Professional Flight Training - Enrollment Application

Prerequisites:

Federal Aviation Regulations require that an applicant for U.S. ratings and certificates must meet the following guidelines:

Read, write, speak and understand the English language.
Must meet the minimum age requirements per certificate. (Private Pilot requirement is 16 years; all other certificates are 18 years with the exception of the ATP, which is 23 years).
Must obtain the appropriate U.S. Medical Certificate. Arrangements can be made for your FAA Medical by Professional Flight Training, after your arrival.
Comply with all U.S. flight and ground school training requirements to obtain certificates and ratings desired.

FOR INTERNATIONAL STUDENTS - if you now hold a pilot certificate issued by a country that is a member of the International Civil Aeronautics Organization (I.C.A.O.) you may easily obtain a U.S. Pilot Certificate based on your country of issue. Please indicate on the enrollment application if you will need assistance with this procedure upon your arrival.

Professional Flight Training Enrollment Application

To enroll in our flight school, please fill out the form below.

* Fields marked with an asterisk below are required

Primary Applicant Information

* First Name:

* Address 1:

* Last Name:

Address 2:

Middle Initial:

* City:

* Phone #:

* Country:

* Email Address:

* State/Province:

Fax #:

* Zip Code:

* Date of Birth:

Permanent
Mailing Address:

Occupation:

Local Address:

* Driver's Lic. #:

Local Phone:

* Social Security #:

Cell #:

* Passport #:

Referred By:

* U.S. Citizen: Yes No * U.S. Resident: Yes No

Emergency Contact Information

First Name:

Address 1:

Last Name:

Address 2:

Daytime Phone #:

City:

Evening Phone #:

State

Relationship:

Zip Code:

Immigration (for international - must be filled out if not a U.S. Citizen)

An M-1 Visa is: Required Not Required

If not required, why?

City and Country of Birth:

Date of Birth:

City and Country of Residence:

Citizen (Name of Country):

Proficiency in English:

Fluent Fair

* All applicants must be able to read, speak and understand English

* Course(s) Requested ( you must make at least one selection )

Private	ATP	Multi Engine
Instrument	CFI-I	Glass Cockpit Transition
Professional Pilot - FAA	CFI	License Conversion
Professional Pilot - DGCA	ME I	Other

Preferrred Training Schedule:

FAA Curriculum: Part - 141 Part - 61

* Preferred Start Date:

Preferred End Date:

Please check this box if you must complete training by a specific date

Previous Experience (if applicable)

FAA Certificates / Ratings:

Other Certificates / Ratings:

Issuing Country:

TOTAL FLIGHT
EXPERIENCE

CROSS-COUNTRY

NIGHT

INSTRUMENT

Total
Time

Total
PIC

Total
Dual

Total
Time

Total
PIC

Total
Dual

Total
Time

Total
PIC

Total
Dual

Actual

Sim.

Flight
Sim.

AIRPLANE

HELICOPTER

Accommodation Information (Reservations will be confirmed by fax or letter)

Assistance with accommodation is:

Required Not Required

Name of Hotel:

Date Requested:

Student Loan

Do you currently have a Student Loan? Yes No

Details:

Veteran's Benefits (Requires second class medical - refer to the catalog for more info)

Do you currently have Veteran's Benefits? Yes No

Deposit Information

Date Deposit Sent:

Deposit Type: Wire Check Other

Comments:

Certification

This will certify that I have reviewed the professional Flight Training's Course Catalogue and Student Rules and Regulations. I am able to make an informed decision on enrollment in the course I have indicated above. I certify that all of the above statements are true and correct.

* (check this box to acknowledge that you have reviewed the information)

Additional Certification for Minors

If the applicant is under the age of 18, the following must be filled in by a parent or legal guardian. The undersigned being a parent or legal guardian of the above applicant, hereby consents to his / her application for admission to Professional Flight Training.

(Parent or legal guardian check here to give consent to the above applicant)

Name of Parent or Legal Guardian:

Address:

Country: