Enrollment Form (MS Word Document) - L

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100 Cattlemen Road
Sarasota, FL 34230
941-377-0811
Subject: L-3 Aviation Recorders Training Courses
To better serve our customers planning to attend the L3AR Standard Training courses, a single point of
contact through our L3AR Product Support Department will process all training enrollment requests. For
enrollment information in these courses, please contact Gilberto Loyola; Tel: (941) 379-1662; e-mail:
Gilberto.Loyola@L-3com.com.
We would appreciate your cooperation in adhering to the following procedure to help us reduce trainee
no-shows and maximize customer participation.
Enrollment Procedure:
1.
2.
3.
4.
The customer completes the L3AR Training Enrollment Form for each student attending a course as
provided on the following page.
Forward the form, and copy of passport via one of the following:
a. Fax to Gilberto Loyola (941) 377-5591.
b. E-mail to Gilberto.Loyola@L-3com.com
For all courses a $500.00 non-refundable registration fee applies (part number 17TES1000). Some
courses require an additional tuition fee (see http://www.l-3ar.com/services/training_aviation.htm for
details); payment will be made by Purchase Order.
The L-3AR Training Registrar will provide final confirmation of enrollment by e-mail once all forms and
purchase orders are received and processed.
General Enrollment Information:
1.
Written requests for enrollment are required. Please use the enrollment form following this page.
Reproduced copies are acceptable. All inquiries will be acknowledged.
2.
Enrollments are accepted on a first-come, first-serve basis.
3.
If enrollment requests exceed space available, enrollments will be accepted based on the date and time
the enrollment form is recorded. Class size is limited to 13 students. The numbers of students that can
be enrolled from a single customer or agency may be limited, depending on the number of other
students.
4.
Attendance is normally limited to customers or aircraft manufacturers using L3AR products. For more
information, contact the L-3AR Training Registrar.
5.
If it becomes necessary for a registered student to withdraw from a class, please advise the Training
Registrar at least 15 working days before the first day of class so students on standby status can be
enrolled. The non-refundable registration fee will not be refunded; however, if a course tuition fee is
applicable this will be refunded.
6.
Due to the high demand for courses, any student withdrawals without a 15-day notice may be subject to
full tuition charges, if applicable. We ask for your cooperation so that we may better serve all of our
customers.
7.
General student information (date, location, and start time) will be forwarded with final confirmation of
enrollment.
8.
If information about local hotels is required, please check the appropriate box on the Enrollment Form.
9.
All study materials provided are marked “FOR TRAINING PURPOSES ONLY” and are not under
revision/update control.
10.
Limitations on the reproduction or further distribution of training materials may be identified on the
training documents. Non-U.S. citizens may be asked to sign a Letter of Assurance that is a part of the
Visitor’s Authorization Form where required by U.S. export law (recipient of data agrees not to make
data available to citizens of designated countries).
11.
A passport must be presented by all participants when checking in with L3AR on the first day of training
for admittance to the training facility in Sarasota FL. Also, a photocopy of their passport must be sent
with the L3AR Training Enrollment Form.
www.L-3ARcom.com
Page 1 of 2
ENROLLMENT FORM
ENROLLMENT PROCESS:
1.
2.
3.
4.
5.
6.
7.
A completed and signed L3AR Training Enrollment Form is required for each person enrolling into all
training courses.
Enrollment forms must be faxed, or e-mailed to the L-3AR Training Registrar: Gilberto.Loyola@L-3com.com.
IMPORTANT: A photocopy of current passport is required to be included with the L3AR Training Enrollment
Form for access into the L-3AR facility.
Enrollments are accepted on a first-come, first-serve basis.
A purchase order is required to guarantee admittance into a course.
If unforeseen circumstances exist which result in course postponement or cancellation, L3AR will normally
provide a minimum of a 15 working day notice (refer to Item 5. on the previous page for details).
Final confirmation of enrollment will be provided by e-mail from the L-3 Training Registrar.
Print or type all information. Please complete the required information below.
Last Name
First Name (Legal Name)
Company
Job Title
Passport Number (If not U.S. Citizen)
Citizenship
Drivers License / State (If U.S. Citizen)
/
Company Street Address
City
State/Province
Company Fax (Optional)
Country
Zip/Postal Code
Company Phone
Extension
E-Mail (Optional)
COURSES (Please check appropriate box and provide information required):
X
Course Title
CVR/FDR Operation & Maintenance
A/C Database & Data Analysis
Accident Investigation

Part Number
17TES1100
17TES1200
17TES1300
Registration Fees
(Non-Refundable)
$500.00 *
$500.00 *
No Charge
Course Fees
No Charge
$1,000.00
No Charge
Course Start Date
Click here to enter a date.
Click here to enter a date.
Click here to enter a date.
If registering for multiple classes, only one registration fee is required. The registration fee
part number is 17TES1000. All fees are in USD.
CUSTOMER CATEGORY (Please check appropriate box and provide information required):
X
CUSTOMER CATEGORY
Airline
Government Agency (Military, FAA, DOT, NTSB)
Military Customer
L3AR Authorized Service or Repair Center
Original Equipment Manufacturer
Avionics Dealer/Distributor
General Aviation/Agriculture
Other
ADDITIONAL INFORMATION
Dealer/Distributor Number:
Aircraft Type:
Specify:
CANCELLATION POLICY
If it becomes necessary for a registered student to withdraw from a class, please advise the Training Registrar at
least 15 working days before the first day of class so students on a standby status can be enrolled. We ask your
cooperation so that we may better serve all of our customers. All cancellations must be in writing. The nonrefundable registration fee will not be refunded; however, if a course tuition fee is applicable this will be refunded.
CONFIRMATION SIGNATURE
I have read, understand, and agree to the L3AR Training Tuition and Enrollment Process and Cancellation Policy.
Name of Management Representative authorized to approve this student’s attendance:
Date: Click here to enter a date.
Name (Please print or type):
Signature:
Please send me information about local hotels.
www.L-3ARcom.com
Page 2 of 2
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