Official SealDepartment of Budget and Management


#20-002286-0002
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess a bachelor’s degree from an accredited four-year college or university?
Yes No
2.

Do you have five years of experience in aviation administrative or professional work of which three years must have involved the supervision of other employees, or exercising responsibility for program development in the aviation field?
Yes No
3.

Do you have 2600 helicopter flight hours as an FAA licensed pilot of which 500 hours are recorded as cross country flight time, 100 hours of night flight time and 75 hours of actual or simulated instrument time of which at least 50 hours were in actual flight?
Yes No
4.

If applicable, how many credits of graduate education do you possess?
Yes No
5.

Do you possess an FAA Commercial Helicopter Pilot Certificate with Instrument Rating?
Yes No
6.

Do you possess an FAA Flight Instructor Certificate with the following ratings: Multi-Engine Rotorcraft and Instrument Helicopter?
Yes No
7.

Do you possess a valid FAA First Class or 2nd Class Medical Certificate?
Yes No
8.

Do you possess a valid motor vehicle operator’s license?
Yes No

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