Name *

First Name

Last Name

Are you a returning student? *

Yes

No, I am a new student to Spectrum Airways

Date of Birth *

MINIMUM AGE REQUIREMENT IS 16 YEARS OF AGE

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Emergency Contact *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

####

What Licences and Rating do you currently hold? *

Check all that apply. If you do not currently hold any, select 'none'.

None

Glider

Recreational Pilot Permit

Private Pilot Licence

Commercial Pilot Licence

Night Rating

VFR OTT Rating

Multi-Engine Rating

Instrument Rating (Group 1)

Instrument Rating (Group 2)

Instrument Rating (Group 3)

Which of the following certifications and/or exams have you completed? *

Check all that apply. Only select medicals that are currently valid. If you do not currently hold any of these, please select 'none'.

None

ROC

PSTAR

English Proficiency

Valid PPL Written Exam

Valid CPL Written Exam

Valid INRAT Written Exam

Are you over 18 years of age? *

Yes

No (please complete the following two fields)

If 18 years of age or younger, please indicate the name of your parent and/or guardian.

First Name

Last Name