Personal Information
First Name
*
Middle Name
Last Name
*
Address
City
State
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Country
Email Address
*
Are you an American student or an International student?
Please Select
American
International
This information is required of International Applicants
Date of Birth
City of Birth
Citizenship/Residency Status
Country of Birth
Country of Citizenship
Passport No.
Do you require Visa Sponsorship?
Please Select
Yes
No
Do you need Housing Assistance?
Please Select
Yes
No
How well do you speak and understand English?
Please Select
None
Poor
Fair
Good
What is your current or most recent studies attended?
Please Select
High School
College
University
Graduated
What program are you interested in?
Please Select
Private Pilot C-152
Private Pilot C-152 IFR
Private Pilot C-172 IFR
Private Pilot Piper Warrior
Instrument Rating C-152
Instrument Rating C-172
Instrument Rating Piper Warrior
Commercial Pilot Beech Sierra
Commercial Pilot C-172
Multi-Engine Rating Twin Seminole
CFI Rating
CFII Rating
CFI Multi-Engine Rating
Professional Pilot Program A
Professional Pilot Program B
Professional Pilot Program C
Do you hold a pilot certificate?
Please Select
Yes
No
If so, which kind?
Please Select
ATP
Private
Commercial
Student
Certificate No.
Issue Date
Do you hold a medical certificate?
Please Select
Yes
No
Class of certificate
Issue Date
Comments Regarding Your Flight Experience
Additional Comments/Suggestions/Questions
Submit
Should be Empty: