fly@genesisflightschool.com
Monday - Friday Saturday Appointment Only
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[vc_column width="1/2"]Date of Birth:[/vc_column][vc_column" width="1/2"]Place of Birth:[/vc_column]
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[vc_column]LEGAL STATUS/DOCUMENTATION:[/vc_column] [vc_column]Are You U.S. Citizen? YES or NO[/vc_column]
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If NO, List Citizenship:
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and Sponsorship:
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Driver’s License #:
State:
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Passport #:
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Date of Issue:
Expiration:
Visa Date of Issue:
Date of Expiration:
Alien Reg. #
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How long will you be training in the U.S.?
Previous FlightSchool:
City/State:
Vehicle Information: Make/Model:
Tag:
[vc_empty_space height="30px"][dt_sc_hr_custom type="clear" class="" /] [vc_column]FLIGHT TRAINING/RATINGS INFORMATION[/vc_column] [vc_column]Will you be receiving a rental checkout in a GFS, Aircraft? YES NO[/vc_column]
If YES, Type of aircraftyou would liketo be checked out for?
[/vc_column][vc_column]Are you working on a rating or certificate at GFS,? YES NO[/vc_column]
[vc_empty_space height="30px"][dt_sc_hr_custom type="clear" class="" /] [vc_column]If YES, which ratings / certificates are you seeking with Arlington, TX (GKY)?[/vc_column]
[vc_column]Certificates/Ratings/Endorsements Currently Held (check all that apply):[/vc_column]
PRIVATE
INSTRUMENT
COMMERCIAL
CFI
CFII
MEI
ATP
AGI/IGI
SINGLE-ENGINE(SEL)
MULTIENGINE(MEL)
COMPLEX
HIGH PERF.
[vc_column]FLIGHT TRAINING/RATINGS INFORMATION (cont’d)[/vc_column]
Pilot Certificate #:
Date Issued:
Last Flight Review:
Special Endorsements:
Medical Class:
Date Medical Issued:
Limitations:
[vc_column]Estimated Flight Time:[/vc_column]
TOTAL TIME
SINGLE ENGINE
MULTI ENGINE
HIGH PERFORMANCE
C-152
C-172
PA-34
C-177RG
B-33
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