Air Ventures Flying School - Flight Instructor Application

First name

Last name

Date of Birth

Month

Day

Year

Email

Phone

Address

Government Issued Photo ID

Name of the school(s) you completed your primary pilot training

Name all schools separated by commas

What certificates and ratings do you hold

Pilot & Instructor Certificates

What type of FAA Medical Certificate do you hold?

FAA Basic Med

FAA Class 3

FAA Class 2

FAA Class 1

Medical Certificate

attach a copy of your FAA Medical certificate

Name of degree issuing institution(s)

Separate each institution using commas.

Do you hold a waiver for an FAA Restricted ATP (R-ATP) Certificate

Yes

No

Have you served in the military?

Yes

No

DD-214

Upload a copy of your DD214 form.

Have you ever been convicted of a misdemeanor, felony or had your drivers license suspended or revoked?

Yes

No

If you have a conviction, please explain:

Explain in depth each conviction, suspension, or revoktion.

Upload a copy of the conviction documents

Have you ever failed a flight test?

Yes

No

Explain each failure in depth and what it taught you

Include all details of each failure.

Have you ever been involved in an aviation accident or incident?

Yes

No

Explain the accident or incident

Attach a copy of any accident report(s)

Have you ever been subject to an FAA enforcement action, subject to an FAA 44709 ride, or had your certificate suspended or revoked?

Yes

No

Explanation

Provide copies of all associated documents for any FAA actions

Have you ever been terminated from an employer?

Yes

No

Explain the termination

To your knowledge are you capable of performing all of the duties of an FAA certified flight instructor, which may include climbing stairs, lifting 50 lbs, pushing and pulling aircraft?

Yes

No

Articulate in detail why Air Ventures Flying School is a place that you want to work, and why you should be considered over other candidates.