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Aerocadet

Flight Training Program Enrollment Form

Information collected in this form is required for processing by our company for the purpose of Student flight training enrollment and will be submitted to the Transportation Security Administration in order to facilitate industry standard foreign student pilot background checks. Aerocadet will only pass this information to the third parties directly involved in the admissions and enrollment process of the Student applicant. The information is not shared between other third parties and will be deleted from our system immediately, upon student's cancellation of flight training enrollment or separate request.

 

Important instructions on how to fill out this form:

1. All fields marked with an orange star * are MANDATORY. Omission of these fields will delay your application for enrollment.

2. All questions in bold dark blue text, with "Yes" or "No" selection buttons at the head of each column, are mandatory.

3. You must provide personal information EXACTLY as stated in your international travel documents (Passport or "Laissez-Passer")

4. If you selecting a Financial Aid Option, please keep in mind, that you must have at least 50% of full training cost available in personal funds.

5. You must email us a scan of your passport and high school diploma (or any other certificate of Secondary Education) in order to be eligible for enrollment.

 

 

  • Program Information

  • About the training program
  • Type of flight training program or course: *
  • Desired program start date: (applicable only to Full Professional PIlot Program and College Degree Program)
    *
  • Desired internship options: (up to two options may be selected)
  • No internship
  • Flight instructor internship in USA (Up to 18 months. Available only with FPAP-1 or Degree program)
  • Advanced international ferry pilot internship (Up to 24 months. Available only with FPAP-1 or Degree program)

 

 

  • Financing Information

  • About the payment options
  • Type of financing for this program or course:
    *
  • (If selected "Bank Loan", please carefully read through our Financial Aid Options terms of service first)
  • Special financing, requirements, requests, explanations and comments:

 

 

  • CONSULTING AGENT

  • The name of the person or agent, that provided you with enrollment consultation
  • Please chose your consultant's name or select "no consultant"
    *

 

  • Personal Information

  • About the Applicant
  • First and middle name/s, exactly as in your Passport *
  • Family name, exactly as in your Passport *
  • Email address
    *
  • Full name in your native language (if different)
  • Date of birth
    *
  • Place of birth (city or settlement)
    *
  • Country of birth (as in your passport)
    *
  • Primary citizenship
    *
  • Passport number
  • Secondary citizenship (if applicable)
  • Gender
    *
  • Marital status
    *
  • Dependants (children)
    *
  • Height and weight
    cm kg
  • Address & Residence Information
  • Сounty of residence
    *
  • State or county
  • City, village or settlement
    *
  • Street
    *
  • House number or name
    *
  • Apartment number (if applicable)
  • Postal (Zip) code
    *
  • Personal Contact Information
  • Home tel. number (country code - city code - number)
  • Business tel. number (country code - city code - number)
  • Mobile tel. number (country code - city code - number)
    *
  • Secondary email address
  • Emergency Contact Information
  • First & last names of your primary emergency contact
    *
  • Tel. number (country code - city code - number)
    *
  • Relationship to you
    *
  • First & last names of your secondary emergency contact
  • Tel. number (country code - city code - number)
  • Relationship to you
  • Employment Information
  • Place of employment (name of organization)
  • Type of business or organization
  • Busines address (street, city, country)
  • Manager's tel. number (country code - city code - number)
  • Your employment or status title
    or
  • Education

  • Secondary Education   No
  • Name of high school / gymnasia / lyceum and its location
    *
  • Academic major / focus subjects
  • Start date
    *
  • Graduation date
    *
  • University or College Degree   No
  • Name of college / university and its location
  • Academic major
  • Start date
  • Graduation date
  • Degree obtained
  • Vocational School or Academy No
  • Name of institution and its location
  • Subject of vocational study
  • Start date
  • Graduation date
  • Certification obtained
  • English Language Proficiency
  • Name of English language school (if applicable)
  • Years of study
  • Conversational level (approximately)
    *
  • Technical level (approximately)
    *
  • Aviation ICAO level (if certified)
  • English test certificate (if exists)
    score:

 

 

  • Military Service

  • Have you served in Military? No
  • Tyoe of military service
  • Military unit number
  • Start date
  • Completion date
  • Military rank upon discharge
  • Were you a military pilot?
    Total flight time
    hours
  • Type/s of aircraft flown (if applicable)

 

 

  • criminal history

  • Any criminal convictions    No
  • Reason for conviction/s
  • Sentencing term and type
  • Date of conviction
  • Status

  • Aeronautical Licenses

  • Do you have a pilot license? Yes No
  • Type of license and issuing aviation authority
  • Category
  • Grade
  • Ratings (ICAO)
    Single Multi Instrument Amphibian
  • Year of issue and Currency status
  • Aviation medical class and status

  • Aviation Accident & Violations No
  • Date of recent accident or violation
  • Детали аварии или нарушения
  • Type of Aircraft Flown
  • Aircraft with MTOW under 5700kg
  • Aircraft with MTOW over 5700kg

 

 

  • pilot Flight Time

  • Types of Flight Time
  • TOTAL TIME
    hours
  • Dual instruction received
    hours
  • Pilot-in-Command (PIC)
    hours
  • Second-in-Command (SIC)
    hours
  • Cross-country
    hours
  • Night
    hours
  • Night Takeoffs and Landings
    hours
  • Approved Simulator or Certified FTD
    hours

 

 

  • medical eligibility

  • Do you have any of the following conditions:

  • Dizziness or fainting spells
  • Unconsciousness for any reason
  • Asthma or lung disease
  • Kidney stone or blood in urine
  • Diabetes requiring medication
  • Epilepsy, seizures, stroke, paralysis, etc
  • Depression, anxiety, etc.
  • Alcohol or drug dependence
  • Motion sickness requiring medication
  • Blood pressure higher then 155(s) by 95(d)
  • Inability to differentiate colors (color blindness)
  • Arm or leg amputation or loss of function
  • Visual Acuty (according to Snellen chart)

 

 

 


  • Attachments

  • Please select document attachments that you can email us on the next page
  • To process your application with the college enrollment board, the US Transportation Security Administration and the US Department of Immigration, we request that you send us some or all of the following documents (copies):
  • 1.International passport, only the page with your photo and personal information *
  • 2. High school diploma with transcripts *
  • 3. University degree with transcritps (not required)
  • 4. English test certificate, such as TOEFL or TOIEC or IELTS or ICAO (not required at this stage, but will be required later)
  • 5. Proof of personal funds (not required at this stage, but will be required later)

 

* - Required document



  • Enrollment Declaration

  • Please confirm your agreement to the followings terms and conditions:
  • I understood all the questions in this enrollment form and answered then honestly and to the best of my knowledge *
  • I am of 17 years of age or older *
  • by submitting this form, I give permission to Raich Aerospace Group LLC (DBA Aerocadet) to store, process and share information (between its partner companies and affiliates) provided in this form for the purpose of my enrollment into the flight training program/s I applied for. *

 

 

Data Protection & Privacy Notice: Raich Aerospace Group LLC takes your privacy very seriously. We enforce a strict "No Spam" policy and keep your personal data protected on our computer system. The data you provide may be shared between Raich Aerospace Group LLC and its affiliates solely for the purpose of processing your flight training enrollment application. We do not share your information with any other companies and individuals. You can always opt to cancel your application and request for personal data to be deleted from our database by contacting us via info@aerocadet.com

 

 




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