PAGE#
PAGE # REQUIRED IF BIDDING MORE THAN 4 POSTINGS
System Bulletin Bid/Letter of Interest Technicians and Related Classifications This form may be used to apply for morethan one position ONLY if all postingsclose on the same date.
(Print)Name: Seniority Date inDesired Classification:
MO DA YR
Employee Number: Earliest Seniority Date inany Related Classifications: MO DA YR
Present Bid Location: Present Crew: Date of Hire:
MO DA YR
Telephone Number: (H) (W)
Work Area: Branch of Trade / Specialty:
* All Information Below is Required * Have you been displaced within the previous 5 days? ■Yes ■No
Licenses Held: ■FCC ■A&P ■Other
Certificates Held:
Preference Order Classification Bidding Work Area Branch of Trade / Specialty Crew Number System Posting Number
1
Non Qualified Qualified Number of months in Branch of Trade / Specialty Area: MM / YR MM / YR From: To:
Preference Order Classification Bidding Work Area Branch of Trade / Specialty Crew Number System Posting Number
2
Non Qualified Qualified Number of months in Branch of Trade / Specialty Area: MM / YR MM / YR From: To:
Preference Order Classification Bidding Work Area Branch of Trade / Specialty Crew Number System Posting Number
3
Non Qualified Qualified Number of months in Branch of Trade / Specialty Area: MM / YR MM / YR From: To:
Preference Order Classification Bidding Work Area Branch of Trade / Specialty Crew Number System Posting Number
4
Non Qualified Qualified Number of months in Branch of Trade / Specialty Area: MM / YR MM / YR From: To:

* You may use this form to file a Letter of Interest if you are ineligible to file a System Bulletin Bid due to the requirements and restrictions as set forth in Article 9 (E) 3 and 9(F) 1 of the Agreement.

Signed Date

Check here if this position would place you in the supervision of or as a supervisor of a “family member” and attach an explanation. Reference NWA’s Nepotism Policy for the definition of “family member” and more policy information.

DISTRIBUTION: WHITE — Bid Desk/MSP A1472 FAX # (TO CONFIRM RECEIPT /6875) CANARY — Employee PINK — AMFA FORM NO. 3-A372 (11/05)