Rescheduling Fee
Submission:
*
-
Month
-
Day
Year
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1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Student's Name
*
First Name
Last Name
Student ETA ID
*
The #'s please!!!
Location
*
Please Select
ADS
APA
DXR
EVB
GYI
HEG
OCF
PVU
SGU
TCL
TLH
TUS
Student ETA ID:
*
(5-digit number)
Student's E-mail
*
Instructor's Name
*
First Name
Last Name
Instructor's E-mail
*
Date of Activity being Rescheduled
*
-
Month
-
Day
Year
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Type of Activity
*
Please Select
Flight
Oral
Sim
Other - please explain in section below
Reason:
*
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Instructor's Response Section
PIN #
Instructor Comments
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Shane's Section
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Additional Notes for Decision
ETA Invoice # for Credit
Date ETA Credit Issued
-
Month
-
Day
Year
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Shane Submit
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