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Enrollment Form
Enrollment Form
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Please take a moment to fill out the form to start your aviation journey TODAY.
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Personal Information
Name
*
First
Last
As appears on passport
Date of Birth
*
Country of Birth
*
--- Select Choice ---
United States
Canada
Mexico
Brazil
Argentina
United Kingdom
Germany
France
Italy
Spain
China
Japan
India
Russia
Australia
South Africa
Citizenship
*
--- Select Choice ---
United States
Canada
Mexico
Brazil
Argentina
United Kingdom
Germany
France
Italy
Spain
China
Japan
India
Russia
Australia
South Africa
City of Birth
*
Sex
*
Male
Female
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
Email
Confirm Email
Home Phone
*
Mobile Phone
*
Fax
Height in INCHES
*
Weight in POUNDS
*
Visa requirements
All Non US Citzens are required to be on a student M-1 Visa when completing any training towards a license, certificate or rating. Hour building is exempt of the requirement to attain a student M-1 Visa as they already hold a pilot license.
Country of Citizenship
*
--- Select Choice ---
United States
Iraq
Afghanistan
Canada
Mexico
Brazil
Argentina
United Kingdom
Germany
France
Italy
Spain
China
Japan
India
Russia
Australia
South Africa
Passport Issue Date
*
Passport Issuing Country
*
--- Select Choice ---
United States
Canada
Mexico
Brazil
Argentina
United Kingdom
Germany
France
Italy
Spain
China
Japan
India
Russia
Australia
South Africa
Emergency Contact Details
Name
*
First
Last
Relationship
*
Phone
*
Payment Details
To secure your place at Naples Air Center, and for VISA issue, we require a non-refundable $1500.00 deposit. For more information please review details at the student info section of the website.
I want to pay my deposit by
*
Credit Card
Wire Transfer (or I've already paid by wire transfer)
Training Details
Please choose type of training you'd like to book:
*
FAA Flight Training
CAA Flight Training
Private Pilot
Instrument Rating
IMC
Multi Engine Rating
CPL
Hour Building
Career Pilot Program
ATPL Only
Choose the aircraft you wish to train on:
*
Cessna 152
Alarus
Cessna 172 SP
Piper Warrior
Piper Arrow
Diamond TwinStar NG
Start Training On
*
Arrival Date
*
Departure Date
*
Medical Details
FAA Medical
*
First Class
Second Class
Third Class
N/A
Date of Issue
*
Pilot INCHES Citizenship
CAA Medical
*
First Class
Second Class
Third Class
N/A
Date of Issue
*
Pilot Qualification
License(s) Held
Issue Country
--- Select Choice ---
United States
Canada
Iraq
Mexico
Brazil
Argentina
United Kingdom
Germany
France
Italy
Spain
China
Japan
India
Russia
Australia
South Africa
License Date
Flight Date
Total Flight Time
Total Instrument
Total Dual
Total Night
Total X/C
Total Multi
Accommodation
List your accommodation choice, in order of preference (1 being most desirable, 3 least desirable). Hotel reservations should be made directly by student.
Pre-arranged accommodation?
*
I have arranged my own accommodations
I need SPA-NAC to arrange my accommodations
Shared Bedroom at Apartment
*
1
2
3
La Quinta Inn Hotel
*
1
2
3
How did you hear about us?
*
--- Select Choice ---
Naples Air Center, Inc.
JAMES RAY FOUNDATION
Supplier Development Systems (SDS)
Freedom Team
Brandon Williams
Seth Eden
ProAeronautics Inc
Airline pathway partners or sponsoring organizations
Airshow or aviation expo booth
Alumni network or former students
Aviation academy / training center referral
Aviation career fair / education fair
Aviation India (or other country partner) direct outreach
Base/community event (military transition-type awareness, if applicable)
Discord community mention
Email campaign (student inquiry lists, partner lists)
Facebook post or Facebook ad
Flight school referral (local or partner school)
Flyer or poster (school, cafe, gym, community board)
Friend or family member recommendation
Google search (e.g., “pilot training USA,” “helicopter CPL Florida,” “international pilot program”)
High school counselor / guidance office
Instagram Reels / Stories
LinkedIn post (aviation groups, professional updates)
Local community event / sponsor table
Local recruiting agent or representative
Newspaper / magazine feature (local or aviation-specific)
Online aviation forums or communities (pilot forums, student pilot groups)
Phone call from admissions team
Radio or podcast mention
Referral from a current student
Referral from a graduate who completed training
Referral from an instructor or pilot mentor
Scholarship program, foundation, or NGO referral
School presentation or guest speaker event
SMS/text message campaign (opt-in lists)
SPA Foundation
TikTok video (pilot training clips, student journey, “Day in the life”)
TV news segment / local feature story
University career services or aviation department staff
Vocational / technical college advisor
Webinar or online info session invite
Website blog article or SEO landing page
WhatsApp/Telegram group share (aviation student communities)
YouTube
Other
Tell Us How You Found Us:
*
Message
Acknowledgment
I certify that the answers given by me in this application are correct to the best of my knowledge. I understand that any falsification of this application, whether willing or accidentally, is ground for refusal for admission to a course of training at Naples Air Center. I understand that a $1500.00 deposit is required to confirm my enrollment at Naples Air Center, Inc. for the date listed above. I understand if I’m enrolled in a flight training course, the $1500.00 deposit will be return to me, less any outstanding balance or fee only upon completion of enrolled course. I further understand that by selecting a Shared Bedroom as my first choice, I have committed to a minimum one month stand in the student housing and forfeit one month's rent should I change my accommodation arrangements. I understand that due to global uncertainty, all equipment, aircraft, and prices are subject to change without notice.
Acceptance
*
I have read and understand the above statement
Single Item
*
Price:
$1,500.00
Total
*
$0.00
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