STFC Student/Renter Pilot Application Form

STFC Student/Renter Pilot Application Form
Name

First Name Last Name
Date of Birth

Month Day Year
Date
Citizenship
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Primary Phone Number

Area Code Phone Number
Alternate Phone Number

Area Code Phone Number
Emergency Contact Name
Emergency Contact Relation
Emergency Contact Phone Number
Flight Programs (Check all that apply)

Recreation Pilot Permit Private Pilot Licence Commercial Pilot Licence Night Rating VFR Over-The-Top Multi-Engine Rating Instrument Rating Instructor (Class IV)
Did you graduate from a Canadian High School? (For Private Pilot and Recreation Permit Students Only)

Yes No
Date

Year Month Day
Date
Signature

Clear
Attach Copy of Photo ID

Browse Files
(ex. Driver's Licence, Passport) Cancel of
Should be Empty: