WINGS of MERCY EAST MICHIGAN, Inc.

PILOT APPLICATION FORMS

                            

PILOT PROCEDURES

Wings of Mercy coordinates willing Pilots, Second Pilots and their Aircraft to assist our Recipients in reaching distant medical centers.  We do NOT dispatch aircraft, nor do we compete with the Airlines, Air Ambulances or charter operators.

SAFETY IS ALWAYS PARAMOUNT

Pilots are ALWAYS the FINAL AUTHORITY on whether a mission will actually fly on the day coordinated.

Pilots with e-mail capability will receive notifications of open missions and changes in procedures.

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PILOT APPLICATION FORM 

 

CLICK HERE TO VIEW & PRINT a HARD COPY (.pdf format)  

SEE PRINTING INSTRUCTIONS IMMEDIATELY BELOW

 For a Hard Copy--Click the "Print" icon on the Adobe Reader Toolbar after the Form Appears on Screen

COMPLETION OF A VOLUNTEER WAIVER IS ALSO REQUIRED

 

VOLUNTEER WAIVER

CLICK HERE TO VIEW, DOWNLOAD & PRINT a HARD COPY   

PRINTING INSTRUCTIONS IMMEDIATELY BELOW 

 For a Hard Copy--Click "Print" on your Browser Program Toolbar after the Form Appears on Screen

 

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ONLINE PILOT APPLICATION

WINGS OF MERCY EAST MICHIGAN

Please fill out the information requested below and click the Submit button and your pilot application will be sent to Wings of Mercy

PILOT APPLICATION

Contact Information

Name
Birth date
Address
City
State
Zip
Work Phone
Home Phone
Work Fax
Mobile Phone
Home Fax
Pager
E-Mail

Certification

CERTIFICATE NUMBER

INST RATED

CATEGORY

ISSUE DATE

Private

Commercial

ATP

CFI

TYPE RATINGS

 

Medical Information

 

Medical Class
Medical Date
Biennial or Comp. Check Date
Weight

Flight Experience

SINGLE MULTI TOTAL
Total Time
PIC Time
Instrument
Night
X Country
           
I am qualified and current in the following aircraft:
Type
Hour in Type
Date Last Flown
     
I own or have access to the following aircraft
N Number    
Acft Home Base
Make
Model
Number of Seats
Flight Plan Speed
Useful Load with Full Fuel    
Fuel Burn /hr
Pressurized
Known Ice
Radar
Stormscope
Area Nav/GPS

IMPORTANT: Applicants are also required to forward photocopies of License, Medical and Biennial or Competency Check to the address or fax listed below.

CONTACT: BOB MUNLEY
FLIGHT SAFETY OFFICER
413 N. Breaker Cove
Bay City, MI  48708
(989) 892-5111
(989) 892-5111 (FAX)
E-MAIL BOB MUNLEY

APPLICATIONS WILL NOT BE PROCESSED UNTIL ALL DOCUMENTS ARE RECEIVED

By submitting this Pilot Application I certify that the information provided above is correct.  I further certify that I understand and will comply with the policies, procedures and objectives of Wings of Mercy, East Michigan.

 

 

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