Form: PPL Onsite Ground School Form | Eagles Assurgent Connexion

Applicant Information

Fields marked * are required

Educational Background

Highest Level of Education Completed *

High School

Associate's Degree

Bachelor's Degree

Master's Degree

Other (specify)

Program Selection

Preferred Session Month (if applicable) *

January

April

July

October

Would you like to receive flight training with our international partners? *

Yes

Do you have any prior aviation experience? If yes, please describe briefly:

How did you hear about Eagles Assurgent Connexion? *

Website

Social Media

Referral

Event/Exhibition

Other (specify)

Do you have any medical conditions or special needs we should be aware of? *

Yes

Acknowledgment and Declaration

I, hereby declare that the information provided in this form is true and accurate to the best of my knowledge. I understand that providing false information may result in the rejection of my application.

Get in Touch

(+234) 913 680 9848

info@eaglesassurgent.org

Elite Academy Area M, World Bank New Owerri, Imo State.

(+234) 913 680 9848

Applicant Information

Residential Address

Educational Background

Program Selection

Additional Information

Emergency Contact Information

Our Services

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