Application Form

Mailing Address:

School Record:

School Name Address Attendance Dates Diploma/Degree Achieved
 Is English Your Native Language?

Have You Been Convicted of a Crime in the Last 10 Years That Would Prevent You From Passing a Criminal Background Check Administered by the Transportation Security Agency?

 No Yes

if Yes, Please Explain:

Flight Experience:

TOTAL TIME X COUNTRY NIGHT COMPLEX INSTRUMENT
SIMULATOR
SOLO/PIC
DUAL

FAA Medical Held:

None 1st Class 2nd Class 3rd Class 

Course:

* $1000.00 deposit is required to secure your reservation ($500.00 non refundable if cancelled prior to your arrival)