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Last Name:   First Name:  Middle Name:

Have you used a name(s) other than the name listed above?   Yes  No   If yes, please provide other name(s):

Telephone Number: Alternate Telephone Number (if applicable):

Current Address City State Zip Code Country

Mailing Address City State Zip Code Country

E-Mail Address

Driver's License Number Driver's License Type State/Country Expiration

How did you hear about IFTA and/or this position?

IFTA is an Equal Opportunity Employer. We are dedicated to providing equal opportunity to all employees and applicants for employment under the requirements of all applicable Federal, State and local civil rights laws. It is, therefore, our policy to recruit, hire, train, and promote all of our employees and to administer all other personnel policies without regard to race, color, creed, age, sex, religion, national origin, marital status, ancestry, military status, and without regard to disability or handicap or any other kind of discrimination prohibited by law.

Minimum Salary Required per Month Earliest Available Date (MM/DD/YYYY)

Will you work a rotating shift including nights and weekends?   Yes  No   If no, please explain:

Would you be willing to relocate? Yes  No   If no, please explain:

After employment can you submit verification of your legal right to work in the United States?   Yes  No

Pre-employment and random drug tests will be required of all flight training employees. Are you willing to submit to such testing? Yes  No

EDUCATION Name of School From To Graduated (Y or N) High School Yes  No College or University Yes  No Graduate School Yes  No Business or Technical Yes  No

Are you aware of anything that could prevent you from performing the essential functions of the job for which you are applying, with or without a reasonable accommodation? Yes  No   If yes, please explain and describe the functions that cannot be performed: (NOTE: we comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

List all relatives employed with our company: Name Relationship Department Position

Have you ever been employed by our company? Yes       Dates: No

Position Department Immediate Supervisor

U.S. Military Record (if applicable) Branch of Service: From: To: Last Title or Specialty: Rank at Discharge: Reserve Status:

Briefly state why you are applying for employment with IFTA

Employment Summary List all present and past employment starting with your most recent employer (Last five years is sufficient).  Account for all periods of unemployment.  You must complete this section.

Present or most recent employer: From: To: Address City State                                Zip Code           Country Last Position (Title): Number of Years: Supervisor: Phone: Duties: Reason for Leaving: May we contact this employer for a reference? Yes  No

FAA Certificates Held ATP Commercial CFI CFII MEI     Dates Obtained: FAA Medical Certificate Class: Issue Date:

Flight Hour Information Total: Total Pic: Dual Given: Last Three Months: Last Six Months: Last Twelve Months: SEL: MEL: Others: IFR Actual: IFR Hood: IFR Dual Given:

Had, or been in any aircraft accident? Yes No Had, or been in any aircraft incident? Yes No Had any citation for violate of far? Yes No Had your pilot's certificate suspended or revoked? Yes No Has your driver's license ever been suspended? Yes No Have you ever been convicted of a misdemeanor? Yes No Have you ever been convicted of a felony? Yes No Have you ever been convicted of DUI? Yes No

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