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FAA regulations require a Criminal History Records Check (CHRC) on all prospective employees. All jobs and statements must be completely accurate. If anything is found to be falsified, it is grounds for automatic disqualification. Do you understand this policy?
BASIC INFORMATION
First Name:
Last Name:
Address:
City:
State:
Postal Code:
Phone Number:
Date of Birth:
 
Are you at least 17 years of age? *Note: You must be 21 years old to fly for an airline.
Can you, after employment, submit verification of your legal right to work in the United States?
Do you have a High School Diploma or GED?
Do you have a College Degree?
Are you a US Veteran? Or exiting the service within the next 6 months?
Can you read, write and understand the English language?
Where did you first hear of the ACT Program?
EMPLOYMENT HISTORY
Have you ever interviewed for a position at any domestic airline?
Have you ever been employed at any domestic airline?
Have you ever been discharged or terminated from a previous employer?
Have you ever resigned from a position in lieu of termination?
Have you had and disciplinary action, verbal or written, at previous or present employment?
CRIMINAL HISTORY
Have you ever been arrested?
Have you ever been convicted of a criminal misdemeanor or felony under any State, Federal or Military Tribunal of any jurisdiction? (Include offenses for which you served probation, paid a fine and/or served a jail sentence):
Do you have a valid Driver's License?
How many moving violations have you had in the past 2 years? (Excluding parking tickets)
Have you ever been convicted of a DUI/DWI or cited for reckless driving?
Have you ever had your driver's license revoked?
Be aware Airlines will conduct a DOT or NON-DOT compliant drug test. If you test positive for prohibited substances, no offer of employment will be made, and any offer of employment you may have received will be withdrawn. Also understand that completion of this employment application form does not constitute any type of employment agreement or contract until entirety of screening is complete. Do you understand?
AVIATION HISTORY
Do you currently have a Private Pilot License (not required for this program)?
Have you ever failed an FAA check ride, i.e., private, commercial, etc. (Stage checks do not apply)?
Have you ever had any administrative action taken against you by the FAA (to include: fines, certificate revoked, investigation)?
Have you ever been involved with in an aviation accident or incident?
MEDICAL HISTORY
Have you ever been treated for a chemical dependency?
Are you regularly using medications?
Do you have 20/20 vision? (Corrective Lens are accepted)
Are you color blind?
Do you currently have a FAA Class 1 Medical Certificate?
You will be required to obtain a Class 1 Medical Certificate from the FAA before employment as an airline pilot.
"Please contact a local FAA Medical Examiner for further details as each case will be unique and reviewed in great detail. For a full list of Aviation Medical Examiners go to http://www.faa.gov/pilots/amelocator/ Do you acknowledge that at your own expense you will have to obtain a 1st Class Medical? (Estimated Medical Examiner Cost in San Diego is $110)
Why do you want to be a pilot?
(keep in mind that a review board will be reading your response)