Contact Okanagan Mountain Helicopters

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APPLICATION FORM

*PERSONAL DATA

First Name:

Last Name:

Date Of Birth:

Height:

Weight:

Address:

City:

Province:

Postal Code:

Telephone:

E-Mail:
*All of the above are required feilds

HIGH SCHOOL LAST ATTENDED

School Name:

City and Province:

Year Last Attended:

Highest Grade Completed:

COLLEGE, UNIVERSITY OR POST SECONDARY INSTITUTION LAST ATTENDED

Institution Name:

City and Province:

Year Last Attended:

Degree or Qualification Obtained:

FLYING EXPERIENCE (Where applicable)

Medical Certificate Number:

Category:

License Number:

License Type(s):

Total Fixed Wing Hours:

Total Rotary Wing Hours:

Endorsements/Ratings Held:

R 22 Hours:

R 44 Hours:

EMPLOYMENT HISTORY

REFERENCES

COURSE APPLYING FOR

Intended Start Date:
Spring 20		Fall 20		Other:

On acceptance by Okanagan Mountain Helicopters FTU Ltd. a $ 2000.00 Deposit is required before course begins