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Application Form
APPLICATION
FORMS
2009/ 2010
Application Form
Registration/ Application Form
Your Contact Details
Given Names: ___________________________________________________________
Surname: ______________________________________________________________
Address: _______________________________________________________________
______________________________________________________________________
______________________________________________________________________
Home Ph Number: _____________________ Cell Ph Number: ___________________
Email Address: __________________________________________________________
Date Of Birth: _____________________
Other Contacts
Your Parents/ Caregivers Names: ___________________________________________
Relationship to You: ______________________________________________________
Their Contact Ph Numbers: Home Ph Number: _______________________________
Work Ph Number: _______________________________
Cell Phone Number: _______________________________
Address: _______________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ethnicity
NZ European NZ Maori Pacific Island Asian Japanese
Other: (please specify) .....................................................................................................
Are you a citizen or a resident of New Zealand? Yes* No
(*If you answered yes, please indicate which of these you are)
Citizen of New Zealand Permanent Resident of New Zealand
Note – When submitting this application form, if you have answered you are a permanent resident, you will need to supply a verified
copy of your passport showing your residency status
If you answered “No” please state your homeland:
Australia Pacific Islands Asia Europe
United Kingdom USA
Other _______________________________________________________________
Application Form
Education
What qualifications have been awarded to you?
Secondary School = Pre 2000
No Qualifications Overseas Qualification
School Certificate (2 or more subjects) School Certificate (3 or more subjects)
Higher School Certificate Sixth Form Certificate
Bursary (A or B) University Entrance
NZ Students Only: Secondary School = Post 2000
NCEA Level 1 NCEA Level 2 NCEA Level 3
Subjects Taken: _________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tertiary Study
Polytechnic Study: _____________________________________________________
Trade Diploma or Qualification: ___________________________________________
Bachelors Degree: _____________________________________________________
Post Graduate Studies: _________________________________________________
Other:_______________________________________________________________
Please attach verified copies of the results of all secondary and/ or tertiary study completed
Application Form
Which Course Do You Wish To Enroll Into?
PC 1024 – Private Pilot Licence (PPL)
(for International Students and Self Funded Students Only)
Course Duration: 3 - 4months approx
PC 1311 – Commercial Pilot Licence (CPL)/ Multi Engine Instrument Rating (MEIR)
(for International Students and Self Funded Students Only)
Course Duration: 52 Weeks
PC 1311 – Diploma In Aviation Science (NZ Residents Only)
Course Duration: 2 Years
Note – The Diploma In Aviation Science Course is a two year course and the first year of flight training is
from the same syllabus as the CPL/ MEIR course PC 1311
PC 1347 –CPL/ SEIR (Single Rating)
Course Duration: 52 Weeks
PC 2081 – Commercial Pilot Licence
Course Duration: 40 Weeks
PC 2082 – Private Pilot Licence/ Commercial Pilot Theory
Course Duration: 26 Weeks
PC 2083 – CPL Theory – Fixed Wing
Course Duration: 14 Weeks
PC 1310 – Instrument Rating
Course Duration: 12 Weeks
PC 1361 – Instructors Rating Course
Course Duration: 12 Weeks
Basic Gas Turbine Course (Run through Contract Aircrew Services)
Course Duration: 25 Hours
ATPL Theory Papers (IAANZ no longer hold this course)
This course can be done through Professional Pilot Study Centre via correspondence (www.ppsc.co.nz)
All IAANZ courses require a $NZ 500 deposit which will be credited towards course costs
and confirm your place on the course – the deposit is to be paid when the application form
is sent to IAANZ
Course Start Dates For 2009/ 2010
Please tick your preferred start date
30 September 2009 11 January 2010
12 April 2010 12 July 2010
13 October 2010
Other (Please State): __________________________________________________
Application Form
Prior Learning
Do you have any Prior Aviation Learning? Yes* No
(*If you answered “yes”, please complete the sections below)
Practical Activity – Indicate the total number of hours flown to date (please back up this
statement with a verified copy of your logbook).
Dual:______________hrs Solo:_____________hrs
Theory Exams
Please indicate below which Theory examinations you have passed to date:
_____________________________________________ Pass Mark: ____________
_____________________________________________ Pass Mark: ____________
_____________________________________________ Pass Mark: ____________
_____________________________________________ Pass Mark: ____________
_____________________________________________ Pass Mark: ____________
_____________________________________________ Pass Mark: ____________
_____________________________________________ Pass Mark: ____________
Please remember to include verified copies of all your ASL exam slips proving the passes.
Licences Held
Do you currently hold any aviation licences?: Yes No
Licences held: PPL (issued in country?) ____________________________________
CPL (issued in country?) ____________________________________
Other (issued in country?) ___________________________________
Medical Certificate
Do you have a Class 1 Medical Certificate? Yes No*
*If you answered “no”, all applicants will be required to get this medical clearance and to be brought into IAANZ for copying prior to
course commencement and please indicate if you have any of the following conditions
Asthma Migraines Colour Blindness Other: _______________
These conditions may preclude you from receiving a medical clearance – please discuss them with the CAA approved medical assessor
prior to the interview – Please refer to our website for approved Civil Aviation Doctors
Is your Class 1 Medical Current? Yes No*
*If you answered that your medical is not current, please ensure you renew this before the course commences.
Application Form
Civil Aviation Authority “Fit and Proper” Person Declaration
The information solicited here is required pursuant to Sections 9 & 10 of the Civil Aviation
Act 1990, which provide for a “fit and proper” person test to be satisfied.
a. Have you previously had an application for an aviation document rejected or have
you been the holder of an aviation document which has been suspended or revoked
(other than a licence that has been superseded by a replacement or higher
licence)?
Yes No
If answering “yes”, please give details below:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
b. Have you been convicted in any court of law of any transport safety offence?
Yes No
c. Are you presently facing charges for a transport safety offence?
Yes No
d. Have you been convicted on any criminal charge or are you presently facing
charges for any criminal offence?
Yes No
e. Have you had a history of physical or mental health or serious behavioral
problems?
Yes No
If you have answered “yes” to any of the above, please provide details below:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Application Form
Where did you learn about the International Aviation Academy
New Zealand?
Internet – Which website: _______________________________________________
Did you use a search engine? Yes No
If you answered “yes” what was the name of the search engine you used?
______________________________________________________________________
Word of Mouth: Friend
Family Friend
Current Student
Ex Student (Name) ____________________________
Current Staff Member (Name) ___________________
Canterbury Aero Club Member
High School Vocational Guidance Officer
Other: ______________________________________
Printed Newspaper: Local Weekly Paper
Christchurch Press
Local Weekly Chinese/ Asian Newspaper
The Christchurch Star
Other
Publication/ Magazine: Courses and Careers
Jet Magazine
CAC Billboard
Education Supplement
Yellow Pages
Other: ______________________________________
Application Form
Agreement to Proceeding with My Application to Study At IAANZ
I,_______________________________________________________________________
(print name clearly)
acknowledge that by signing this application that I agree to abide by the Academy
enrolment process and any decision the selection panel make. I also agree I have
supplied all the required documents as instructed in this document to commence the
enrolment process and I understand that by not being able to supply the required
information that this may delay my application being processed. I acknowledge that in
preparing for this career that I need to conduct research relating to future employment
options that may be available to me once I have been trained.
If I am accepted for a course, I agree to ensure all the remaining documents are
completed (i.e. class 1 medical on file, all tuition funds settled, and if applicable,
accommodation arranged, the student visa granted,) and copies of the medical, student
visa, etc given to the Academy administration at least 2 weeks prior to the course
commencing. (For international applicants, copies will be accepted prior to arrival, but
originals must be sighted on arrival). I also understand that if I am not able to supply
copies of documents/ passports or complete my medical by this time, I will not be allowed
to start the course for which I have been accepted.
Name: _________________________________________________________________
Signature: ______________________________________________________________
Thank you for choosing to apply to study with the International Aviation Academy of New
Zealand.
Please forward this completed application form and all the supporting documents to:
International Aviation Academy of NZ
PO Box 14 006
Christchurch International Airport
Harewood
Christchurch
New Zealand
Attention: IAANZ Administrator
Contact details for IAANZ:
Phone: 0064 3 358 0477
Fax: 0064 3 359 2621
Email: iaanz.@cac.co.nz
Websites: www.flighttraining.co.nz
Application Form
Information for all Applicants - All applicants, whether they are international or domestic applicants,
enrolling onto any course offered by IAANZ are required to furnish the following documents or information:
♦ The Completed application form
♦ Copy of your birth certificate and for permanent residents, a copy of the passport with the
residency stamp
♦ Must be 18 years of age
♦ Copy of the results of your secondary school and or any recent tertiary study
♦ Copy of your current class1 medical (copy to stay on file here at (IAANZ) Approved CAA
medical practitioners are available on our website
♦ Provide a copy of your drivers licence
Other Information Specific to Domestic Applicants - If the above information satisfies the selection panel,
all domestic applicants will be invited to:
♦ Attend the selection interview - the interview consists of: (i) a 45 minute written assessment; (ii)
a 20 question computer generated assessment; (iii) a flight simulator activity; (iv) an interview
with the Chief Flying Instructor or other designated senior flight instructor
Those domestic applicants who fulfill or exceed the above criteria will be sent a formal letter of offer and
enrolment documents. All successful applicants will be required to ensure:
♦ Their completed enrolment documents with supporting information are given to the Academy
administration 2 weeks prior to the course commencement
♦ Their student loan funds are paid to IAANZ or NMIT 2 weeks prior to the course commencing;
♦ Their Class 1 medical is current and there is a copy on file with IAANZ administration at least 1
week prior to course commencing;
♦ Attend the orientation day.
Important note - Those successful applicants who have not been able to provide the above documentation 2
weeks prior to the course commencing, will not be able to commence the course. This is not open to
negotiation, so please don’t ask. These student affected will be advised by phone and in writing.
Those domestic students who do not meet the entry criteria will be advised in writing and will have their
deposit refunded.
Other Information Specific to International Applicants - if the above information satisfies the selection
panel, the international applicant will be:
♦ Sent a letter of offer of place of study, both by email and by post
♦ Sent an invoice for the full tuition fees and the compulsory medical and travel insurance, via
email
Once the fees are paid, the international applicant will be:
♦ Sent a receipt proving payment of the fees and medical/ travel insurance
♦ sent the enrolment documents
♦ requested to arrange accommodation for the duration of the course (pre-payment of the
accommodation or a copy of the tenancy agreement will be required to support your application
for the student visa)
♦ complete the required NZ Immigration health checks
Application Form
When the above has been completed the accepted international student can then apply for their student
study visa.
Once the student visa has been issued, the successful international student will need to:
♦ Advise the Academy of their arrival date and time
♦ Ensure their accommodation is organised.
♦ Ensure their arrival in prior to the international orientation day
♦ Attend the Orientation Day - Those who are accepted will be required to attend the orientation
day which will be held on the Friday prior to the PPL theory courses commencing. Students will
be advised in writing of this day. Attendance at this day is absolutely compulsory as it is a full
day timetable of events that will assist all international student to understand the course, the
course timetable, the organisation and we offer two seminars to assist international students
with assimilation into the Kiwi culture: one is a driving safely on New Zealand seminar where
the current road rules are explained; and as we have so many students who cycle to the
Academy on daily basis, the second seminar is on bicycle safety and the road code
♦ Class1 Medical clearance required? If the student needs to get the compulsory NZ CAA Class
one medical, they will need to arrive at least 1 week prior to the course start date to ensure this
check is completed prior to course starting. Advising the Academy administration of your arrival
date, will ensure a doctors appointment is made for you
Application Form
IAANZ Application For Recognition Of Prior Learning
Applicants Name: ______________________________ Date: __________________
I am seeking Recognition of Prior Learning for the following theory subject passes and I
have attached copies of the ASL exam passes, CAA Licences and Medical Certificates
and appropriate.
Please indicate which papers you have passed:
ASL
Exam
Theory Subject Date Passed Pass Mark
Passed
Yes/ No
PPL Theory Subjects
PPL Law
PPL Navigation
PPL FRTO
PPL Meteorology
PPL Airtech
PPL Human Factors
CPL Theory Subjects
CPL Law
CPL Navigation
CPL Principles of Flight
CPL Meteorology
CPL CPL Airtech
CPL Human Factors
IFR Theory Subject
IFR Law
IFR Navigation
IFR Nav Aids
ATPL Theory Subject
ATPL Law
ATPL Navigation
ATPL Meteorology
ATPL Flight Planning
ATPL Instruments and Nav Aids
ATPL Adv Aeros
ATPL Human Factors
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