Flight Instruction Enrollment Form

If you are seriously interested in flight training with Iowa Helicopter please fill out our flight training application. This application is for us to accommodate you better, we do not use it to deny enrollment to anyone.

Name: (First, Last)
Mailing Address:
City, State, Zipcode	, AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PE PR RI SC SD TN TX UT VA VT WA WV WI WY
Phone Business:
Phone Cell:
Phone Home:
E-mail:
Date Of Birth:
Height:
Weight:
Are You A US Citizen?	Yes No
Course Desired:	Private Commercial Certified Flight Instructor R-44 Training
Start Date:
Do You Hold A Pilot Certificate?	Yes No If Yes, what certificate?
List Hours Flown:
What Days Would You Like To Train?
How Many Hours Per Day?