What is your first name?
What is your last name?
Full mailing address (include zip code)?
Please enter your email address
Phone number (include area code)?
What school do you currently attend?
What grade are you in school?
What is your current GPA in school?
Do you have any previous flight experience? If yes, how many hours & what type of aircraft?
Please list your hobbies and extracurricular actives.
What school or community organizations are you involved in?
Please type your name/electronic signature
Please have your parent type his/her name/electronic signature