Pilot Application

Pilot Application
Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Education

Please list any degrees or pertinent education completed:

Rows	School	Course of Study	Date Graduated
1
2
3

List any college or non-credit courses taken in the fields of missions
Pilot/Maintenance Experience

Please list all certificates, ratings, and endorsements currently possessed, the date you received each one, and where you received your training:

Rows	Cert./Rat./End.	Mo./Yr. Issued	Training Received From
1
2
3
4

Has your pilot certificate ever been revoked or suspended? If yes, please explain:

Please list the class and date of your last medical exam and any restrictions:

Rows	Class	Date	Restrictions
Exam

Have you ever been denied a medical certificate? If so, on what grounds?
Have you ever been involved in an aircraft incident or accident as defined by NTSB section 830? Please explain:

Please fill in the time boxes below, you may round to the nearest whole.

Rows	Time
Total
ASEL
AMEL
HP
Complex
Instrument
Night
XC
PIC
Last 30 Days

Please list any special aviation training you have received during your aviation career:
Do you own, rent or otherwise have access to an appropriate aircraft to meet the needs of a WOW mission flight? Please explain.
Where is the aircraft based? City & State & Airport Code

Rows	Aircraft Details
Aircraft Make/Model
Engine
Speed
Capacity/ Range
Fuel Burn (gal/hr)
Seat Capacity

Personal Details
1. In what types of ministries (church/personal) have you been involved?
2. What is your present occupation?
3. Do you foresee your current occupation restricting you from being able to help with Wings of the Way (WOW) mission flights? Please explain:
4. What training and practical experience have you had in non-aviation related ministries?
5. Do you have any trauma informed care or crisis intervention training or experience?
6. Have you ever worked with survivors of human trafficking?
7. Do you have a spouse who is interested in participating in WOW mission flights? If so, in what way?
8. Have you ever been convicted of a felony or misdemeanor? If so, please explain:
9. Have you ever worked under another missionary group? How long? Which mission?
10. Please give the name of the church, assembly or Christian society with which you are identified presently
Church / Organization Website
11. Please share a brief testimony of your relationship with Christ.
12. Why do you want to volunteer with WOW?
13. Are you willing to meet with WOW personnel prior to being approved for service with the mission?
15. Are you willing to submit to a criminal background check? If no, please explain why:
16. Would you like to cover the $25 background check fee? (Your answer will not determine acceptance as a volunteer)
All the above is accurate to the best of my knowledge:
References

Please give names and contact information of three persons, not associated with WOW or immediate family members, as references:

Rows	Name	Phone	Email
Pastor/Teacher
Current/Former Employer
Friend

Please include a resume of professional experience to submit with this application.

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*** Thank you for taking the time to complete this application and your willingness to serve *** God bless you!
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Pilot Application

Education

Pilot/Maintenance Experience

Personal Details

References