Celebrating our 15 Year Anniversary in the San Francisco Bay Area, California

FAA Approved Pilot Training Center

Contact:
	E-Mail:	info@belairintl.com
	Phone:	650-596-9900
	Fax:	650-654-3470

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Application Form

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Intl. Students

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TSA Process

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Accomodation

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Payment

Contact Information

Bel-Air International
795 Sky Way
San Carlos, CA 94070
US

Ph: 650.596.9900
FAX: 650.654.3470

E-mail: info@belairintl.com

Enrollment Application Form

Please complete this secure form to start your application to Bel-Air International. In addition to the application, please provide us the following:

Payment of the initial fees listed below, on-line if preferred.
A scan of your Photo ID or the first page of your Passport. Email it to us.
Proof of finance for your total tuition.

Fees

Along with the application the following fees are required, as described in the Policies section. You will be able to make an online payment directly following the completion of the application form below, which is the most expedient. Please check the Payment section for more details on other forms of payments such as wiring or paying by credit card over the phone.

U.S. Students:		International Students:
Admission fee	$200	Admission fee	$200
Deposit (refundable)	$600	Deposit (refundable)	$600
Total:	$800	Total:	$800

Application Form Instructions

Fields marked with an asterisk (*) are necessary to complete the form.
Please review your input for completeness before sending it.

General Information

First Name*:

Middle Name:

Last Name*:

Date of Birth*:

Sex:

Social Security # (US Only):

Country of Citizenship*:

Country of Birth*:

Present Address*:

Address Line 2:

City*:

State/Province*:

Zip/Postal Code:

Country *:

E-mail address *:

Home Phone*:

Work Phone:

Permanent Address (if different):

Address Line 2:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

Contact:

Physical Condition

Height*:

Weight*:

Hearing difficulty?:

Vision*:

/20

Vision corrected to:

/20

Statement of physical condition*:

If possessing FAA Medical Certificate, indicate details:

Class:

Date issued:

Education

High School:

Date attended:

City:

State:

Graduated?:

Yes No

Equivalent (GED):

Date completed:

Score:

Technical School:

Date attended:

City:

State:

Graduated?:

Yes No

College/ University:

College Major:

City:

State:

Date attended:

Graduated?:

Yes No

Military Background (if any)

Military Branch:

Military Rate:

Military months of active duty:

Last day of military duty or ETS:

Aviation Employment (if any)

List of aviation employers, positions or duties performed, and periods of employment:

Aviation Experience (if any)

FAA written exam passed:

Certificates/ratings held:

Aviation schools attended, locations, programs, approvals and dates:

Pilots only: Flight hours:

FAA approved school flight hours: Dual:

FAA approved school flight hours: Solo:

Programs Desired

Program(s) Desired*:

Commercial Pilot - includes Instrument & Multi-Engine Rating

Flight Instructor (CFI)

Flight Instructor-Instrument (CFII)

Other:

Class Date Requested

(Classes start around the Monday of the last week of every month)

1st Choice:

2nd Choice:

Start In:

I wish to begin in approximately

Request Date Later:

I will request class starting date at a later time.

Housing Referral Request

Housing status:

Please be advised of my interest in housing in this area.

(Bel-Air International can reserve motel accomodations at discounted rates for students who need time to select roommates and/or apartments -- prior notice of arrival is required.)

Special Requests

Do you have any special needs or requests?:

Please list friends, including contact information, that may be interested in aviation career information:

How did you hear about Bel Air?

I heard about Bel-Air International from: *

Details:

Please press the submit button ONCE only.