Date: dd/mm/yyyy Pilot Application Form Copa Airlines Requisites for Captains: Age: 26 to 62 years old 5000 hrs

hrs total 1000 hrs PIC in a Jet (50 Pax capacity or more). ATP license Valid class I medical certifcate Level 4 english Requisites for FO: Age: 21 years Panamenian: 250 hrs. Foreing: 1000 hrs. Comercial, instruments, multiengine licence. Valid class I medical certifcate Level 4 english

General Information Name: Address: ID/Passpo rt: Date of Birth: (dd/mm/yy) Nationalit y: Native Language: Home phone Number: ( ) Emai l: School where you studied aviation: Have you ever been convicted of a crime: Place of Birth: Country of Residence: Other languages: Cell Phone Number: Civil Status :

Availability Availability Date: Do you have availability to work every day of the week: Yes Can you work at night: Yes No

No

Application Status Position which you are applying: PIC FO Have you applied to Copa before?: Yes No If the answer is YES, date of last application: Have you worked with Copa before?: Yes

No

If the answer is YES, name last position and hiring/termination date: Do you have family members working at Copa?: Yes No If the answer is YES, name family member: List airlines where you have worked, duties performed, date: Airlines Hiring Date (dd/mm/aaaa) Termination date (dd/mm/aaaa) Position Equipment

Reference contacts (at list two professional references)

Airlines Chief Pilot Telephone Email

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Technical Information

Current Position: Current Employer: List all Type Ratings: Type of License ICAO (ATPL, ATP, CPL, etc.): Date of last Equipme simulator: nt: Date of last flight and type of airplane: Are you certified in B737NG/EMB190?: Yes No If the answer is Yes Date of last flight in B737NG/EMB190: Date and type of last medical certificate: Have you ever lost or been suspended from your flight privilege: If the answer is YES, explain:

Plac e:

Yes

No

JET (50 plus PAX)

Airplane / Tipe

Flight Time breakdown PIC Hours

SIC Hours

Total Hours

Other Flight Time: Airplane / Tipe

PIC Hours

SIC Hours

Total Hours

Total Flight Time Required Documentation Please send the required information in order to be evaluated: Curriculum Vitae Copy of license (authenticated by aeronautical authority, must have the English level printed on it) Medical Certificate updated Copy of the last page of log book (authenticated by aeronautical authority or current or former employers) No accidents/incidents issued by aeronautical authority (not from companies) Two recommendation letter from present or former employers (not coworkers, friends or family)

Copy of Passport and USA visa Copy of your yellow fever vaccination card