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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin 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 FinishedHigh School – Diploma/GEDCollege – Under 2 yearsCollege – 2 year degreeCollege – Less than 4 yearsCollege – 4 year degreeCollege – Master’s degreeCollege – Doctorate degreeHigh School Graduation Year(YYYY)Heightft/inchesWeight*lbsMarried?Select oneYesNoDate of Birth* Date Format: MM slash DD slash YYYY Which location will you e flying out of?* Carson City Airport Minden-Tahoe Airport Check all that applyWhat 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 Date Format: MM slash DD slash YYYY Do you currently have a valid FAA Pilot Certificate?NoneSportRecreationalPrivateCommercialFlight InstructorAirline 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
