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Transport Canada
• Flight Training Units
• Flight Test Examiners
• Instructor Refresher Courses
• Safety Management Systems (SMS)


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Flight Instructor Refresher Course
Provision of the information requested on this form is voluntary. The information is being collected for the purpose of determining eligibility and completing the selection process for an Instructor Refresher Course. The information will be stored in the Flight Instructor Refresher Course Database. Personal information that you provide is protected under the provisions of the Privacy Act. The Act provides you with a right of access to your information.
An answer must be provided for fields marked with an asterisk.
* 1. Course Type: Aeroplane    Helicopter
* 2. Course Start Date:
* 3. Location:
   Mr.    Ms.    Mrs.
* 4. First Name: Middle Name: Last Name:
Please provide at least one of the following: Mailing Address or Contact Phone Number.
* 5. Street Address: City:
   Province:   Postal Code:
* 6. Telephone:
Home: Work:
Fax:     Email:
* 7. License Type:  * 8. License Number: 
Aeroplane    Helicopter
* 9. Class of Instructor Rating:  * 10. Expiry Date: 
* 11. Flight Instructor Experience Past 12 Months (hours): 12. Other Ratings:
* 13. Club or Flight Training Unit:

* 14. Present Status at Club or School (you must choose at least one)
Chief Instructor:  Full Time:  Part Time: 
Freelance:  DFTE:  Unemployed: 
15. What Year Did You Last Attend a Flight Instructor Refresher Course?  Never Attended
16. List Year(s) of Any Unsuccessful Application(s) to Attend:
* 17. Date of Last Flight Test:
18. Subjects you would like to see included in this year's course program:


APPLICATIONS FOR COURSES MUST BE RECEIVED A MINIMUM OF 45 
DAYS PRIOR TO THE COURSE DATE

Transport Canada (AARRE)
Ottawa ON  K1A 0N8
Fax: (613) 990-6215
Last updated: 2004-06-09 Top of Page Important Notices