Home / Flight Training / Prospective Student Contact Form Prospective Student Contact Form Name* First Last Age*Phone*Email* Are you a United States citizen?*YesNoAre you a lawful permanent resident of the United States?*YesNoForeign Citizenship / Residency*Please list all countries of which you are a citizen or lawful permanent resident. Do you have a current FAA Medical Certificate?*NoYesFAA Medical Type*Third ClassSecond ClassFirst ClassFAA Medical Expiration Date* Current FAA Certificate(s) & Rating(s)*Please list any FAA certificates and ratings you already have, one per line. Please enter "None" if you don't have any. Flight Training Objective*(Hold "Ctrl" to select more than one option)Private Pilot - Rotorcraft HelicopterPPL Instrument - Rotorcraft HelicopterCommercial Pilot - Rotorcraft HelicopterPrivate Pilot - Airplane Single Engine LandPPL Instrument - Airplane Single Engine LandCommercial Pilot - Airplane Single Engine LandFlight Hours for Current Flight Training ProgramOther (Unlisted)Current Flight Training Program*Please describe your current flight training program, including the type of program, your start date, your completed flight hours, and your remaining flight hours. Please describe which certificate(s) and/or rating(s) you are looking for:* Desired Start Date*In the next monthIn the next three monthsIn more than three monthsJust researching right nowCaptcha
