B.S. Aviation Professional Pilot Program Application
FALL 2023
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SE Email ID
*
example@example.com
Personal Email
*
example@example.com
Home Phone
-
Area Code
Phone Number
Cell Phone
*
-
Area Code
Phone Number
Name of High School Attended
*
State of High School Attended
*
Year of Graduation
*
SAT Score
ACT Score
Back
Next
Have you visited Southeastern?
*
Yes
No
Date Visited:
Who met with you?
Have you visited SE Aviation?
Yes
No
Date Visited:
Who met with you?
Back
Next
Have you been awarded any SE scholarships?
*
Yes, Honors Scholarship
Yes, President's Leadership Class (PLC)
Yes, a Sports Scholarship
No, I have not been awarded a scholarship.
Have you earned college credits?
*
Yes
No
If yes, how many credit hours?
Where did you earn the college credits from?
Do you have military experience?
*
Yes
No
If you have military experience, what service and when?
How did you hear about us?
Alumni Referral
Southwest 225
Envoy Airlines
Current Student
School Counselor
Other
Name of who referred you:
Back
Next
Summarize your Leadership, Employment Responsibilities, and Extracurricular Activities:
Employment Experience
Leadership Experience
Scholastic Honors Programs
Extracurricular: (Band, Choir, Scouts, Sports, etc).
Back
Next
FAA and Flight Experience Questions:
FAA Medical Exam:
*
Yes
No
Class 1, 2, 3?
*
1
2
3
If you have 1st Class Medical, upload document here:
Browse Files
Cancel
of
Date Issued:
Flight Hours to Date:
*
Introductory Flight Experience?
*
Yes
No
Discovery Flight?
*
Yes
No
Student Pilot?
*
Yes
No
Soloed?
*
Yes
No
If yes, date of solo?
FAA Private Pilot?
*
Yes
No
If yes, date?
A/C Type:
FAA Part 61/141
Part 141
Part 61
Not Sure
No
Back
Next
Additional Requirements:
1. Write a one (1) full page letter to introduce yourself, describe your aspirations to be a pilot, and why you are applying to SE.
Upload Letter Here:
Browse Files
Cancel
of
2. Provide a resume highlighting your employment, scholastic, leadership, and responsibility accomplishments.
Upload Resume Here:
Browse Files
Cancel
of
3. Include letter(s) from school officials, employers, pilots, or other persons who would recommend you for this program.
Upload Letters Of Recommendation Here:
Browse Files
Cancel
of
SIGNATURE REQUIRED: I hereby submit my application to the Professional Pilot flight program at Southeastern Oklahoma State University.
Clear
Upload any Additional Documents:
Browse Files
Cancel
of
Do you have any questions? Type them here:
Submit
Should be Empty: