| Knowledge Test | ||
| OR: | Aeronautical knowledge test: §§ 61.35(a)(1), 61.103(d),
and 61.105
I certify that (First name, MI, Last name) has received the required training of § 61.105. I have determined he/she is prepared for the Private Pilot Single Engine Land Knowledge Test. |
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| Review of a home study curriculum: § 61.35(a)(1)
I certify I have reviewed the home study curriculum of (First name, MI, Last name). I have determined he/she is prepared for the Private Pilot Single Engine Land Knowledge Test. |
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| Practical test: §§ 61.103(f), 61.107(b), and 61.109 | ||
| . | I certify that (First name, MI, Last name) has received the required training of §§ 61.107 and 61.109. I have determined he/she is prepared for the Private Pilot Single Engine Land Practical Test | . |
| Solo | ||||
| Presolo aeronautical knowledge: § 61.87(b)
I certify that (First name, MI, Last name) has satisfactorily completed the presolo knowledge exam of § 61.87(b) for the (make and model aircraft). |
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| Presolo flight training: § 61.87(c)
I certify that (First name, MI, Last name) has received the required presolo training in a (make and model aircraft). I have determined he/she has demonstrated the proficiency of § 61.87(d) and is proficient to make solo flights in (make and model aircraft). |
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| Cross Country | ||||
| Initial solo cross-country flight: § 61.93(c)(1)
I certify that (First name, MI, Last name) has received the required solo cross-country training. I find he/she has met the applicable requirements of § 61.93, and is proficient to make solo cross-country flights in a (make and model aircraft). |
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| Solo cross-country flight: § 61.93(c)(2)
I have reviewed the cross country planning of (First name, MI, Last name). I find the planning and preparation to be correct to make the solo flight from (location) to (destination) via (route of flight) with landings at (name the airports) in a (make and model aircraft) on (date). (List any applicable conditions or limitations.) |
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| At Night: | ||||
| . | Presolo flight training at night: § 61.87(c) and
(m)
I certify that (First name, MI, Last name) has received the required presolo training in a (make and model aircraft). I have determined he/she has demonstrated the proficiency of § 61.87(m) and is proficient to make solo flights at night in a (make and model aircraft). |
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| In Class B: | ||||
| Solo flight in Class B airspace: § 61.95(a)
I certify that (First name, MI, Last name) has received the required training of § 61.95(a). I have determined he/she is proficient to conduct solo flights in (name of Class B) airspace. (List any applicable conditions or limitations.) |
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| Solo flight to, from, or at an airport located in Class
B airspace: §§ 61.95(a) and 91.131(b)(1)
I certify that (First name, MI, Last name) has received the required training of § 61.95(a)(1). I have d determined that he/she is proficient to conduct solo flight operations at (name of airport). (List any applicable conditions or limitations.) |
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| FAA Form 8710-1 Application for Airman Certificate or Rating | . |
| FAA Form 8080-2 Written Test Results with Embossed Test Center Seal | . |
| FAA Form 8060 Application for a Retake (if needed) | . |
| Examiner's Fee | . |
| Aircraft | |||||||
| Logbooks: | |||||||
| Airframe | . | Powerplant | . | Propellor | . | ||
| Compliance with ADs | . | Compliance with ADs | . | Compliance with ADs | . | ||
| Annual Inspection | Annual Inspection | Annual Inspection | |||||
| 100 Hour Inspection | . | 100 Hour Inspection | . | 100 Hour Inspection | . | ||
| ATC Transponder Accuracy | . | Vacuum System | . | ||||
| Altimeter Accuracy | . | Pitot-Static System Check | . | ||||
| ELT Battery Expiration Date | |||||||
| Documents: | |||||||
| Airworthiness | |||||||
| Registration | |||||||
| Radio Station License (if A/C Flown Internationally) | |||||||
| Operating Limitations (Placards, POH, AFM) | |||||||
| Weight/Balance Data (and a worked one for this flight) | |||||||
| 30-Day VOR Check | |||||||
| Pilot | |||||
| Logbooks | |||||
| Total Time: 40 hours (14 CFR 61.109(A)i-iii) | . | ||||
| 20 hours of dual flight training | . | ||||
| 3 hours of X-C flight training | . | ||||
| 3 hours of night flight training | . | ||||
| 1 X-C flight of over 100 nm total distance | . | ||||
| 10 T/O's and 10 Ldgs with each involving a flight in the traffic pattern | . | ||||
| 3 hours of flight training by reference to instruments | . | ||||
| 3 hours of flight training within the 60 days prior to the practical test | . | ||||
| 10 hours of solo flying | . | ||||
| 5 hours of solo X-C flying | . | ||||
| . | 1 solo X-C flight of at least 150nm total distance with 3 points and one segment of at least 50nm between T/O and Ldg | . | |||
| 3 T/O's and Ldgs at a controlled airport | . | ||||
| Documents | |||||
| Student Pilot Certificate | |||||
| Medical Certificate | |||||
| Driver's License or other Picture/Signature ID | |||||
| On application for the test | . |
| On the dual flight hours | . |
| On the Student Pilot Certificate | . |
| Sectional Chart (current) | |
| Terminal Area Chart (current if required) | . |
| Airport Facilities Directory (current) | . |
| Practical Test Standards (PTS) | . |
| FAR/AIM (current) | . |
| Current and forecast weather, including winds aloft | . |
| Cross country navigation logs and flight plan | . |
| Flight computer | . |
| Plotter | . |
| Hood, foggles or other view-limiting device | . |
| Calculator for Weight and Balance | . |
| Headset | . |
| Pens | . |
| Pencils | . |
| (c)2000 Jedi Nein Tro |
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