Online Application

Personal Information

Name *

Email *

Primary Phone *

Secondary Phone

Address *

City *

State *

ZIP *

Occupation

Weight *

Date of Birth *

Month

Day

Year

Highest Level of Education *

GED

BA/BS

MA/MS+

Emergency Contact

Emergency Contact Phone

Program Requesting

Start Date Requesting

Month

Day

Year

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? *

YES

Please tell us the date *

Month

Day

Year

Have you ever had an aircraft accident, incident, or violation? *

YES

Please provide details *

Will you be using VA Benefits (GI Bill)? *

(See our Financial Aid page for more information.)

YES

How did you hear about Quantum?

Pilot Training Experience

Pilot Certificates Held

Pilot Cert #

Issue Date

Month

Day

Year

Total Flight Hours

Helicopter

Airplane

Total PIC

Helicopter

Airplane

Total Instrument

Helicopter

Airplane

Instruction Received

Instruction Given

Name of Previous School(s)

Start Date

Month

Day

Year

End Date

Month

Day

Year

Certificates/Ratings Achieved

Documents Required Prior to the Commencement of Training

An unexpired, original US passport or original birth certificate (US citizens only, others should contact Quantum for further instructions)
A current aviation medical certificate.

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 specified 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.

Deposit Agreement Checkbox *

I agree to the terms above.

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