Personal Information

Education

Programs and Courses

Previous Flying Experience

In Case of an Emergency, Please Contact:

Proof of U.S. Citizenship (U.S. citizens and nationals only):

1. Complete application

2. Send
• Copy of driver license
• Pilot licenses (if applicable)
• Copy of passport
• Copy of high school or college transcript.
• Current FAA medical certificate
• The last two pages of log book (if applicable)

3. Include non-refundable registration fee of $150.00. International students must: 4. Send copy of health/accident insurance
• Financial letter of affidavit support
• Visa (if applicable)
• 1-20 form (if applicable)
• I-94 form (if applicable)
• Non-refundable international fee of $500.00

Note: International students must have their license and ratings translated into English language.

STUDENTS PLEASE READ AND SIGN

I have received and acknowledge the contents of the school catalog required to obtain admission to SimPilot Peru S.A. (Agent) and register for the courses that I have requested. I understand that withholding information requested in this application or given false information may make me ineligible for admission. I certify that the above statements are correct and complete.

If you are under 18 years of age, the application must be signed by a parent or legal guardian.

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