University Application Form

American Aviator Laureate Society

930 18th St NW Suite B2,

Washington DC 20009,

United States
Application for Honors Certificate

Please fill out the application form carefully
Personal Information
Full Name

First NameLast Name
Birth Date

MonthDayYear
E-mail
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Flight Training Background

List your previous flight schools, beginning with the most recent
Flight School for CFI certification
School Name
License Achieved
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Started

MonthDayYear
Date
Date Graduated

MonthDayYear
Date
FAA Failures
Flight School for CPL certification
School Name
License Achieved
School Address
Date Started

MonthDayYear
Date
Date Graduated

MonthDayYear
Date
Number of FAA check-ride Failures
Additional Information
Accident/Incidents

MonthDayYear
Date
Reason
combined
Uploads
Upload your pilot license

Cancelof
Additional Comments
Should be Empty:

Application for Honors Certificate