Flight Training Application Step 1 of 4 25% Name* First Last Email* Your Phone NumberAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Communication PreferenceAnyPhoneEmailTextMailBest Time to Contact?AnyMorningAfternoonEveningWeekdaysWeekendsHow did hear about us?*Social MediaGoogleReferalEventOtherWhat location will you be flying at?*Carson City AirportMinden-Tahoe AirportBothNot Sure GenderSelect oneFemaleMaleU.S. Citizen?*Select oneYesNoEducation* High School – Not Finished High School – Diploma/GED College – Under 2 years College – 2 year degree College – Less than 4 years College – 4 year degree College – Master’s degree College – Doctorate degree High School Graduation Year (YYYY)Height ft/inchesWeight* lbsMarried?Select oneYesNoDate of Birth* MM slash DD slash YYYY What is your goal as a pilot?*Private PilotProfessional PilotOtherHow do you prefer to complete your ground school? Classroom Online Self Study Target Start Date - OpenPick the date you wish to begin your flight traning MM slash DD slash YYYY Do you currently have a valid FAA Pilot Certificate? None Sport Recreational Private Commercial Flight Instructor Airline Transport Pilot *Due to the inherent nature of aviation each aircraft has a limited weight capacity. I understand that as a pilot, my body weight is very important and may determine which aircraft I am eligible to fly and use for training. I also understand that my body weight may affect my eligibility to fly and/or may increase the cost of my flight training--should I be required to fly aircraft rated for my body weight.*I understandNo, I do not understand*The FAA requires all student pilots to have a valid FAA Third class Medical Certificate. I understand that FAA medical certificates are based on my physical, mental and emotional health, as well as my criminal background/history. I also understand that if I have any of the following health conditions or criminal situations, they may prevent me from obtaining an FAA Third Class Medical Certificate:*· Heart disease/heart attack · high blood pressure · tuberculosis or other lung disease · allergies · asthma · diabetes · cancer · hearing trouble or high frequency hearing loss · frequent headaches · dizziness · fainting spells · convulsions · epilepsy · ulcers · amputation of any part of the body · psychiatric treatment · PTSD As well as: · criminal felony charges · DUI recordI understandNo, I do not understandCAPTCHA Δ
