APPLICATION FOR EMPLOYMENT

We are an equal opportunity employer. We consider all applicants without regard to race, color, age, sex, religion, national origin, the
presence of mental, physical, or sensory, disability, sexual orientation, or any other basis prohibited by federal, state, or provincial law.

*Please Print Clearly and Use Black Ink to complete this application.

Application Date: _____/______/_____ Social Security Number: ________-________-________

Legal Last Name: ___________________________First Name: __________________________Middle Name: ______________________

Other former names you are known by: ___________________________________________

Are you less than 18 years old?  yes  no

Are you legally eligible for employment Have you been convicted of a crime including felony or traffic violations?
in the United States?  yes  no  yes  no Convictions that are a matter of public record (arrests are not convictions).
(All new hires will be required to provide Charge/Description: ____________City: ________State: ____Dates: _____
proof of eligibility to work in the United Disposition/Outcome: circle one (Deferred, Dismissed, Fined, Imprisoned,
States) Probation). A conviction will not necessarily disqualify you for employment.
________________________________________________________________
( PLEASE PRINT)
Street Address:____________________________Apt/Sp #______, City:_________________, State:______, Zip Code:___________

Cell Phone Number: ( ) _____ - _______ Home Phone Number: ( ) _____ - _______ EMAIL:_________________________

Please list the job position you are applying for: Position Title: ___________________________________

Desired Salary: $___________ How soon can you begin work?_____/_____/_____

Have you ever filed an application with us before?  yes  no If yes, when?__________

Are you available to work  Regular Full-time  Regular Part-time  Seasonal Full-time  Seasonal Part-time?

Are you available to work overtime?  yes  no

Please list hours of availability: Sun Mon Tue Wed Thu Fri Sat
____ am/pm ____ am/pm ____ am/pm ____ am/pm ____ am/pm ____ am/pm ____ am/pm
____ am/pm ____ am/pm ____ am/pm ____ am/pm ____ am/pm ____ am/pm ____ am/pm

If the position requires travel, are you able to travel?  yes  no

How did you hear about this position(s)?  Advertisement  Friend  Relative  Walk-in  Agency Other___________

Have you ever worked for  Buck Wild LLC  Papillon Airways  Scenic Airlines  Grand Canyon Airlines  Air Grand Canyon
 Grand Canyon Coaches  Canyon Flight Trading  GrandCanyon.com?  yes  no

If yes, when? __________ Location? __________ Department? __________ Position? _______________

Do you have any relatives or friends that work for any of our properties?  yes  no If yes, name & which property?______________
Are you currently on “lay-off” status or subject to recall? …………………………………….  yes  no

Revised 2020
 Circle Last Subjects Studied and
Education Type Name & Address of School Years Did you Degrees Received
Completed graduate? GED/Diploma/Degree Type

High School 1 2 3 4 Y N

College 1 2 3 4 Y N

Post College 1 2 3 4 Y N

Trade, Business or
Correspondence School, 1 2 3 4 Y N
License
Education
Describe any specialized training, apprenticeship, and extra-curricular activities.

Describe any job-related training received in the United States military.

If you need additional space, please continue a separate sheet of paper.

List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected
status:

Revised 2020
 Employment Experience (Writing “see resume” does not complete the application).
List below all former employers for the past ten (10) years starting with the most current employer. Please include all gaps
between employment and state the reason for the gap. If needed and additional continuation sheet can be provided.
1. All boxes must be thoroughly completed with phones numbers, complete addresses, and dates.
Employer Name Salary or Hourly Position Reason for Leaving
From Start
Address
To End

Duties Performed

Supervisor’s Name Phone Number (Required) May We Contact? Y N

(____)_____-___________

2.
Employer Name Salary or Hourly Position Reason for Leaving
From Start
Address
To End

Duties Performed

Supervisor’s Name Phone Number (Required) May We Contact? Y N

(____)_____-___________
3.
Employer Name Salary or Hourly Position Reason for Leaving
From Start
Address
To End

Duties Performed

Supervisor’s Name Phone Number (Required) May We Contact? Y N

(____)_____-___________
4.
Employer Name Salary or Hourly Position Reason for Leaving
From Start
Address
To End

Duties Performed

Supervisor’s Name Phone Number (Required) May We Contact? Y N

(____)_____-___________

5.
Employer Name Salary or Hourly Position Reason for Leaving
From Start
Address
To End

Duties Performed

Supervisor’s Name Phone Number (Required) May We Contact? Y N

(____)_____-___________

**Please review your current and past employment information to ensure that all phone numbers, complete addresses, and dates
of employment have been included. All boxes in the Employment section must be thoroughly completed.

Revised 2020
Additional Information
Other Qualifications
Summarize specialized job-related skills and qualifications acquired from employment or other experience.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Specialized Skills (Check Skills/Equipment Operated)

Skills (check all that apply)
Word Excel Power Point Outlook E-mail Internet Explorer Terminal PC / MAC
Typing WPM_______ 10-key/Calcualtor Typewriter Shorthand Cash handling Register
Inventory Multi-Phone Lines Production/ Mobile Machinery (list)____________
CDL Vehicle Types ___________ Aircraft Types __________
Languages (check all that apply)
English Spanish Japanese German French Italian Other______________

State additional information you feel may be helpful to us in considering your application.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE
REQUIREMENTS OF THE JOB FOR WHICH YOU WERE APPLYING.

Are you capable of performing in a reasonable manner, with or without reasonable accommodation, the activities involved in the job or
occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.
_____ YES _____ NO

Professional References
Name Address Phone Business Years Known

1. _______________________ ___________________________ (____)_____-___________ ___________ _____

2. _______________________ ___________________________ (____)_____-___________ ___________ _____

3. _______________________ ___________________________ (____)_____-___________ ___________ _____

FOR PERSONNEL DEPARTMENT ONLY

Position(s) Applied for Is Open: _____ Yes _____ No
Position (s) Considered For: _________________________________________________________________
Please read this section carefully and acknowledge your understanding by signing your name in the space below. If you are to be hired by
Date: the_____________________________
(Company) Papillon Airways Inc., Grand Canyon Airlines Dba Scenic Airlines, Grand Canyon Coaches, Air Grand Canyon,
Canyon Flight Trading, Grandcanyon.com, Buck Wild LLC, you will be required to attest to your identity and employment eligibility,

Revised 2020
 and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these
requirements.

1. Consent to Conduct Background Investigation

As a condition of, and as a prerequisite consideration of this application, I give permission to investigate my personal and
employment history. I understand that this background investigation will include, but not be limited to, verification of all information
on this application, as well as interviews with past employers. I further give permission to conduct this investigation and to discuss
the results of this investigation in connection with my application for employment.

2. Consent to Contact Past Employers

I give permission to contact all employers listed in this application (except those specifically excluded) for references. I further give
permission to all current or previous employers to discuss my relevant personal and employment history with consent to the release
of such information orally or in writing, and hereby release them from all liability, and agree not to sue them for defamation or other
claims based upon any statements they make to any representative of the company. I further waive all rights I may have under state
law to receive a copy of any written statement provided by any of my former employers. I further agree to indemnify all past
employers for any liability they may incur because of their reliance upon this release.

3. Consent to Contact Government Agencies

I give permission to any agent, attorney or representative to receive a copy of any information obtained in the file of any federal,
state, or local court, government agency, law enforcement agency or investigator concerning or relating to me. I further consent to
the release of such information and waive any right under state law concerning notification of the request for a release of such
information. In the event a state law does not provide for prospective employers to have access to information, I hereby delegate the
Company as my agent for receipt of information. I understand that the scope of this investigation will be limited to criminal and/or
civil records that relate to my honesty, integrity and/or abilities.

4. Cooperation with Investigation

I agree to fully cooperate in background investigation, and to sign any waivers or releases that may be necessary to obtain access to
relevant information. If any former employer or federal, state, or local governmental agency will not release reference information
or criminal history information directly to the Company, I agree to personally request such information to the extent permitted by
law.

5. Falsification Statement
I understand that any falsification or willful omission of fact made in this application or in connection with any background
investigation may be enough grounds for rejection of this application, or, if discovered after an offer of employment, for immediate
dismissal.

6. Employment “At Will”

In consideration of my employment, I agree to conform to the rules and regulations of the Company and my employment and
compensation is ‘at will” in that they can be terminated with or without cause, and with or without notice, at any time, at the option
of either the Company or myself, except as otherwise provided by law. I understand that no manager or representative of the
Company other than the Owner/COO/CEO of the Company has authority to enter into any agreement for employment for any
specified period of time, or to make any agreement or contract to the foregoing, and that any promises to the contrary will only be
relied upon by me if they are in writing and signed by the Owner/COO/CEO of the Company.

7. Medical Examination
If I am offered employment, I agree to submit to a medical examination and/or a drug/alcohol test(s) before starting work, if
required. If employed, I also agree to submit to a medical examination and/or a drug/alcohol test(s) at any time deemed appropriate
by the Company and as permitted by the Company policy and law. I consent to such examinations and test, and I request that the
examining doctor disclose to the Company the results of the examination, which results shall remain confidential and segregated
from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, may be
contingent upon satisfactory medical examinations and/or drug/alcohol test(s), and if I am hired, a condition of my employment will
be that I abide by the Company’s Substance Abuse Policy.

I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an
employment contract. I certify that all the statements made by me on this application for employment are true, correct, and complete
to the best of my knowledge.

Applicant (Print) Name: _______________________________________________________

Applicant Signature:___________________________________________________________

Date: _____/_____/_____

Revised 2020
 EEO Information – Employee
We are committed to Equal Employment Opportunity (EEO), including providing all employees equal access to employment, promotion, and training opportunities.
To successfully comply with our policy, we ask that you voluntarily provide the following information, which will not be used to evaluate your current or future
employment status. Refusal to provide this information will not subject you to any adverse treatment. This information will be kept confidential; if reported to the
federal government for civil rights enforcement, data will not identify any specific individual.

Name: _________________________________________________ Date:______________________________

Position: _______________________________________________ Male Female

RACE (Please check one)

White (Not Hispanic or Latino) – A person having origins in any of the original peoples of Europe, North Africa, or the Middle
East.

Black or African American (Not Hispanic or Latino) – A person having origins in any of the Black racial groups of Africa.

Hispanic or Latino – A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin
regardless of race.

Asian (Not Hispanic or Latino) – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the
Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand,
and Vietnam.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) – A person having origins in any of the original
peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

American Indian/Alaskan Native (Not Hispanic or Latino) – A person having origins in any of the original peoples of North
and South America (including Central America), and who maintains tribal affiliation or community attachment.

Two or more Races (Not Hispanic or Latino) – All persons who identify with more than one of the above five races.

VETERAN STATUS
Qualified Disabled Veteran: 1) a person entitled to disability compensation under laws administered by the Veteran
Administration for disability rated at 30% or more, or 2) a person whose discharge or release from active duty was for a disability
incurred or aggravated in the line of duty, and 3) is capable (qualified) of performing a particular job with reasonable accommodation
to his/her disability.

Vietnam Veteran: A person who 1) actively served for more than 180 days, any part of which occurred between August 5, 1964
and May 7, 1975, and was released with other than a dishonorable discharge, or 2) was released from such active duty for a service-
connected disability.

“Other Veteran”: Other Veteran is defined as a veteran who served on active duty during a war or in a campaign or expedition for
which a campaign badge has been authorized. A complete list of campaigns can be viewed at
http://www.opm.gov/veterans/html/vgmedal2.htm

Newly Separated Veteran: Veterans whose discharge date from active duty in the U.S. military occurred in the past 12 months.

DISABILITY STATUS
Are you able to perform the essential functions of the job? Yes No

Do you require any special accommodation to perform the essential functions of the job? Yes No If yes, please describe: