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 SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Communication PreferenceAnyPhoneEmailTextMailBest Time to Contact?AnyMorningAfternoonEveningWeekdaysWeekendsHow did hear about us?*InternetReferalEventOther 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* Do you want to be a Helicopter Pilot, Airplane Pilot, or Both?* Airplane Helicopter 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 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 understand
