    Jump pilot history

    Have you ever flown jumpers?:
    If yes, what drop zone?:
    How long did you work as jump pilot?:
    How many hours do you have as jump pilot?:
    Type of jump aircraft?:
    If not, are you willing to go through jump pilot training?:

    Availability and length

    Desired start date (required):
    Length of contract desired in Months (required):
    What are your Long- / Short-term intentions? (required):

    Your legal status in USA

    US citizenship or status in USA (required):
    Are you legal to work or provide services in USA? (required):

    Your current obligations

    Company:
    Manager – First / Last Name:
    Manager – Phone Number:
    Manager – Email Address:
    Reason for leaving:

    Your Min. 2 references

    First / Last name – phone – email – social media profile:
    Attach resume here (max size 5mb / filetype: .pdf):



    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

    X
    Don`t copy text!