Appointment Form
1. Applicant Information:
a. Name ____________________________Telephone __________________________
b. Appointment date: ____________________ Approximate Time: 6 hours
2. Instructor ____N/A, I have a letter from an Ultralight Organization (Copy attached)
a. Instr. Name ____________________________Telephone numbers _______________
b. Does the Grandfather letter list your category of aircraft? Yes No
3. Practical Test
a. Certificate, rating, or privilege sought ______________________________________
b. Retest (Yes/No) Yes – attach copy
c. Aircraft make and model ________________________________________________
d. Location of test - time and date ___________________________________________
e. What other aircraft do you have experience in?
4. Required Documentation (Checklist)
____a. Class of airman medical certificate or valid U.S. driver’s license (if applicable)
____b. Valid knowledge test results (if applicable, copy attached)
____c. Aircraft - certificates, logbooks, and equipment
____d. FAA Form 8710-11, Airman Certificate and/or Rating Application – Sport Pilot,
completed and (if required) signed by instructor
____e. Special considerations - drug convictions
____f. Identification - Photo/signature I.D.
____g. Flight time records and requirements
____h. Required endorsements
5. Practical Test Standards (PTS)
a. I am familiar with the PTS. _____Yes _____No
b. PTS checklist of required equipment _____Yes _____No
c. I have trained to the PTS _____Yes _____No
6. PRACTICAL TEST FLIGHT PLANNING
____1. Cross-country to be planned (if applicable)
____2. Weight-and-balance computations
____3. Aircraft performance computations
____4. Flight planning facilities/FSS telephone numbers
Failed any previous test? Yes No
If yes, remedial training and instructor recommendation attached
Complete: 8710.11
Driver's License, Passport or Other government I.D. (attach copy)
Do you have a PTS?
Have you trained to the PTS?
Knowledge test.
N/A _____Missed answers reviewed
N/A _____Instructor signature
Medical or driver's license
Pilot logbook. Please note logbook entries that show
evidence of meeting the required flight time and endorsements.
Weight and balance completed. Brian’s weight is 165#. What is
your weight___________________?
Aeronautical charts
Airport Facility Directory or Airguide Publication's Flight
Guide or other airport information source
Study guides:
FAR/ AIM
Reference books
Flight Plan Form, Flight Logs
Other items:
Plan a cross-country from ___________ to _______________
Check FSS for weather briefing, and TEMPORARY FLIGHT
RESTRICTIONS (TFRs)