Additional Information

Vehicle Information:Make/Modal

Tag:

FLIGHT TRAINING/RATING INFORMATION

Will you be receiving a rental checkout in a GFS, Aircraft?

YESNO

If YES, Type of aircraftyou would like to be checked out for?

Are you working on a rating or certificate at GFS,?

YESNO

If YES, which ratings / certificates are you seeking with Arlington, TX (GKY)?

Under which FAR Part will training be conducted?

14161

Certificates/Ratings/Endorsements Currently Held

(check all that apply);

PRIVATE INSTRUMENT COMMERCIAL CFI
CFII MEI ATP AGI/IGI
SINGLE-ENGINE MULTIENGINE(MEL) COMPLEX HIGH PREF.

FLIGHT TRAINING/RATINGS INFORMATION (cont'd)

Pilot Certificate #:

Date Issued:

Last Flight Review:

Special Endorsements:

Medical Class:

Date Medical Issued:

Limitations:

PERSONAL INFORMATION

Name:

SSN:

Date of Birth:

Place of Birth:

Hair Color:

Eye Color:

Height:

Weight:

Local Address:

City:

State:

Zip:

Phone(Home):

(Work):

(Cell):

E-mail:

PERSONAL INFORMATION

City:

State:

Zip:

Emergency Contact:

Relationship:

Emergency Contact Phone:

LEGAL STATUS/DOCUMENTATION:

Are You U.S. Citizen?

YESNO

If NO, List Citizenship:

and Sponsorship:

Driver's License #:

State:

Passport #:

Date of Issue:

Expiration:

Visa Date of Issue:

Date of Expiration:

Alien Reg. #

How long will you be training in the U.S.?

Previous FlightSchool:

City/State: