Pilot Registration Form
This info will be used for the Bio in your online listing.  It DOES NOT go into any kind of database.
**Note: If you do not plan to complete all 5 steps of the subscription process, please do not fill out this form.

Name 

Phone Contact for questions on this info: 

Certificates:    ATP    Commercial                   CFI    or CFII           

BGI     AGI           A&P

List all Type Ratings & the last training attended:

Type Aircraft       Typed?                Date of Last Recurrent                   Training facility/ Location              Experience in this a/c

                  135 yrs

                  135 yrs

                  135 yrs

                  135 yrs

                  135 yrs

                  135 yrs

                 135 yrs

How long have you been flying?    yrs       Total Time:    Jet Time: 

Date of last Medical   First class  Second class

Your email address for customer contact

International Training   Facility:    Last Date:             RVSM qualified

Corporate International Experience: Approx number of Oceanic Crossings: 

 North Atlantic experience

  Pacific experience

 Asia/ Pacific Rim experience

 Middle East experience

  Latin/South America Experience

  Carribean Experience

Briefly list areas of the world that you have operated a corporate aircraft in:

Please check all that apply:

 In-flight MEDICAL emergencies training           AED certified            CPR qualified

 Please list me as a "Job Seeker" looking for a full time position

  Please list me in the appropriate Full time Self employed contract pilot sections

Please list any other training or credential that you would like to see listed in your synopsis and any comments:

Please submit this form, (this is Step One),  then return to the http://pilots4rent.com/allsubscribe.htm page and Complete Steps 2-5 of the Subscription Process .