Avenida Jose Larco 1232, Oficina 05-104

Miraflores, Lima - Perú

Phone: 99-216-9000

E-mail: info@simpilot.us • www.simpilot.us

Pre-Registration Application

Please complete the following information. This is the first step in the admissions process. We look forward to helping you reach your career goals. Thank you for choosing SimPilot Peru S.A. (Agent). The form below is sent through a Secure Server. An Admissions Officer will review your application and contact you. Privacy Policy

Personal Information






D.License:
D.N.I:
Sex:
Marital Status:

Have you ever been convicted of a crime, weather felony or misdemeanor in the U.S. or in any other country?
(if yes please explain and provide SimPilot Peru S.A. (Agent) with a certified copy of the final disposition in this matter):

Required Documentation and Informationn



Which Program do you wish to enroll in?

Do You Have a High School Diploma?
Foreign National Students Only) Do you have a Medical Certificate From Your Country Of Origin? (Documentation must be notarized by the U.S. Embassy of your Country)
International Students Only)Do you have a US Visa?:

Do you suffer from current or past Medical Conditions or Physical Ailments that may affect your ability to fly?
Do you have an FAA/DGAC approved Medical Certificate?
If yes, Type?:
Have you obtained a U.S. TSA Approval?

Required Documentation and Informationn


The Pre-Registration Fee is a total of $150.00 U.S. Dollars (One Hundred Fifty Dollars)
The fee is "Non-Refundable" and shall be applied to the following administrative functions/process:
1) Full and complete criminal background investigation (both Federal and State)
2) Review of all forms, signatures, and Medical Documentation Requested
3) Approval by SimPilot Administrative Enrollment and Acceptance Board

Non-Refundable Pre-Registration Fee


Before submitting the Pre-Registration Application and fees, it is important that the student understands that Tuition is due at the commencement of the school term. All Tuition is due (30) days prior to the commencement of classes. If your Tuition is being financed and have requested an installment plan, you will be required to have approval and verification by a lender of a financing agreement prior to the commencement of classes. It is the responsibility of the student to take all necessary steps to assure that a "financing approval" is obtained (30 ) days prior to commencement of classes. Upon receipt and approval of your Pre Registration Application and appropriate fee, you will receive your "School Packet with an Application for Admission and pricing information. Disclaimer (Foreign National Students Only): All students are required to have a valid visa to enter the US prior to being considered for admissions. Students are also required to show proof of TSA acceptance pursuant to Title 49, CFR Part 1552.1-3and . Failure to adhere to this policy will result in denial of admissions and any monies paid with the Pre-Registration application are Non-Refundable.
In Witness hereof, I,
Further understand that any monies paid in advance for Pre-Registration and Application enrollment are none-refundable. I also understand that my acceptance or enrollment in the program is solely and exclusively based on the decision of the school's Agent and/or its administrative school's board and personnel.