Artic's Air Academy

Student Info

Name


*first name	*last name

Home Phone

Cell Phone

Physical Address

Mailing Address
(if different)

City

State

ZIP

*Email Address

Date of Birth

Parent or Legal Guardian
(if under 16 Years of Age)

US Citzenship

INS Number

(required for non-US Citizens.
Contact Us if you need an INS number)

Previous Flying Experience

Previous Flying Experience
Student Pilot Certificate #
Date Issued

Airman Certificate #
Date Issued

Type

Ratings Held	Instrument Single Engine (land) Single Engine (sea) Multi-engine (land) Multi-engine (sea)
Endorsements Held	Tailwheel Complex

Flight Time:
Total
as PIC

Medical Ticket:
Class
Date Issued

Flight Reviewed

Have you been involved in an accident, incident, or FAA certificate action in the last five (5) years?
*If Yes, please explain


Message for the Academy

Site Login

email:
password
	lost password

Quicklinks

NOAA
FlyAlaska.com
FAA Weathercams
AOPA.org
DUATS.com
Airnav.com
FAA Practice Test
Avemco Insurance Agency

Partners

Castor: Alaska helicopter school
Pollux: Alaska helicopters

Contact Us:
Phone: 907-746-2290
Toll-Free:877-746-2290

Fax:888-893-9329

1880 S. Glenn Highway
Palmer, Alaska 99645

Flyartin0sp4mc@articsairacademy.com

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