Corporate Air - All weather Australia-wide aircraft charter

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24 hour Phone:	+61 (0)2 62497044
Toll free:	1 300 441 000
Fax:	+61 (0)2 62573135

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RECRUITMENT

Pilot Application Form

	Personal Information :
	Previously submitted
	# weeks until you could commence work
	Surname:
	First name:
	ARN:
	Age:
	Marital Status:
	Home #:
	Work #:
	Mobile #:
	Address:
	Suburb:
	State:
	Postcode:
	Email:

	Flying Experience:
	License Type:
	Full ATPL theory pass?
	Total hours:
	Total twin hours:
	Total twin PIC hours:
	Total turbine hours:
	Multi-crew hours:
	Night hours:
	IMC (instrument) hours last 12 months:
	# of IFR renewals:

	Endorsements:
	Twin endorsements (list):
	B55 / B58 (Baron) PIC hours:
	C400 series PIC hours:
	C404 (Titan) PIC hours:
	C441 (Conquest) PIC hours:
	Metro III / 23 First Officer hours:
	Metro III / 23 PIC hours:

	Recency:
	Multi-engine hours last 30 days:
	Multi-engine hours last 90 days:
	Total hours last 365 days:
	CIR expiry date:
	GPS / NPA approval?:
	CFIT Course completed within last 2 years:
	CRM Course completed within last 2 years:
	Current First Aid Certificate:
	Dangerous Goods expiry date:

	Check & Training Approvals:
	Multi-engine Supervisory Captain within last 2 years **
	Multi-engine Training Captain within last 2 years **
	Multi-engine Check Captain within last 2 years **
	Mulit-engine ATO **
	** if you answered "Yes" to any questions above, please provide additional detail:

	Other
	Have your ever been involved in any accident or incident? **:
	Have you ever failed a pilot medical? **:
	Have you ever been grounded for medical reasons? **:
	Are you physically restricted in any manner or in any work practices? **:
	Are you legally entitled to work in Australia?:
	** if you answered "Yes" to any questions above, please provide additional detail:

	Employment History:
	Current employer:
	Date commenced:	(DD/MM/YYYY)
	Previous employer # 1:
	Date employment ceased:
	Employment period (months):
	Reason for leaving:

	Previous employer # 2:
	Date employment ceased:
	Employment period (months):
	Reason for Leaving:

	Previous Employer #3:
	Date employment ceased:
	Employment period (months):
	Reason for Leaving:


	References
	Please list a minimum of three people who Corporate Air may contact regarding your previous employment - at least one referee must be able to comment on your flying ability
	Name:
	Position:
	Phone :	(include area code)
	Name:
	Position:
	Phone :	(include area code)
	Name:
	Position:
	Phone:	(include area code)

	Additional Information