Appendix 1
COMMERCIAL PILOT ENDORSEMENTS
39. Aeronautical knowledge test: section 61.35(a)(1), section 61.123(c), and section 61.125.
I certify that (First name, MI, Last name) has received the required training of section 61.125. I have determined that he/she is prepared for the (name the knowledge test).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
40. Flight proficiency/practical test: section 61.123(e), section 61.127, and section 61.129.
I certify that (First name, MI, Last name) has received the required training of section 61.127 and section 61.129. I have determined he/she is prepared for the (name the practical test).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
INSTRUMENT RATING ENDORSEMENTS
41. Aeronautical knowledge test: section 61.35(a)(1) and section 61.65(a) and (b).
I certify that (First name, MI, Last name) has received the required training of section 61.65(b).
I have determined that he/she is prepared for the (name the knowledge test).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
42. Flight proficiency/practical test: section 61.65(a)(6).
I certify that (First name, MI, Last name) has received the required training of section 61.65(c) and (d). I have determined he/she is prepared for the Instrument—(airplane, helicopter, or powered-lift) practical test.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
FLIGHT INSTRUCTOR (OTHER THAN FLIGHT INSTRUCTORS WITH
A SPORT PILOT RATING) ENDORSEMENTS
43. Fundamentals of instructing knowledge test: section 61.183(d) and section 61.185(a)(1).
I certify that (First name, MI, Last name) has received the required fundamentals of instruction training of section 61.185(a)(1).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
44. Flight instructor ground and flight proficiency/practical test: section 61.183(g) and section 61.187(a) and (b).
I certify that (First name, MI, Last name) has received the required training of section 61.187(b).
I have determined he/she is prepared for the CFI—(aircraft category and class) practical test.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
45. Flight instructor certificate with instrument—(category/class) rating/practical test:
section 61.183(g) and section 61.187(a) and (b)(7).
Appendix 1 I certify that (First name, MI, Last name) has received the required CFII training of section 61.187(b)(7). I have determined he/she is prepared for the CFII(airplane, helicopter, or powered-lift) practical test.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
46. Spin training: section 61.183(i)(1).
I certify that (First name, MI, Last name) has received the required training of section 61.183(i).
I have determined that he/she is competent in instructional skills for training stall awareness, spin entry, spins, and spin recovery procedures.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 NOTE: The above spin training endorsement is required of flight instructor applicants for the airplane and glider ratings only.
FLIGHT INSTRUCTOR WITH A SPORT PILOT RATING ENDORSEMENTS
47. Taking the fundamentals of instructing knowledge test: section 61.405(a)(1).
I certify that (First name, MI, Last name) has received the required training in accordance with section 61.405(a)(1). I have determined that he/she is prepared for the Fundamentals of Instruction Knowledge Test.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
48. Taking sport pilot flight instructor aeronautical knowledge test: section 61.35(a) (1) and section 61.405(a).
I certify that (First name, MI, Last name) has received the required training of section 61.405(a)(2). I have determined that he/she is prepared for the (name the knowledge test).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
49. Taking the flight instructor flight proficiency check to provide training if a different category or class of aircraft(additional category/class): section 61.419 and section 61.409.
I certify that (First name, MI, Last name) has received the required training in accordance with section 61.419 and section 61.409 and have determined he/she is prepared for a proficiency check for the flight instructor with a sport pilot rating in a (aircraft category and class).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
50. Passing the flight instructor flight proficiency check to provide training in a different category or class of aircraft(additional category/class): section 61.419 and section 61.409.
I certify that (First name, MI, Last name) has met the requirements in accordance with section 61.419 and section 61.409. I have determined that he/she is proficient and authorized for the additional (aircraft category and class) flight instructor privilege.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 Page 13
Appendix 1
51. Taking the flight instructor practical test: section 61.409 and section 61.411.
I certify that (First name, MI, Last name) has received the required training of section 61.409 and met the aeronautical experience requirements of section 61.411. I have determined he/she is prepared for the flight instructor with a sport pilot rating practical test in a (aircraft category and class).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
52. Passing the flight instructor practical test: section 61.409 and section 61.411.
NOTE: Required by section 61.417, issued by a DPE.
I certify that (First name, MI, Last name) has met the requirements in accordance with section 61.409 and section 61.411. I have determined that he/she is proficient and authorized for the (aircraft category and class) flight instructor privilege.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
53. Spin training: section 61.405(b)(1)(ii).
I certify that (First name, MI, Last name) has received the required training of section 61.405(b)(1)(ii). I have determined that he/she is competent and possess instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 NOTE: This spin training endorsement is only required of flight instructor applicants for the airplane and glider ratings.
GROUND INSTRUCTOR ENDORSEMENT
54. Ground instructor who does not meet the recent experience requirements:
section 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 section 61.213(a)(3) and (a)(4).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 NOTE: Signed by CFI or CGI, as appropriate; the expiration date would apply only to a CFI.
ADDITIONAL ENDORSEMENTS
55. Completion of a flight review: section 61.56(a) and (c).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has satisfactorily completed a flight review of section 61.56(a) on (date).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 NOTE: No logbook entry reflecting unsatisfactory performance on a flight review is required.
Appendix 1
56. Completion of a phase of an FAA-sponsored pilot proficiency award program (WINGS): section 61.56(e).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has satisfactorily completed Phase No. ___ of a WINGS program on (date).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
57. Completion of an instrument proficiency check: section 61.57(d).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has satisfactorily completed the instrument proficiency check of section 61.57(d) in a (list make and model of aircraft) on (date).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 NOTE: No logbook entry reflecting unsatisfactory performance on an instrument proficiency check is required.
58. To act as PIC in a complex airplane: section 61.31(e).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has received the required training of section 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/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
59. To act as PIC in a high performance airplane: section 61.31(f).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has received the required training of section 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/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
60. To act as PIC in a pressurized aircraft capable of high altitude operations:
section 61.31(g).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has received the required training of section 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/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
61. To act as PIC in a tailwheel airplane: section 61.31(i).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has received the required training of section 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/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 Page 15
Appendix 1
62. To act as PIC of an aircraft in solo operations when the pilot does not hold an appropriate category/class rating: section 61.31(d)(3).
I certify that (First name, MI, Last name) has received the training as required by section 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/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
63. Retesting after failure of a knowledge or practical test: section 61.49.
I certify that (First name, MI, Last name) has received the additional (flight and/or ground, as appropriate) training as required by section 61.49. I have determined that he/she is prepared for the (name the knowledge/practical test).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 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.
64. Additional aircraft category or class rating (other than ATP): section 61.63(b) or (c).
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/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
65. Type rating only, already holds the appropriate category or class rating (other than ATP): section 61.63(d)(2) and (3).
I certify that (First name, MI, Last name) has received the required training of section 61.63(d)(2) and (3) for an addition of a (name the type rating).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
66. Type rating concurrently with an additional category or class rating (other than ATP):
section 61.63(d)(2) and (3).
I certify that (First name, MI, Last name) has received the required training of section 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/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
67. Type rating only, already holds the appropriate category or class rating (at the ATP level): section 61.157(b)(1).
Appendix 1 I certify that (First name, MI, Last name) has received the required training of section 61.157(b)(1) for an addition of a (name the type rating).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
68. Type rating concurrently with an additional category or class rating (at the ATP level):
section 61.157(b)(1).
I certify that (First name, MI, Last name) has received the required training of section 61.157(b)(1) for an addition of a (name the category/class/type rating).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
69. Launch procedures for operating a glider: section 61.31(j).
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/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
70. Review of a home study curriculum: section 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 (name the knowledge test).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
71. Experimental aircraft onlyadditional aircraft category or class rating (other than ATP): section 61.63(k).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), as required by section 61.63(k) is proficient to act as PIC in a (category, class, make, and model) of experimental aircraft and has logged at least 5 hours flight time logged between September 1, 2004 and August 31, 2005 while acting as PIC in (name the aircraft category/class rating and make and model) that has been issued an experimental certificate.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05
72. Experimental aircraft onlyadditional aircraft category or class rating (ATP):
section 61.165(f).
I certify that (First name, MI, Last name), (pilot certificate), (certificate number), as required by section 61.165(f) is proficient to act as PIC in a (category, class, make, and model) of experimental aircraft and has logged at least 5 hours flight time logged between September 1, 2004 and August 31, 2005 while acting as PIC in (name the aircraft category/class rating and make and model) that has been issued an experimental certificate.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05 Page 17
Appendix 1
73. Aeronautical experience creditultralight vehicles: section 61.52.
I certify, I have reviewed the records of (First name, MI, Last name), as required by section
61.52(c). I have determined he/she may use (number of hours) aeronautical experience obtained in an ultralight vehicle to meet the requirements for (certificate/rating/privilege).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-05