| Contact Information |
| First name: |
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| Middle name: |
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| Last name: |
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| Area code: |
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| Phone number (xxx-xxxx): |
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| E-mail address: |
@
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| Date of birth (mm/dd/yyyy): |
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| Select a password: |
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| Enter password again to verify: |
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| Feel free to use your password from the cost analysis tool (if applicable). |
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| Pick a secret question that only you know the answer to: | |
| Answer: | |
| Your secret question will be used if you forget your password. |
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| Location |
| Street address: |
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| City/town: |
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| State: |
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| Zip/postal code: |
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| Country: |
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| Qualifications |
| Total flight time: |
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| Dates of last PIC Simulator Qualification in Each Type of Aircraft: |
| Date (mm/dd/yyyy): |
Aircraft:
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| Date (mm/dd/yyyy): | Aircraft:
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| Date (mm/dd/yyyy): | Aircraft:
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| Temporary Employment: |
Yes No |
What type of employer do you hope to work for, and why?
(Several short sentences only.) |
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| Upload your resumé in Word (.doc), Rich Text (.rtf), or plain text (.txt) format only: |
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I request that ChiefPilot.com, Inc., an Ohio company, provide the sponsor of this interview,
if applicable, with the information above and my interview answers and to also publish, in a
sortable listing, area code and other non-identifying information on this page. But I want
to first approve release of contact and other information, including my resume, to any
additional potential employers, on a case by case basis.
Yes, I agree
No, I do not agree |
