Customer Worksheet Work With Us to Get an Electronic Copy of Your Pilot Logbook The info collected in this worksheet is used to capture your particular aviation experience. Upon completion, we will send you an email within 24 hours. New worksheet Name* First Last * All items with Asterisk are RequiredPhone*How would you like your name to appear on the Summary sheet? (If different than first and last name given)Email* Do you have military flight records/logbooks?YesNoSubstantial flight time as member of the following (check all that apply)* U.S. Navy U.S. Marine Corps U.S. Coast Guard U.S. Air Force U.S. Army Foreign Exchange Tour Have you flown the A-V8 Harrier?*YesNoHave you flown the V-22 Osprey?*YesNoFRS and/or TRACOM Flight Instructor tours?*YesNo1st Instructor Tour Aircraft Type*Enter aircraft Model and not Model/Series. No slash or hyphen ( / or - ). Example: "FA18" and not "F/A-18F"1st Instructor Tour* Date Format: MM slash DD slash YYYY Start Date1st Instructor Tour* Date Format: MM slash DD slash YYYY End Date2nd FRS and/or TRACOM Flight Instructor tour?*YesNo2nd Instructor Tour Aircraft Type*Enter aircraft Model and not Model/Series. No slash or hyphen ( / or - ). Example: "FA18" and not "F/A-18F"2nd Instructor Tour* Date Format: MM slash DD slash YYYY Start Date2nd Instructor Tour* Date Format: MM slash DD slash YYYY End Date3rd FRS and/or TRACOM Flight Instructor tour?*YesNo3rd Instructor Tour Aircraft Type*Enter aircraft Model and not Model/Series. No slash or hyphen ( / or - ). Example: "FA18" and not "F/A-18F"3rd Instructor Tour* Date Format: MM slash DD slash YYYY Start Date3rd Instructor Tour* Date Format: MM slash DD slash YYYY End Date4th FRS and/or TRACOM Flight Instructor tour?*YesNo4th Instructor Tour Aircraft Type*Enter aircraft Model and not Model/Series. No slash or hyphen ( / or - ). Example: "FA18" and not "F/A-18F"4th Instructor Tour* Date Format: MM slash DD slash YYYY Start Date4th Instructor Tour* Date Format: MM slash DD slash YYYY End DateDate of Winging* Date Format: MM slash DD slash YYYY Date of first Instrument Check (usually during Advanced Flight Training)* Date Format: MM slash DD slash YYYY Date of first Plane Commander (PIC) designation—only for Multi-Crew pilots Date Format: MM slash DD slash YYYY If multiple PIC designations, only provide the FIRST date.Do you have commercial aviation or contractor company records?YesNoDo you have Part-121 airline flight recordsYesNoCheck all Airlines you have Flight Logs for: Air Tran Air Wisconsin Alaskan Allegiant American Atlas Delta Endeavor Envoy FedEx Frontier Hawaiian Horizon Jet Blue Mesa PSA Republic SkyWest Southwest Spirit Sun Country United UPS Others Do you have corporate flight records?YesNoDo you have Contractor flight records?YesNoCheck all Contract Companies you have Flight Logs for: ATAC Flight International L3 Omega Tactical Air Support Wheels Up Do you have General Aviation flight logbooks?YesNoDo you have FAA Pilot Certificates?YesNoExamples: ATP, CFI, Private Pilot, etc.Date of Private Pilot certificate Date Format: MM slash DD slash YYYY Date of Commercial Pilot certificate Date Format: MM slash DD slash YYYY Date of Air Transport Pilot (ATP) certificate Date Format: MM slash DD slash YYYY Date of CFI certificate Date Format: MM slash DD slash YYYY Date of CFII certificate Date Format: MM slash DD slash YYYY Date of MEI certificate Date Format: MM slash DD slash YYYY Date of MEII certificate Date Format: MM slash DD slash YYYY How did you hear about us?* Lab Raven Career Development Airline Pilot Central.com Airliners.net Linked In Facebook Friend Sanders Aviation Other Additional Comments, Requests, or RequirementsCommentsThis field is for validation purposes and should be left unchanged.
