FTP 001 Flight Test Pilot Supplemental Questionnaire

FLIGHT TEST PILOT
Supplemental Questionnaire

NAME: ________________________________________
SSN:

DATE: ___________________

________________________________________

Please circle the correct response and provide the information requested. This information will be used to
determine your eligibility for Flight Test Pilot positions.

1. I have a degree in engineering from an accredited college or university.

Yes

No

Yes

No

3. I have airplane flight test pilot experience. If yes, list the number of airplane flight test Yes
pilot hours.

No

School: ____________________ Degree: __________ Date: __________
2. I am a graduate of a full-term flight test pilot school. If yes, provide graduation date
(month/year) for the school you attended.
a. Britain ________________

d. Patuxent River NATC _____________

b. Edwards AFB __________

f. Russia _________________________

c. France _______________

g. Other __________________________
School
(
Name/Graduation Date)

d. NTPS (1 year) __________

a. Aircraft over 12,500 lb.

_______________

b. Aircraft under 12,500 lb. _______________
Yes

No

5. I have airplane flight test pilot experience in aircraft with the following types of engines. Yes
If yes, list the number of flight hours.

No

4. I have airplane pilot-in-command experience in aircraft with the following types of
engines. If yes, list the number of flight hours.
a. Turbo fan engines

_______________

b. Turbo jet engines

_______________

c. Turbo prop engines _______________

a. Turbo fan engines

_______________

b. Turbo jet engines

_______________

c. Turbo prop engines _______________

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Yes

No

Yes

No

8. I have flight test experience in transport aircraft.

Yes

No

9. I have held the position of flight test pilot in civilian industry.

Yes

No

Yes

No

Yes

No

13. I have worked on cross-organizational projects involving multi-service aircraft or multi- Yes
mission aircraft.

No

14. I have worked with designers and/or manufacturers’ representatives on projects
involving new or critically modified aircraft. The project(s) lasted

No

6. I have helicopter flight test pilot experience. If yes, list the number of helicopter flight
test pilot hours.
a. Helicopter over 12,500 lb.

_______________

b. Helicopter under 12,500 lb. _______________
7. I am currently a flight test pilot. If not, list the date you last held a flight test pilot
position.
Month/Year _______________

10. I have been involved as a flight test pilot in the type certification (TC) of the following
Federal Aviation Regulations:
a. FAR 23 (Airplane) __________

c. FAR 27 (Helicopter) __________

b. FAR 25 (Airplane) __________

d. FAR 29 (Helicopter) __________

11. I have managed a flight test organization. I managed the following number of
employees:
a. 1-5

__________

d. 21-30 ______________

b. 6-10

__________

e. 31 or more __________

c. 11-20 __________
12. I have served as a group or team leader over flight test project(s) involving aircraft
redesign, reengineering, critical modifications, airworthiness, etc. lasting 4 months or
more. The team included the following number of members:
a. 1-5

__________

d. 21-30 ______________

b. 6-10

__________

e. 31 or more __________

c. 11-20 __________

a. 0-6 mo. __________

c. 13-24 mo. ______________

b. 7-12 mo. __________

d. 25 or more mo. __________

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Yes

15. I am or have been a member of an aviation organization; e.g., Society of Experimental Yes
Test Pilots, Society of Flight Test Engineers, etc.

No

16. I have served as a chapter or national officer of such an aviation organization.

Yes

No

17. I have received significant recognition, such as an award, from an aviation
organization. I was recognized primarily for

Yes

No

a. Program/project management

__________

b. Team participation on a program/project

__________

c. Technical aspects of flight test operations __________
d. Other (Specify) _______________________________

GEOGRAPHIC CODE LIST

Please mark all of the locations where you would like to be considered for employment. You will only be
referred for employment consideration for the locations you select.
Long Beach, CA
Atlanta, GA
Chicago, IL
Wichita, KS
Burlington, MA

Kansas City, MO
Long Island, NY
Fort Worth, TX
Seattle, WA

PRIVACY ACT AND PUBLIC BURDEN STATEMENT
Public Law 104-50 allows the Federal Aviation Administration (FAA) to rate applicants for employment. We need the information on
this application questionnaire to see how well your education and work skills qualify you for employment with the FAA. We also
need information on matters such as citizenship and military service to see whether you are affected by laws we must follow in
deciding whom the Federal government may employ.
Executive Order 9397 authorizes the solicitation of your Social Security Number (SSN) for use as an identifier in personnel records
management to assure proper identification of applicants throughout the selection and employment process. The information we
collect on this questionnaire, including your SSN, will be used for employment purposes, and it may also be used for statistical
studies or computer matching with other government files. Furnishing your SSN or any of the other information requested in the
vacancy announcement is voluntary; however, failure to provide this information will prevent the processing of your application and
will prevent your consideration for employment. The nature of the information received is confidential, and authorized officials will
handle it appropriately. This information becomes part of a Privacy Act System of Records as identified in 5CFR 552a, under
OPM/GOVT-1: General Personnel Records.
We estimate it will take you 30 minutes or less to complete this form, including the time required to read the instructions, provide the
requested information, and review your responses. Send comments regarding this estimate or any other aspect of the collection of
information, including suggestions for reducing the burden, to the Federal Aviation Administration, Assistant Administrator for
Human Resource Management, 800 Independence Avenue, SW, Washington, D.C. 20591.

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