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| Applicants, please read this form carefully: | ||||||||||
| 1) Complete this form in full. Print clearly. Incomplete forms will be returned to the student. | ||||||||||
| 2) Applicants with high school credits or post-secondary education must submit transcripts | ||||||||||
| with this application form. | ||||||||||
| 3) Notice of acceptance will be by mail. Please ensure all personal information on the form is | ||||||||||
| current and correct. | ||||||||||
| 4) Mail this complete form to the Buffalo School of Aviation. | ||||||||||
| Note: Fees, program schedules and delivery locations may change without notice. It is the | ||||||||||
| responsibility of the applicant to ensure the program is available. | ||||||||||
| Personal Data | ||||||||||
| Name: | ||||||||||
| (Last Name) | (First Name) | (Middle Name) | ||||||||
| Social Insurance No.: | ||||||||||
| Permanent Mailing address: | ||||||||||
| (Street/ Box Number) | ||||||||||
| (community and Prov./Ter) | (Postal Code) | |||||||||
| Birth Date: | / / | Sex: | Male | |||||||
| (year/ month/ day) | Female | |||||||||
| Phone: | ||||||||||
| (residence) | (work) | |||||||||
| Have you any medical condition(s) of which the school should be aware of ? Yes No | ||||||||||
| If yes, please specify: | ||||||||||