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Aviation science application
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Your name
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First
Last
Phone number
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PCC email
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All further communication regarding your application and admission status will be sent to your PCC email address.
Student ID (G#)
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Mailing address
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Street Address
City
State
Alabama
Alaska
American Samoa
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Will you be seeking an AAS degree in Aviation Science?
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Yes
No
Intended Major
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All Aviation Science academic classes are at the Rock Creek campus.
AVSA Airplane with flight instructor (flying at Hillsboro airport)
AVS Airplane without instructor (flying at Hillsboro airport)
Are you a citizen of the United States?
*
Note: Citizenship not required, but non-US citizens will be required to undergo a brief TSA background check.
Yes
No
How did you hear about our program?
Funding
Have you secured private funding for the flight training fees?
*
You must have enough funding to cover flight fees for your first rating. You will not be able to start your flight training at HAA until your fee is paid in full.
Yes
No
Amount secured
*
Do you plan on using Federal Student Aid (FAFSA)
*
Yes
No
Do you have an FAA Medical Certificate (Class I or II)?
*
Yes
No
Medical Certificate
*
Please upload copy at end
Class I
Class II
Examination date on current medical certificate
*
Date exam is scheduled
Prerequisites
Have you met the following prerequisites?
Placement into Math 65 (or higher)
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Yes
No
Are you currently taking Math 60?
*
If yes, please attach a Course Progress Notification to the end of this form
Yes
No
Placement into WR 121
*
Yes
No
Are you currently taking RD 115?
*
If yes, please attach a Course Progress Notification to the end of this form
Yes
No
Are you currently taking WR 115?
*
If yes, please attach a Course Progress Notification to the end of this form
Yes
No
Are you using an unofficial college transcript to meet the program prerequisites
*
If yes, please attach at end
Yes
No
Have you taken AVS 117: Aviation Study/Professionalism?
*
Yes
No
Have you taken AVS 127: Introduction to Aviation?
*
Yes
No
Other
Are you submitting an official college transcript to PCC Student Records for evaluation of prior college credits?
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Not required unless you are wanting to transfer credits for previous college courses
Yes
No
Have you completed the Consent to Release forms in MyPCC?
*
You must complete one for HAA and one for FAA
Yes
No
FAA pilot certifications
*
Do you hold any FAA pilot certificates or ratings? Please attach copies at end.
Yes
No
Certifications
Private
Instrument
Commercial
Certified Flight Instructor
Upload documents
Cover letter
*
Your cover letter should include your career goals, previous aviation experience. You should also specify how many flight lessons you plan to schedule each week, and how many credits you intend to register for each term at PCC.
Accepted file types: pdf, doc, docx, txt, jpg, Max. file size: 20 MB.
FAA Medical Certificate (Class I, or II)
*
Accepted file types: pdf, doc, docx, txt, jpg, Max. file size: 20 MB.
Course progress notifications
*
If currently enrolled in Math 60, RD 115, and/or WR 115
Accepted file types: pdf, doc, docx, txt, jpg, Max. file size: 20 MB.
Copy of pilot certificates
(if applicable)
Accepted file types: pdf, doc, docx, txt, jpg, Max. file size: 20 MB.
Transcripts from other colleges
(if applicable)
Accepted file types: pdf, doc, docx, txt, jpg, Max. file size: 20 MB.
Agreement
This certification takes the place of a signature. By answering "I agree" below, you certify that you have read, understood, and agree to the following statements.
I have read the
I have submitted the online
Consent to Release forms (2)
through
I HAVE CHOSEN TO PARTICIPATE IN THE PCC AVIATION SCIENCE PROGRAM (AVS). I AGREE and understand that if I choose to participate in the flight training component of AVS, I may be exposed to a variety of hazards and risks of injury, foreseen or unforeseen, which cannot be eliminated because of the nature of this Program. These inherent risks include but are not limited to serious injury to any or all bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system and serious injury or impairment to other aspects of my body, health, and well being. I also understand that the dangers and risks of participating in this Program may result not only in serious injury, but in a serious impairment of my future well being, including, without limitation, my ability to earn a living, to engage in business, social, and recreational activities, and generally to enjoy life. I also understand that risk of participation includes the possibility of death.
PCC has not tried to contradict or minimize my understanding of these risks. I understand that risks of such injuries, death and impairment of future well being are involved in this Program. I acknowledge that I must exercise extra care for my own person and for others around me in the face of such hazards. I further understand that while participating in this Program I might not have immediate access to rescue or medical expertise and facilities necessary to deal with injuries that I may suffer and that may affect my future well being.
Acknowledge that my participation in the Program is voluntary.
Acknowledge that I have read the rules and conditions applicable to this Program made available to me, that I will pay any required costs and fees for the Program, and that the Instructor has discretion to deny my participation.
Understand that the Program officially begins and ends at the location(s) designated by the Instructor, and does not include transit to and from the location(s). 5. Agree that I am personally responsible for all risks associated with this Program, including, without limitation, the risk described in the first two paragraphs of this Agreement.
Understand that this Agreement is intended to be as broad and inclusive as legally permitted and agree that any part of this Agreement is held to be invalid or legally unenforceable for any reason, the remainder of this Agreement will not be affected and will remain valid and fully enforceable.
Agree to the fullest extent allowed by law to Waive and Discharge All Claims of Whatever Nature, and Release from Liability, fully and finally, now and forever, for myself, my estate, my heirs, my administrators, my executors, my assignees, my successors, and for all members of my family, and to release, exonerate, discharge and Hold Harmless Ë¿¹ÏÊÓƵ, its Board of Directors, the individual members thereof, and all officers, agents, employees, volunteers, and representatives Releasees from any and all liability, claims, causes of action or demands arising out of any injuries to me or to my property or losses of any kind which may result from or in connection with my participation in the below named Program whether or not such claims arise from negligence.
IT IS MY INTENTION TO EXEMPT AND RELIEVE THE RELEASEES FROM LIABILITY FOR PERSONAL INJURY OR DEATH CAUSED BY NEGLIGENCE.
Understand by signing this form I am giving up legal rights, including the right to sue.
Acknowledge that I am knowingly and voluntarily assuming all risks of injury, death, and impairment of future well being, and notwithstanding such risks, I agree to participate in this Program.
I agree that I have read this agreement in its entirety.
*
I agree
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