Faa Form 54972 - Application For Employment With The Federal Aviation Administration - 2001 Page 9
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
124. CERTIFICATES(S), RATINGS(S), OR LICENSE(S)
"X"
A
B
C
D
E
REQUIRED TO PERFORM YOUR JOB
0
0
0
0
0
a. Air Traffic Control Specialist
0
0
0
0
0
b. Control Tower Operator with a Facility Rating
0
0
0
0
0
c. Air Traffic Control Operations Examiner
0
0
0
0
0
d. Flight Dispatcher
0
0
0
0
0
e. Air Transport Pilot
0
0
0
0
0
f.
Instrument
0
0
0
0
0
g. Instrument Helicopter
0
0
0
0
0
h. Commercial Pilot
0
0
0
0
0
i.
Multi Engine
0
0
0
0
0
j.
Navigator
0
0
0
0
0
k. Flight Engineer
0
0
0
0
0
l.
Flight Instructor
0
0
0
0
0
m. Ground Instructor
0
0
0
0
0
n. Private Pilot
0
0
0
0
0
o. Other (Specify)
5. List below all aviation related ratings, certificates or licenses you have held.
RATINGS, CERTIFICATES OR
CERTIFICATE OR LICENSE
DATE RECEIVED
LICENSES
NUMBER
a.
b.
c.
d.
e.
6. TIME SPENT IN JOB
"X"
A
B
C
D
E
0
0
0
0
0
a. 1 to 5 months
0
0
0
0
0
b. 6 to 11 months
0
0
0
0
0
c. 12 months or more
NOTE: Convert part-time work to equivalent full time months. For example: Eight (8) months at twenty (20)
hours per week equals four (4) months full-time. Full time is forty (40) hours per week.
SSN: _______-______-__________
FAA Form 54972 (02/01)
8
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business