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Delta-Qualiflight Aviation
"Professional Pilot Training"
Student Flying Background Questionnaire

Please fill out this form completely and send it to us electronically (hit the submit button at the bottom of the page).
Take time to answer each of these questions accurately, so that we may better understand your individual situation and send you the specific information you need to become a successful pilot!

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Please provide the following information to us about your address and flying background, so that we will be able to mail you the most pertinent information to fit your specific needs about learning to fly at Delta-Qualiflight:

* means REQUIRED information

*Title
*First Name
*Last Name
Organization (If any)
*Street address
*Address (cont.)
*City
*State/Province
*Zip/Postal code
*Country
Work Phone
Home Phone
FAX
*E-mail
Sex Male       Female

* Video Format is used in your area?
NTSC Seacam PAL

* How did you hear about us?
Flight International Ad Searched the Web Other
* If a web search, for what did you search?

* Do you already have any pilot's license?   yes             no

* What pilot licenses do you hold? 

* How many total hours piloting do you have?

   What is your current educational level?
High school          Some college/university         College/University Degree        Post-Graduate Degree

* Do you have military experience?        yes         no
                                       In aviation?        yes         no

* What are the most important factors to you in deciding which flight school to attend? (check all that apply)
   cost      kinds of aircraft     ability of instructors     student/instructor ratio     well-maintained aircraft
    availability of flight simulator     difficulty of airtraffic in training area     excellent flying weather year-round
    location of flight school     friendliness of training     respect for all students and instructors

* My goal is to get flight training leading to certification and licensing as a...?
    Private Pilot                 Commercial Pilot               AirTransport Pilot
                                                                               

I'm interested in studying for these specific certifications...
PPL    IFR    CPL    ME    CFI     CFII    MEI    ATP/SE     ATP-ME
                                                     

* When do you plan to start your flying study?
    

Do you have a specific date you would like to arrive here in Fort Worth, Texas to begin your flight training?
    

If you are a U.S. citizen, do you need information about financial assistance?
Yes         No thanks, I'll take care of financing myself.

* How did you hear about Delta-Qualiflight? 
    

* How serious are you about learning to fly?
    Very serious, I was BORN to fly! I'd like to enroll at Delta-Qualiflight right away - contact me!                
    Quite serious, Delta-Qualiflight sounds great, but I'd like to know a little more
    Interested, please contact me right away!  And rush me the brochure and video!
    Serious interest in learning to fly.  I'm still looking at other schools. 
    (If other schools, which?)
    I do plan to learn to fly.  Send the brochure and video and contact me again in 3-6 months
    Flying sounds cool, I was exploring the possibilities    
    Just curious, but I don't have time to learn to fly 

Questions or comments?


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Delta-Qualiflight Aviation
"Professional Pilot Training"
4201 North Main, Suite 119
Fort Worth TX 76106
Tel  - 001-817-625-7111
Fax - 001-817-625-7173
Web site - http://www.DeltaQualiflight.com
Email - mail@DeltaQualiflight.com  
Copyright Delta-Qualiflight Aviation., 1997, 2003.
Last revised: February 01, 2003