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Pilot Status or Certificate

Please provide make and model of primary aircraft flown and total time in type. Also list any aircraft you plan to fly in the next two years.

Ratings

Best Estimates of:

Total Time

Hours flown in the past 12 months

Estimated flight hours in the next 12 months

Hours Left?

In the past three years, have you flown: (Check all that apply)

Primary Instruction of Students

No Primary Instruction but other CFI work

Aerobatic Aircraft

Agriculture Aircraft

Air Ambulance

Experimental and/or Homebuilt

Other Commercial Flying for Hire

Ultralight Aircraft

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