Form Application

Application Form

NOTICE of FAA DRUG TESTING: To the extent required by FAA regulations, Coastal Helicopters, Inc. tests covered employees for alcohol and the following 6 controlled substances: PCP, Cocaine, Amphetamines, Marijuana, MDMA and Opiates.

ALL APPLICANTS are tested prior to employment. Applicants may be subject to a background check and criminal records check.


High School


Employment Work History

*Please list your last four employers starting with the most recent*

Employment Work History #1

Additional References

I authorize the investigation of all statements contained in this application. I understand that misrepresentation of omission of facts contained within is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice. All employment is continued on that basis, unless a different employment relationship is established, in writing, signed by the Company president.

By entering my name below, I acknowledge that I have read, fully understand, and approve all above information and statements.


copy the digits from the image into this box