SBAFIA Student Questionnaire

A CGI form is pending. Please print out the questionnaire below and mail it to South Bay Area Flight Instructor's Association, 5857 Rohn Way, San Jose, CA 95123


First Name: _______________________________________

Last Name: ________________________________________________

Street Address: _____________________________________________

City: _____________________ State: _____ Zip: _________________

Home Phone: _________________________

Work Phone: _________________________

Cell Phone: ___________________________

E-mail Address: ________________________

Any Current Ratings Held (None, Private Pilot, Commercial Pilot, etc.):__________________________________

Total Flight Time (Hours): ___________________________________________

Aircraft Preference(s): _________________________________

Hours You Work (Example: 5 days per week, 12 hours per day):______________________

What time of the day would you prefer to do your flying ?________________________

What's your geographic area? ____________________________________

Describe your learning style (Theoretical, practical, etc.):_____________________________

__________________________________________________________________________

Preferred frequency for lessons (circle one or more):

1-2 times a week
3-4 times a week
4+ times a week

Instructor preferences (Circle one or more):

Male
Female
Foreign
Domestic

Instructor Age Preference (Circle one or more)

Under 25
26-35
36-50
Over 50

What kind of hobby or career interest would your ideal instructor have?_______________

______________________________________________________________

What radio station would your ideal instructor listen to? ____________________

Any additional comments? _________________________________________

_______________________________________________________________

_______________________________________________________________

How did you learn about this service ? ________________________________

________________________________________________________________


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