Domestic Student Form

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Programs & Courses
Please Select:*

Recreational Pilot PermitPrivate Pilot LicenseCommercial Pilot LicenseMulti Engine RatingIFR Instrument RatingNight RatingInstructor RatingAviation DiplomaIFR Renewal
Personal Information
Name*

PrefixFirst NameMiddle NameLast Name
Former Name:
*If Applicable
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Gender:*

MaleFemaleGender XOther
Date of Birth:*

MonthDayYear
Date
Mailing Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload a copy of your driver's license:

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Citizen Status
Citizen Status

CanadianPermanent Resident/Landed ImmigrantStudent VisaOther Visa
Attach a copy of your student visa

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Date of Entry into Canada (non Canadian)
Month/Year
Country of Current Citizenship
Country
Country of Residence During Previous Year
Country
Language
Languages spoken
Program Particulars
Do you have Pilot Medical:*

YesNo
Attach Pilot Medical

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Previous training record (if any):*

YesNo
If applying for the Aviation Diploma, where did you complete High School. City & Province
Attach a copy of your pilot training record or logbook

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Emergency Contact
Emergency Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Name:*
Emergency Address:*
I agree, if admitted, to abide by rules and regulations of Sky Wings Aviation Academy Ltd. I certify that the particulars furnished are true and complete in all respects and that no relevant information has been withheld.*

I Agree
Date of Application*

MonthDayYear
Date
After submitting your application, you will be forwarded to the cart page to make payment. The application will not be considered valid until the checkout process is completed. Once we have received your application, we will be issuing a letter of acceptance.
Please verify that you are human*
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