| Misc. Private
| Misc. Commercial | Misc. Instrument
| Misc. CFI | Misc. Multi-Engine | Misc. ATP | 135 Charter
Endorsements
- Student Pilot Endorsements
Index
1. 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).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
2. 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).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
3. 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).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
4. Solo flight (each additional 90-day period): § 61.87(n)
I certify that (First name, MI, Last name) has received the required training to qualify
for solo flying. I have
determined he/she meets the applicable requirements of § 61.87(n) and is proficient to
make solo flights in
(make and model).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
5. Solo takeoffs and landings at another airport within 25 NM: § 61.93(b)(1)
I certify that (First name, MI, Last name) has received the required training of §
61.93(b)(1). I have
determined that he/she is proficient to practice solo takeoffs and landings at (airport
name). The takeoffs and
landings at (airport name) are subject to the following conditions: (List any applicable
conditions or
limitations.)
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
6. 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).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00.AC 61-65D 9/20/99
Appendix 1
Page 2
7. 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.)
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
8. Repeated solo cross-country flights not more than 50nm from the point of departure:
§ 61.93(b)(2)
I certify that (First name, MI, Last name) has received the required training in both
directions between and at
both (airport names). I have determined that he/she is proficient of § 61.93(b)(2) to
conduct repeated solo
cross-country flights over that route, subject to the following conditions: (List any
applicable conditions or
limitations.)
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
9. 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.)
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
10. 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
determined that he/she is proficient to conduct solo flight operations at (name of
airport). (List any applicable
conditions or limitations.)
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
Recreational Pilot Endorsements
Index
1. Aeronautical knowledge test: §§ 61.35(a)(1) and 61.96(b)(3)
I certify that (First name, MI, Last name) has received the required training of §
61.97(b). I have determined
that he/she is prepared for the (name the knowledge test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
2. Flight proficiency/practical test: §§ 61.96(b)(5), 61.98(a) and (b), and 61.99
I certify that (First name, MI, Last name) has received the required training of §§
61.98(b) and 61.99. I have
determined that he/she is prepared for the (name the practical test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
3. Recreational pilot to operate within 50 NM of the airport where training was
received: § 61.101(b)
I certify that (First name, MI, Last name) has received the required training of §
61.101(b). I have determined
he/she is competent to operate at the (name of airport).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
4. Recreational pilot to act as PIC on a flight that exceeds 50 NM of the departure
airport: § 61.101(c)
I certify that (First name, MI, Last name) has received the required cross-country
training of § 61.101(c). I
have determined that he/she is proficient in cross-country flying of part 61, subpart E.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00.9/20/99 AC 61-65D
5. Recreational pilot with less than 400 flight hours and not logged PIC time within the
preceding
180 days: § 61.101(f)
I certify that (First name, MI, Last name) has received the required 180-day recurrent
training of § 61.101(f)
in a (make and model aircraft). I have determined him/her proficient to act as PIC of
that aircraft.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
6. Recreational pilot to conduct solo flights for the purpose of obtaining an additional
certificate or
rating while under the supervision of an authorized flight instructor: § 61.101(i)
I certify that (First name, MI, Last name) has received the required training of §
61.87 in a (make and model
aircraft). I have determined he/she is prepared to conduct a solo flight on (date) under
the following
conditions: (List all conditions which require endorsement, e.g., flight which requires
communication with
ATC, flight in an aircraft for which the pilot does not hold a category/class rating,
etc.).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
Private Pilot Endorsements
Index
1. 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 (name the knowledge test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
2. Flight proficiency/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 (name the practical test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
Commercial Pilot Endorsements
Index
1. Aeronautical knowledge test: §§ 61.35(a)(1) and 61.123(c)
I certify that (First name, MI, Last name) has received the required training of §
61.125. I have determined
that he/she is prepared for the (name the knowledge test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
2. Flight proficiency/practical test: §§ 61.123(e) and 61.127
I certify that (First name, MI, Last name) has received the required training of §§
61.127 and 61.129. I have
determined he/she is prepared for the (name the practical test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
Instrument Rating Endorsements
Index
1. Aeronautical knowledge test: §§ 61.35(a)(1) and 61.65(a) and (b)
I certify that (First name, MI, Last name) has received the required training of §
61.65(b). I have determined
that he/she is prepared for the (name the knowledge test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
2. Flight proficiency/practical test: § 61.65(a)(6)
I certify that (First name, MI, Last name) has received the required training of §
61.65(c) and (d). I have
determined he/she is prepared for the Instrument - (Airplane, Helicopter, or
Powered-lift) practical test.
S/S [date] J. J. Jones 987654321CFI Exp. 12-31-00.AC 61-65D 9/20/99
Flight Instructor Endorsements
Index
1. Fundamentals of instructing knowledge test: §§ 61.183(d) and 61.185(a)(1)
I certify that (First name, MI, Last name) has received the required fundamentals of
instruction training of
§ 61.185(a)(1).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
2. Flight instructor ground and flight proficiency/practical test: §§ 61.183(g) and
61.187(a) and (b)
I certify that (First name, MI, Last name) has received the required training of §
61.187(b). I have determined
he/she is prepared for the CFI - (aircraft category and class) practical test.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
3. Flight instructor certificate with instrument - (category/class) rating/practical
test: §§ 61.183(g) and
61.187(a) and (b)(7)
I certify that (First name, MI, Last name) has received the required CFII training of §
61.187(b)(7). I have
determined he/she is prepared for the CFII - (airplane, helicopter, or powered-lift)
practical test.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
4. Spin training: § 61.183(i)(1)
I certify that (First name, MI, Last name) has received the required training of §
61.183(i). I have determined
that he/she is competent and proficient in instructional skills for training stall
awareness, spin entry, spins, and
spin recovery procedures.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
NOTE: The above spin training endorsement is required of flight instructor applicants
for the airplane and glider ratings only.
Ground Instructor Endorsement
Index
1. Ground instructor who does not meet the recent experience requirements: § 61.217(b)
I certify that (First name, MI, Last name) has demonstrated satisfactory proficiency on
the appropriate ground
instructor knowledge and training subjects of § 61.213(a)(3) and (a)(4).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00 [ *or CGI, as appropriate]
(The expiration date would apply only to a CFI.)
1. Completion of a flight review: §
61.56(a) and (c) Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has satisfactorily completed
a flight review of § 61.56(a) on (date).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
NOTE: No logbook entry reflecting unsatisfactory performance on a flight review is
required.
2. Completion of a phase of an FAA-sponsored pilot proficiency
award program (WINGS): § 61.56(e) Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has satisfactorily completed
Phase No. ___ of a WINGS program on (date).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00.9/20/99 AC 61-65D
Appendix 1
Page 5
3. Completion of an instrument proficiency
check: § 61.57(d) Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has satisfactorily completed
the instrument proficiency check of § 61.57(d) in a (list make and model of aircraft)
on (date).
S/S [date] J. J. Jones 987654321CFI Exp. 12-31-00
NOTE: No logbook entry reflecting unsatisfactory performance on an instrument
proficiency
check is required.
4. To act as PIC in a complex airplane: § 61.31(e) Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has received the required
training of § 61.31(e) in a (make and model of complex airplane). I have determined
that he/she is proficient
in the operation and systems of a complex airplane.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
5. To act as PIC in a high performance airplane:
§ 61.31(f) ) Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has received the required
training of § 61.31(f) in a (make and model of high performance airplane). I have
determined that he/she is
proficient in the operation and systems of a high performance airplane.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
6. To act as PIC in a pressurized aircraft capable
of high altitude operations: § 61.31(g)) Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has received the required
training of § 61.31(g) in a (make and model of pressurized aircraft). I have determined
that he/she is
proficient in the operation and systems of a pressurized aircraft.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
7. To act as PIC in a tailwheel airplane: §
61.31(i) Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has received the required
training of § 61.31(i) in a (make and model of tailwheel airplane). I have determined
that he/she is proficient
in the operation of a tailwheel airplane.
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
8. To act as PIC of an aircraft in solo operations when the pilot who does not hold an appropriate
category/class rating: § 61.31(d)(3) Index
I certify that (First name, MI, Last name) has received the training as required by §
61.31(d)(3) to serve as a
PIC in a (category and class of aircraft). I have determined that he/she is prepared to
serve as PIC in that
(make and model of aircraft).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
9. Retesting after failure of a knowledge or practical
test: § 61.49.) Index
I certify that (First name, MI, Last name) has received the additional (flight and/or
ground) training as
required by § 61.49. I have determined that he/she is prepared for the (name the
knowledge/practical
test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
NOTE: In the case of a failed knowledge test, the instructor may complete the
endorsement
in the space provided at the bottom of the applicant's airman knowledge test report. The
instructor must sign the block provided for the instructor's recommendation on the
reverse
side of FAA Form 8710-1 application for each retake of a practical test..AC 61-65D
9/20/99
10. Additional aircraft category or class rating
(other than ATP): § 61.63(b) or (c)
Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has received the required
training for an additional (name the aircraft category/class rating). I have determined
that he/she is prepared
for the (name the practical test) for the addition of a (name the aircraft
category/class rating)
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
11. Type rating only, already holds the appropriate category or
class rating (other than ATP): §
61.63(d)(2) and (3) Index
I certify that (First name, MI, Last name) has received the required training of §
61.63(d)(2) and (3) for an
addition of a (name the type rating).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
12. Type rating concurrently with an additional
category or class rating (other than ATP): § 61.63(d)(2) and
(3) Index
I certify that (First name, MI, Last name) has received the required training of §
61.63(d)(2) and (3) for an
addition of a (name the category/class/type rating). I have determined that he/she is
prepared for the (name the
practical test) for the addition of a (name the aircraft category/class/type rating).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
13. Type rating only, already holds the appropriate category or class rating (at
the ATP level): § 61.157(b)(1)
Index
I certify that (First name, MI, Last name) has received the required training of §
61.157(b)(1) for an addition
of a (name the type rating).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
14. Type rating concurrently with an additional
category or class rating (at the ATP level): § 61.157(b)(1) Index
I certify that (First name, MI, Last name) has received the required training of §
61.157(b)(1) for an addition
of a (name the category/class/type rating).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
15. Launch procedures for operating a glider:
§ 61.31(j) Index
I certify that (First name, MI, Last name), (pilot certificate), (certificate number),
has received the required
training in a (list the glider make and model) for (list the launch procedure). I have
determined that he/she is
proficient in (list the launch procedure).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
16. Review of a home study curriculum: §
61.35(a)(1) Index
I certify I have reviewed the home study curriculum of (First name, MI, Last name). I
have determined he/she
is prepared for the (name the knowledge test).
S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
| Misc. Private
| Misc. Commercial | Misc. Instrument
| Misc. CFI | Misc. Multi-Engine | Misc. ATP | 135
Charter