Quantum Helicopters
Professionalism. Experience. Integrity. Without compromise.
Enrollment Application

To enroll in our helicopter training program you will first need to fill out an application and provide a deposit of $500. You can fill out this application online below, or if you prefer you can download a fillable PDF application that can be printed and submitted along with your deposit.

ENROLLMENT APPLICATION/DEPOSIT AGREEMENT QUANTUM HELICOPTERS
* = Required

Personal Information
*Name
*Email
*Address
*Home Phone
*City
*ST *ZIP
Work Phone
*DOB
*Weight
Occupation
*Highest Level of Education
 GED HS
BA/BS MA/MS+
Emergency Contact
Emergency Contact Phone
Program requesting Start date requesting
*Have you ever been convicted for a violation of any Federal or State statutes relating to drugs, marijuana, or depressant or stimulant drugs or substances?
         If yes, please give date: Yes No
*Have you ever had an aircraft accident, incident, or violation? Yes No
         If yes, please provide description:
*Will you be using VA Benefits (GI Bill)? (See Student Orientation document for instructions)
  Yes No
How did you hear about Quantum?
 
Documents Required Prior to the Commencement of Training
  1. An unexpired, original US passport or original birth certificate (US citizens only, others should contact Quantum for further instructions)
  2. A current aviation medical certificate.
 
Pilot Training Experience
Pilot Certificates Held Pilot Cert #
Issue Date
Total Flight Hours
Helicopter Airplane
Total PIC Helicopter Airplane
Total Instrument Helicopter Airplane
Instruction Received Instruction Given
Name of Previous School(s) Dates Attended to
Certificates/Ratings Achieved
 
Deposit Agreement

I, , am remitting the sum of $500.00 to Quantum Helicopters which shall represent my deposit for flight training. I understand that this deposit reserves my position to begin helicopter flight training on the date of and will be applied to my training account when I report for training. Further, I accept, acknowledge, and understand that this deposit is non-refundable in the event that I am unable to appear for training on the date specified above, and will be forfeited to Quantum Helicopters without recourse.

I additionally acknowledge this to be the only notification of the beginning training date as specified above. I understand that I will not receive any further notice from Quantum Helicopters of my beginning date as stated herein. I certify that the information I have provided above is accurate to the best of my knowledge.
Quantum Helicopters
2401 South Heliport Way
Chandler, AZ 85286
Phone (480) 814-8118

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