RWR Pilot Training Pilot Application Form

Training / Service Application

Please answer all of the following questions as completely as you can.
It will help me provide you with excellent training and service.

Full Name (as it appears on your pilot license) *

Mobile Phone Number *

Email Address *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Occupation *

Employer's Company Name *

Date of Birth *

Pilot Certificate Number *

Citizenship *

Certificates & Ratings Held *

How did you first hear of me and my program? *

At which airport and FBO is or will the aircraft be based? *

At Which Airport and FBO would you like to train? *

If you are not the owner of the aircraft to be used for the training please include here the name and email address of the individual with owner responsibility for the aircraft *

What training and/or service would you like me to provide? (please be as specific as you can with dates, locations, insurance requirements and any other needs or objectives.) *

Total Flight Time *

Total Time in the last 90 days *

Total Instrument Time *

Total Time in the past 12 months *

Total PA46 Make/Model time *

Total Night Time *

Which of the following statements best describes your needs: *

- I fly over 200 hours per year to ATP standards. I'd like the "short course" (evaluation only) - I have more than 100 hours Make/Model. I want to use this training to improve my knowledge and skills. I want to be the best pilot I can be in the time allotted. - I am rusty or not completely familiar with one or more systems on this aircraft. I need the benefit of a rigorous program.

Which model PA46 will you be using for the training? *

Aircraft Registration Number *

Aircraft Year *

Aircraft serial number *

Aircraft Colors *

What avionics or systems on this aircraft are new to you? *

Modifications and/or Optional Equipment if any: *

Your insurance broker's name & phone number *

First Time Applicants - Please tell me a little about yourself. Returning Customers - What's new? *

When, Where and with whom did you last train? *

Your Insurance broker's email address *

Your insurance broker's company name: *

Your Insurance Underwriter Company Name? *

1 - I am required to have a “Statement of Demonstrated Ability” (SODA) from the FAA to operate as PIC. *

True False

2 - I am self employed, and, I work over 60 hours per week, and, I have three or more individuals reporting directly to me. *

True False

3 - I have had a major life change in the last year (i.e.: death in the immediate family, loss of a job, divorce, major financial loss or health issues; mental or physical; treated or untreated) *

True False

4 - My Age is: *

A: 49 or less B: 50 - 65 C: 66 or older

5 - I am a Private or a Commercial pilot (Not an ATP) *

True False

6 - I have flown less than 1000 Hours PIC in the last 4 years. *

True False

7 - I have never operated a pressurized, FIKI (flight into known icing) capable aircraft before. as PIC. *

True False

8 - I have less than 200 PIC hours operating in the flight levels as PIC. *

True False

9 - I have less than 250 PIC hours in aircraft with retractable gear. *

True False

10 - I have less than 200 instrument hours as PIC in aircraft weighing less than 12,500 Lbs MTOW. *

True False

11 - The highest rating I have is: *

A: ATP B: Private or Commercial - Instrument C: Private - no instrument rating

12 - This is (or will be) the fastest aircraft I have ever operated as PIC on a solo basis *

True False

13 - I have had an aviation accident or license suspension: *

A: Never B: Over 5 Years Ago C: Less Than 5 Years Ago

14 - I have been rated and current as a pilot (any type of aircraft) for: *

A: Over 10 years B: 5 - 10 Years C: less than 5 years

15 - I am confident that I can currently pass an FAA Instrument Flight Test to the following standards: *

A: ATP Standards: +50', +/-5 Kts, 1/4 scale CDI deflection B: Private Standards: +/- 100', +/-10 Kts, w/in full scale CDI deflection C: Unable to fly to Private/Instrument Standards without further training

16 - Considering only the systems and avionics which are presently in the aircraft for which you are receiving training, which of the following statements are true: (Choose only one) *

A: I am experienced and familiar with all systems and avionics B: I am new to or not entirely familiar with 1 or 2 of these items C: I am new to or not entirely familiar with 3 or more of these items

17 - My total PIC time is: *

A: Greater than 5000 hours B: Between 1500 & 5000 hours C: Less than 1500 hours

18 - The most recent 250 PIC hours in my logbook was flown within the last: *

A: 1 year B: 2 years C: 3 or more years

19 - I flew less than 25 hours in the last 3 months as PIC *

True False

20 - I currently fly or I am planning to fly less than 150 hrs per year. *

True False

Review the Terms and Conditions

Thank you for considering me for your PA46 training and/or service requirements. After you click on the SUBMIT button below, look for a brief message on a new page saying that "your application has been received..."

Any questions? Give me a call/text 410-435-3333 or send me an email mail@rwrpilottraining.com

SUBMIT Application

Training / Service Application

Please answer all of the following questions as completely as you can.​It will help me provide you with excellent training and service.

Please answer all of the following questions as completely as you can.
It will help me provide you with excellent training and service.