Step 1 of 5 20% First Name*Middle NameLast Name*Preffered NameAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Date of Birth* Date Format: MM slash DD slash YYYY Birthplace*Citizenship*Brothers or sisters (list name and age) Father's InformationFather's Full Name (First, Middle, Last)Father's PhoneFather's OccupationMother's InformationMother's Full Name (First, Middle, Last)Mother's OccupationMother's Phone School & ActivitiesPlease tell us about your education and extracurricular activities. School Attending*Grade Level*101112OtherOther SchoolsSubjects and GPAExtracurricular ActivitiesHobbiesEmployment and/or Volunteer RecordCompany or Employer NamePositionStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY End Date to Presentto PresentAdd Another EmploymentAdd AnotherCompany or Employer NamePositionStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY End Date to Presentto PresentPlease describe any flying experiences you have had in any type of aircraft. ReferencesName First Last PhoneName First Last PhoneName First Last Phone Please include a statement of 500 words or less on the following topic: “Why I Would Like to Become a Pilot”*Agreement* I consent to having Decatur EAA store my submitted information so they can review my application and contact me by email or phone.
