Domestic Application-PT141 - Orange County Flight Center

When would you like to start? *

This application for admission to Orange County Flight Center, Santa Ana Campus.

Free Demo Flight Date *

Select a date you would like your Free Demo Flight at Orange County Flight Center, Santa Ana Campus.

First Name *

Middle Name

Last Name

Gender *

MaleFemaleOther

Date of Birth (DOB) *

Month *

Day *

Year *

Country of Birth *

Citizenship *

Nationality *

Home Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Phone

Cell Phone

Email Address

Passport Number

Date Issued

Date of Expiration

Country of issue

Select highest level of education *

College/University/School *Please tell us the name of the school you attended

Month & Year Graduated *

State/Province *

Country

Emergency Contact *

Emergency Contact Phone # *

Emergency Contact Email Address

Credit Card No *

Expiration Date *

CCV or CVC *A card verification value (CVV) or card verification code (CVC) is a 3 or 4 digit security code usually found on the back of your credit card. CVV codes provide a second layer of authentication, which helps to verify the card holder's identity when making remote transactions.

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Today's Date *

Multi-file Upload *

No file chosen

Please attach and submit the following fees/document along with this Domestic Student Admission Application form to commence training: .Domestic Student Application fee $250.00 includes free demo flight with an instructor upon application. Student Pilot Certificate (if any); Proof of Citizenship/Visa. We will need a passport or driver's license, Student Acknowledgement, Aircraft rental agreement, Proof of Renter's Insurance, Student flight training agreement and aircraft rental agreement.

Signature

Online Student Application Form

Program of Study (Select all that apply) *

FAA Regulation *

Gender *

How did you hear about us?

Where Excellence is Standard and Flight Safety Comes First!