Student-Pilot Enrollment Application

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PLEASE NOTE: It is important that you complete all parts of the application. If your application is incomplete, or does not clearly show the experience and/or training required, or include false information, your application may not be accepted. If you have no information to enter in a section, please write N/A.

1. Program and Personal Information

Select Program:

2. Personal and Emergency Contact

Personal Address:

3. Flight Experience

Do you have a Pilot License?
What type of Medical do you have?
Have you been diagnosed with any of the following health conditions? If answered YES, please check.

4. Please attach the following documents

File to upload must be in PDF format. Maximum upload file size is 2 MB.
Upload all documents that apply to your course.

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

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