{"id":646,"date":"2023-09-27T16:01:17","date_gmt":"2023-09-27T20:01:17","guid":{"rendered":"https:\/\/www.brunneraerospace.com\/?page_id=646"},"modified":"2023-09-27T16:01:54","modified_gmt":"2023-09-27T20:01:54","slug":"prospective-student-contact-form","status":"publish","type":"page","link":"https:\/\/network.semct.com\/brunneraerospace\/flight-training\/prospective-student-contact-form\/","title":{"rendered":"Prospective Student Contact Form"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_9' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_9'  action='\/brunneraerospace\/wp-json\/wp\/v2\/pages\/646'>\n                        <div class='gform_body'><ul id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_above'><li id='field_9_1' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_1_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix' id='input_9_1'>\n                            \n                            <span id='input_9_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_9_1_3' value='' tabindex='2'  \/>\n                                                    <label for='input_9_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_9_1_6' value='' tabindex='4'  \/>\n                                                    <label for='input_9_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_9_9' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_9' >Age<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_9' id='input_9_9' type='text'    value='' class='small' tabindex='6'    \/><\/div><\/li><li id='field_9_2' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_2' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_2' id='input_9_2' type='text' value='' class='medium' tabindex='7'   \/><\/div><\/li><li id='field_9_3' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_3' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                            <input name='input_3' id='input_9_3' type='text' value='' class='medium' tabindex='8'   \/>\n                        <\/div><\/li><li id='field_9_14' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_14' >Are you a United States citizen?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><select name='input_14' id='input_9_14' onchange='gf_apply_rules(9,[15,16]);' class='small gfield_select' tabindex='9' ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id='field_9_15' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_15' >Are you a lawful permanent resident of the United States?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><select name='input_15' id='input_9_15' onchange='gf_apply_rules(9,[16]);' class='small gfield_select' tabindex='10' ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id='field_9_16' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_16' >Foreign Citizenship \/ Residency<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Please list all countries of which you are a citizen or lawful permanent resident.<\/div><div class='ginput_container'>\n\t\t\t\t\t<textarea name='input_16' id='input_9_16' class='textarea small' tabindex='11'    rows='10' cols='50'><\/textarea>\n\t\t\t\t<\/div><\/li><li id='field_9_4' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_4' >Do you have a current FAA Medical Certificate?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><select name='input_4' id='input_9_4' onchange='gf_apply_rules(9,[5,6]);' class='small gfield_select' tabindex='12' ><option value='No' selected='selected'>No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id='field_9_5' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_5' >FAA Medical Type<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><select name='input_5' id='input_9_5'  class='small gfield_select' tabindex='13' ><option value='Third Class' >Third Class<\/option><option value='Second Class' >Second Class<\/option><option value='First Class' >First Class<\/option><\/select><\/div><\/li><li id='field_9_6' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_6' >FAA Medical Expiration Date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                            <input name='input_6' id='input_9_6' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='14'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_6' class='gform_hidden' value='https:\/\/network.semct.com\/brunneraerospace\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_9_7' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_7' >Current FAA Certificate(s) &amp; Rating(s)<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Please list any FAA certificates and ratings you already have, one per line. Please enter \"None\" if you don't have any.<\/div><div class='ginput_container'>\n\t\t\t\t\t<textarea name='input_7' id='input_9_7' class='textarea small' tabindex='15'    rows='10' cols='50'><\/textarea>\n\t\t\t\t<\/div><\/li><li id='field_9_8' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_8' >Flight Training Objective<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>(Hold \"Ctrl\" to select more than one option)<\/div><div class='ginput_container'><select multiple='multiple'  size='7' name='input_8[]' id='input_9_8' onchange='gf_apply_rules(9,[10,13]);' onkeyup='clearTimeout(__gf_timeout_handle); __gf_timeout_handle = setTimeout(\"gf_apply_rules(9,[10,13])\", 300);' class='large gfield_select' tabindex='16' ><option value='Private Pilot - Rotorcraft Helicopter' >Private Pilot - Rotorcraft Helicopter<\/option><option value='Instrument Rating - Rotorcraft Helicopter' >Instrument Rating - Rotorcraft Helicopter<\/option><option value='Commercial Pilot - Rotorcraft Helicopter' >Commercial Pilot - Rotorcraft Helicopter<\/option><option value='Private Pilot - Airplane Single Engine Land' >Private Pilot - Airplane Single Engine Land<\/option><option value='Instrument Rating - Airplane Single Engine Land' >Instrument Rating - Airplane Single Engine Land<\/option><option value='Commercial Pilot - Airplane Single Engine Land' >Commercial Pilot - Airplane Single Engine Land<\/option><option value='Flight Hours for Current Flight Training Program' >Flight Hours for Current Flight Training Program<\/option><option value='Other (Unlisted)' >Other (Unlisted)<\/option><\/select><\/div><\/li><li id='field_9_10' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_10' >Current Flight Training Program<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Please describe your current flight training program, including the type of program, your start date, your completed flight hours, and your remaining flight hours.<\/div><div class='ginput_container'>\n\t\t\t\t\t<textarea name='input_10' id='input_9_10' class='textarea small' tabindex='17'    rows='10' cols='50'><\/textarea>\n\t\t\t\t<\/div><\/li><li id='field_9_13' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_13' >Please describe which certificate(s) and\/or rating(s) you are looking for:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n\t\t\t\t\t<textarea name='input_13' id='input_9_13' class='textarea small' tabindex='18'    rows='10' cols='50'><\/textarea>\n\t\t\t\t<\/div><\/li><li id='field_9_11' class='gfield gfield_contains_required field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_11' >Desired Start Date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><select name='input_11' id='input_9_11'  class='medium gfield_select' tabindex='19' ><option value='In the next month' >In the next month<\/option><option value='In the next three months' >In the next three months<\/option><option value='In more than three months' >In more than three months<\/option><option value='Just researching right now' >Just researching right now<\/option><\/select><\/div><\/li><li id='field_9_12' class='gfield field_sublabel_below field_description_above' ><label class='gfield_label' for='input_9_12' >Captcha<\/label><div class='gfield_captcha_container'><img class='gfield_captcha' src='https:\/\/network.semct.com\/brunneraerospace\/wp-content\/uploads\/sites\/9\/gravity_forms\/0-1392337c7e596c1b3f8216c203ad1948\/262168502.png' alt='' width='150' height='42' \/><div class='gfield_captcha_input_container simple_captcha_medium'><input type='text' name='input_12' id='input_9_12' tabindex='20'\/><input type='hidden' name='input_captcha_prefix_12' value='262168502' \/><\/div><\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_9' class='gform_button button' value='Submit' tabindex='21' onclick='if(window[\"gf_submitting_9\"]){return false;}  window[\"gf_submitting_9\"]=true; 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