Training Request Form

Residential Address *

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City

State

Zip Code

Country

Do you possess an FAA Medical Certificate? *

Date of Most Recent Medical (if applicable) *

Are you a U.S. Citizen? *

If not a U.S. Citizen, please list nationality and Visa type: *

Desired Training Program (please check all that apply) *

Professional Pilot Program (Zero to Commercial) Private Pilot Certificate Added Instrument Rating Commercial Pilot Certificate Other (please specify)

If "Other," please specify here: *

Below, please let us know which days you are generally available. Please note that this is NOT binding, we are only looking for a general idea of your availability. This information will help us determine when we can get you started.

I understand that a deposit of $2,000 is due at the start of training. I also understand that after the initial deposit is used up, that I must maintain a positive account balance at all times during training *

Please complete this section ONLY if you have previous flight training experience:

Previous Aircraft Type(s) Flown *

Total Flight Time *

Previous Training Airport(s) *

Date of Last Checkride/Flight Review (if applicable) *

Training Request Form (Ages 15+ Only)