Pilot Experience Questionaire (PEQ)


PILOT / OWNER INFORMATION

If no middle name then type "NMN"
mm/dd/yy
First and Last Name of Responsible Party if an individual, otherwise Business Name

TRAINING INFORMATION

Explain "Other" in special training requests below

 


AIRCRAFT INFORMATION


PILOT EXPERIENCE

Check all that apply

Total Flight Times

Hours, numbers only
Hours, numbers only
Hours, numbers only

Pilot-In-Command (PIC) Totals

Hours, numbers only
Hours, numbers only
Hours, numbers only
Hours, numbers only
Hours, numbers only
Hours, numbers only
Hours, numbers only

List aircraft from most hours to least
Numbers Only

Do you have the required training and logbook endorsements (or certificates) for:


By pushing the "Submit" button, you are certifying that all the information on this form is accurate and verifiable by logbooks or other records upon request.