* Required Fields
Name (Last) *
(First) *
Middle Initial
Email Address *
Organization / Company Address *
Rank Title
Crew Position*
Passport Number
Engineer Pilot Na
Drivers License Number
Work/Personal Phone *
Permanent Address *
Country *
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Course Attending *
Specify for Other
Select Here.... Professional Course Fixed Wing - 52 Weeks Professional Course Rotary Wing - 52 Weeks Performance & Flying Qualities Professional Course Systems Professional Course Other (Please Specify)
Course Date *
Undergraduate Degree*
No Yes
No Yes | Are you enrolling for a 52 week course or enrolling in an Academic T&E course and plan on obtaining a Masters Degree from the National Flight Test Institute. More Information.
National Flight Test Institute:
Graduate programs at the National Test Pilot School are offered through the National Flight Test Institute. NFTI offers two graduate programs leading to either the Master of Science in Flight Test Engineering or the Master of Science in Flight Test and Evaluation, depending upon their undergraduate preparation. If applicable, select the NFTI track for which you are enrolling. Otherwise, skip this section.
If you are unsure about this section, please refer to the NFTI catalog which can be obtained here
Academic Background:
High School
Date Graduated
Location
College / University
Major / Degree
Graduate School
Flying Background:
Fixed Wing Rating (Select)
Type
Year Rated
Hours
Select Here..... Private Commercial Military ATP None of the above
Select Here..... Single Engine Multi Engine
Rotary Wing Rating (Select)
Instrument Rating
License Number
Country Issued
Aircraft Qualifications:
Fixed Wing Type Aircraft and Hours
1.)
2.)
3.)
4.)
5.)
6.)
7.)
8.)
Rotary Wing Type Aircraft and Hours
Total Flight Time
Total First Pilot Flight Time
Current Position / Job Description / Field of Expertise Future Position / Job Description / Field of Expertise
For Professional course applicants only. Please use the space below to indicate your housing requirements i, e., single, married with spouse, spouse and children. If applicable, please list number of children, gender and age.