New Student – Course Enrollment – Phoenix East Aviation: Forms

Please use the following form to enroll a student into their initial course at PEA.

Select Campus*
What campus is the student enrolled at? It is very important that you select the correct campus here to avoid any errors.
Course Enrollment
Student Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Pilot Certificate and IACRA
Pilot Certificate Number
Pilot Cert. Date Of Issue
Date Format: MM slash DD slash YYYY
IACRA FTN Number*
Medical Certificate
Medical Class*
Date Of Issue*
Date Format: MM slash DD slash YYYY
Course Information
Instructor Name*
Instructor's Email Address*
Course
FAA Part
Emegency Contact
Relationship*
Name*
Phone Number*
Documents
Check all the documents that have been verified and scanned into the COURSE ENROLLMENT folder from the scanner.
Verified and Uploaded Documents into Course Enrollment Folder
- Pilot License(s)
- Medical Certificate
- Passport
- Visa
- Foreign Pilot's License
- Letter of Authorization (LOA)
- Driver's License / Other Govt. ID
- U.S. Birth Certificate
SPAM Prevention
Please check the box to help us prevent spam submissions.

Course Enrollment