Enrollment Form

The following form should be completed by all International Students. The Flight School of Gwinnett will use this information to process the student's Form I-20 and other documents required by US Immigration. If you have any questions or statements that The Flight School may help you with, please include them at the end of the Enrollment Form.

First Name
Middle Name
Last Name
	Male Female
Address Line 1
Address line 2
City
State/Province/Territory
Postal Code
Country
Nationality
International Phone Number
US Phone Number (if known)	( ) -
Date of Birth	Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946
Place of Birth (include city)
Passport Number
Passport Date of Issue	Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998
Passport Expiration Date	Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
E-mail Address
Questions or Statements
Enter Security Code Displayed	Reload Image