You can always press Enter⏎ to continue
Please fill out and submit to reserve your training slot.
12
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
4
Are you 18 years of age or older on or prior to the anticipated start date?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
5
Are you able to read, speak, write, and understand English?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
6
Do you have a high school diploma or equivalent?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
7
Are you shorter than 5'2", taller than 6'4", or weigh more than 260 lbs?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
8
Do you have any aviation incidents or accidents and FAA enforcement actions?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
9
How will you be funding your Pro Pilot Program
I'm pre-approved through Meritize
I've arranged for funds outside of Meritize
Previous
Next
Submit
Press
Enter
10
How much of the program will you fund with Meritize?
Fully funding the total program cost with Meritize
Partially funding the total program cost with Meritize
Previous
Next
Submit
Press
Enter
11
Which month do you prefer to start?
*
This field is required.
Contingent upon availability
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Please Select
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Previous
Next
Submit
Press
Enter
12
Upload your FAA 1st class medical certificate
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
13
*
This field is required.
prev
next
( X )
My Bag
1
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Total cost
USD
Training Deposit (Non-Refundable)
$
1,000.00
+
Edit
Back
Credit Card
First Name
Last Name
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
13
See All
Go Back
Submit