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 substances: PCP, Cocaine, Amphetamines (including MDMA), Marijuana, and Opiates including the four semi-synthetic opioids (i.e., hydrocodone, oxycodone, hydromorphone, oxymorphone). ALL APPLICANTS are subject to testing prior to employment, and may be subject to random, post-accident, reasonable suspicion, return to duty and follow-up testing throughout their employment with Coastal Helicopters, Inc. 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.


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