FORM 201.2

Position Desired :		Sundance Helicopters, Inc. EMPLOYMENT APPLICATION	Date :
Applicants will receive consideration for employment without discrimination because of race, color, sex, age, national origin, disability or veteran status

Personal Information

Name (Last, First, MI) :						Phone :			Alt. Phone :
Address :						City :			State & Zip :
Social Security Number :		Available for:		Part Time	Full Time	Date Available :			Wage :
Age if under 18 :			Email :*						Alien/Admission Number :
Employment Eligibility :	Lawful Permanent Resident		Citizen or National of the United States				Alien authorized to work until :

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Education

Name & Location :	Course of Study/Major :	Dates Attended :	Graduate :
Flight/A&P/Technical School :
University/College(Only) :
High School(Only) :
Special Training, Certifications, or Skills (Languages, machine operations, CDL, etc.) :

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Employment History :

Dates  From :		To :		Company Name :		Address :
Start Pay :				Supervisor :		Phone :
End Pay :				Job Title :		Duties :
				Reason for Leaving :

Dates  From :		To :		Company Name :		Address :
Start Pay :				Supervisor :		Phone :
End Pay :				Job Title :		Duties :
				Reason for Leaving :

Dates  From :		To :		Company Name :		Address :
Start Pay :				Supervisor :		Phone :
End Pay :				Job Title :		Duties :
				Reason for Leaving :

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Pilot Information :

Certificate :

Commercial :

ATP :

Certificate Number :

Ratings :

A & P :

OAS Pilot Qualification		Medical Class :		Date of Last Exam :		Limitations :
1. Have you ever been involved in an aircraft accident or incident?		Yes	No
2. Have you had your pilot certificate suspended or revoked?		Yes	No
3. Have you been cited for violation of any aviation regulation?		Yes	No
Explain any yes answers to questions 1 through 3

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Helicopter Flight Time

	Bell 206	Eurocopter AS350	Single Engine Turbine	Multi Engine Turbine	Night	Instrument & Hood	Total Time
Pilot in Command
Last Twelve Months
External Load PIC
Cross Country PIC
Mountainous Terrain PIC
Airplane Total Time

List other aircraft types and Total Time	Additional Information :
1. Have you been arrested for or convicted of a crime?	Yes No
2. Have you ever failed a drug or alcohol test?	Yes No
3. Have you ever been fired or asked to resign from a job?	Yes No
4. Have you ever been convicted or plead guilty to driving     while under the influence of drugs or alcohol?	Yes No
Explain any yes answers to questions 1 through 4
Certification
Federal Drug Testing Disclosure: For safety-sensitive positions (pilots, mechanics, maintenance helpers), it is the company's policy and Federal regulations that require prequalification through drug testing for employment in or transfer into a safetysensitive position. Therefore, applicants and reassigned employees shall submit a pre-employment drug test. An applicant will not be hired to a covered job function until the company has been notified of a negative drug test result. Federal drug testing will be conducted to detect the following drugs: marijuana, cocaine, opiates, phencyclidme (PCP) and amphetamines. I certify that the information provided in this application is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon Sundance Helicopters to continue to employ me in the future. I authorize Sundance Helicopters to investigate my personal, employment and credit history. If a report is obtained from a consumer reporting agency, Sundance must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.

FORM 201.3

PRINT NAME:

CURRENT POSITION APPLIED FOR:

Sundance Helicopters Inc. provides equal employment opportunity to all qualified applicants and employees by prohibiting discrimination against any employee or applicant because of race, religion, sex, sexual orientation, marital status, national origin veteran status or disability. This information is solely to assist in us complying with Federal and State Equal Employment Opportunity Affirmation Action record keeping requirements. Refusal to provide this information will not adversely affect you. PLEASE NOTE: This form is NOT a part of your official application for employment and the information will be recorded and maintained in a confidential file separate from all other records.

ETHNIC IDENTITY (check one):

	White, not of Hispanic Origin		Pacific Islander
	Black		American Indian or Alaskan Native	Upload Resume (PDF, DOC, DOCX): (2mb size limit)
	Hispanic		Two or more Ethnicities not included above
	Asian		Choose Not To Disclose

CHECK ALL APPLICABLE :

	Veteran
	Disabled
	Choose Not To Disclose

GENDER :

	Male
	Female
	Choose Not To Disclose