Volunteer Pilot Application 2023

Personal Information

• * First Name:
• * Last Name:
• Company:
• Job Title
• * Address 1:
• Address 2:
• Address 3:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Cell Phone:
• Phone:
• * Email Address:
• * Confirm Email Address:

Regional Information

• *

  Please select the region that is most applicable to you:

  • Northeast Ohio
  • Other (please specify below)
• Other Region:
• * Please indicate the airport identifier you are based out of:

Volunteer Pilot Information

• * Current total flight time:
• *

  Do you hold a current instrument rating?

  • Yes
  • No
• * Date of last medical exam (all Volunteer Pilots must hold a current medical certificate):
• * Date of last Flight Review, as defined in FAA part 61.56:
• *

  Have you had any FAA Violations, Incidents or Inquiries (current or prior)?

  • Yes
  • No
• If YES, please disclose here:
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• *

  Have you had any unsatisfactory FAA Events or Check Rides?

  • Yes
  • No
• If YES, please disclose here:
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• *

  Are there any current or previous criminal or administrative violations or pending/threatened proceedings against you?

  • Yes
  • No
• If YES, please disclose here (incl. felony, gun offense, domestic violence, sex offense, DUI, etc):
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• Please note that, per the KIF Flight Operations Guidelines, you must meet our minimum Currency Requirements each time you fly. They are as follows:

• *** Currency in type of aircraft to be flown (i.e. make and model) = (a) 50 hours total time in type, and (b) Six takeoffs and landings in type within the previous six months

• *** Currency = 15 hours PIC in the previous six months, including 5 take-offs and landings within the previous 30 days

Aircraft Information

• * Qualified Aircraft Type and Passenger Capacity (aircraft must hold a standard airworthiness certificate):
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• * Qualified Aircraft Tail Number:
• * Aircraft Annual Inspection Renewal Date:
• Questions/Comments:
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