{ "source": { "document": "AC 61-65K", "title": "Certification: Pilots and Flight and Ground Instructors", "appendix": "Appendix A. Sample Endorsements", "date": "2025-11-14", "office": "AFS-800", "status": "Active (FAA Advisory Circular library, checked 2026-10-03)", "pdf": "https://www.faa.gov/documentLibrary/media/Advisory_Circular/AC_61-65K.pdf", "info": "https://www.faa.gov/regulations_policies/advisory_circulars/index.cfm/go/document.information/documentNumber/61-65K", "signature_guidance": "Each endorsement must be legible and include the instructor’s signature, date of signature, certificated flight instructor (CFI) or certificated ground instructor certificate number, and flight instructor recent experience (RE) end date or certificate expiration date, as applicable. The endorsing flight instructor may optionally include their printed name.", "signature_examples": [ "/s/ [date] J. J. Jones 987654321CFI RE 12-31-2026", "/s/ [date] J. J. Jones 987654321CFI Exp. 01-31-2025", "/s/ [date] J. J. Jones 987654321" ] }, "parse_notes": [ { "id": "A.10", "note": "AC text reads 'from [origination airport] to [origination airport]'; kept verbatim, but the second blank is a separate input labelled as the destination airport." }, { "id": "A.60", "note": "Combined bracket '[First name, MI, Last name, Pilot Certificate No. ___]' split into a name blank, the literal ', Pilot Certificate No. ' and a certificate-number blank." }, { "id": "A.61", "note": "Combined bracket '[First name, MI, Last name, Pilot Certificate No. ___]' split into a name blank, the literal ', Pilot Certificate No. ' and a certificate-number blank." }, { "id": "A.62", "note": "Combined bracket '[First name, MI, Last name, Pilot Certificate No. ___]' split into a name blank, the literal ', Pilot Certificate No. ' and a certificate-number blank." }, { "id": "A.64", "note": "Combined bracket '[First name, MI, Last name, Pilot Certificate No. ___]' split into a name blank, the literal ', Pilot Certificate No. ' and a certificate-number blank." }, { "id": "A.65", "note": "Combined bracket '[First name, MI, Last name, Pilot Certificate No. ___]' split into a name blank, the literal ', Pilot Certificate No. ' and a certificate-number blank." }, { "id": "A.66", "note": "Combined bracket '[First name, MI, Last name, Pilot Certificate No. ___]' split into a name blank, the literal ', Pilot Certificate No. ' and a certificate-number blank." }, { "id": "A.68", "note": "Combined bracket '[First name, MI, Last name, Pilot Certificate No. ___]' split into a name blank, the literal ', Pilot Certificate No. ' and a certificate-number blank." } ], "count": 96, "endorsements": [ { "id": "A.1", "num": 1, "section": "Prerequisites for the Practical Test Endorsement", "title": "Prerequisites for practical test", "reference": "14 CFR § 61.39(a)(6)(i) and (ii)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received and logged training time within 2 calendar months preceding the month of application in preparation for the practical test and they are prepared for the required practical test for the issuance of [applicable] certificate.", "template": "I certify that {{student_name}} has received and logged training time within 2 calendar months preceding the month of application in preparation for the practical test and they are prepared for the required practical test for the issuance of {{certificate_e_g_private_pilot}} certificate.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received and logged training time within 2 calendar months preceding the month of application in preparation for the practical test and they are prepared for the required practical test for the issuance of ", { "var": "certificate_e_g_private_pilot", "label": "Certificate (e.g. private pilot)", "original": "applicable" }, " certificate." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "certificate_e_g_private_pilot", "label": "Certificate (e.g. private pilot)", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.2", "num": 2, "section": "Prerequisites for the Practical Test Endorsement", "title": "Review of deficiencies identified on airman knowledge test", "reference": "14 CFR § 61.39(a)(6)(iii), as required", "guidance": null, "text": "I certify that [First name, MI, Last name] has demonstrated satisfactory knowledge of the subject areas in which they were deficient on the [applicable] airman knowledge test.", "template": "I certify that {{student_name}} has demonstrated satisfactory knowledge of the subject areas in which they were deficient on the {{airman_knowledge_test}} airman knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has demonstrated satisfactory knowledge of the subject areas in which they were deficient on the ", { "var": "airman_knowledge_test", "label": "Airman knowledge test", "original": "applicable" }, " airman knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "airman_knowledge_test", "label": "Airman knowledge test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.3", "num": 3, "section": "Student Pilot Endorsements", "title": "Pre-solo aeronautical knowledge", "reference": "14 CFR § 61.87(b)", "guidance": null, "text": "I certify that [First name, MI, Last name] has satisfactorily completed the pre-solo knowledge test of 14 CFR § 61.87(b) for the [make and model (M/M)] aircraft.", "template": "I certify that {{student_name}} has satisfactorily completed the pre-solo knowledge test of 14 CFR § 61.87(b) for the {{make_model}} aircraft.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has satisfactorily completed the pre-solo knowledge test of 14 CFR § 61.87(b) for the ", { "var": "make_model", "label": "Make and model", "original": "make and model (M/M)" }, " aircraft." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.4", "num": 4, "section": "Student Pilot Endorsements", "title": "Pre-solo flight training", "reference": "14 CFR § 61.87(c)(1) and (2)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received and logged pre-solo flight training for the maneuvers and procedures that are appropriate to the [M/M] aircraft. I have determined they have demonstrated satisfactory proficiency and safety on the maneuvers and procedures required by 14 CFR § 61.87 in this or similar make and model of aircraft to be flown.", "template": "I certify that {{student_name}} has received and logged pre-solo flight training for the maneuvers and procedures that are appropriate to the {{make_model}} aircraft. I have determined they have demonstrated satisfactory proficiency and safety on the maneuvers and procedures required by 14 CFR § 61.87 in this or similar make and model of aircraft to be flown.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received and logged pre-solo flight training for the maneuvers and procedures that are appropriate to the ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft. I have determined they have demonstrated satisfactory proficiency and safety on the maneuvers and procedures required by 14 CFR § 61.87 in this or similar make and model of aircraft to be flown." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.5", "num": 5, "section": "Student Pilot Endorsements", "title": "Pre-solo flight training at night", "reference": "14 CFR § 61.87(o)", "guidance": "Flight training must be received within the 90-calendar-day period preceding the date of the flight.", "text": "I certify that [First name, MI, Last name] has received flight training at night on night flying procedures that include takeoffs, approaches, landings, and go-arounds at night at the [airport name] airport where the solo flight will be conducted; navigation training at night in the vicinity of the [airport name] airport where the solo flight will be conducted. This endorsement expires 90 calendar days from the date the flight training at night was received.", "template": "I certify that {{student_name}} has received flight training at night on night flying procedures that include takeoffs, approaches, landings, and go-arounds at night at the {{airport_name}} airport where the solo flight will be conducted; navigation training at night in the vicinity of the {{airport_name}} airport where the solo flight will be conducted. This endorsement expires 90 calendar days from the date the flight training at night was received.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received flight training at night on night flying procedures that include takeoffs, approaches, landings, and go-arounds at night at the ", { "var": "airport_name", "label": "airport name", "original": "airport name" }, " airport where the solo flight will be conducted; navigation training at night in the vicinity of the ", { "var": "airport_name", "label": "airport name", "original": "airport name" }, " airport where the solo flight will be conducted. This endorsement expires 90 calendar days from the date the flight training at night was received." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "airport_name", "label": "airport name", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.6", "num": 6, "section": "Student Pilot Endorsements", "title": "Solo flight (first 90-calendar-day period)", "reference": "14 CFR § 61.87(n)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training to qualify for solo flying. I have determined they meet the applicable requirements of 14 CFR § 61.87(n) and are proficient to make solo flights in [M/M].", "template": "I certify that {{student_name}} has received the required training to qualify for solo flying. I have determined they meet the applicable requirements of 14 CFR § 61.87(n) and are proficient to make solo flights in {{make_model}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training to qualify for solo flying. I have determined they meet the applicable requirements of 14 CFR § 61.87(n) and are proficient to make solo flights in ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.7", "num": 7, "section": "Student Pilot Endorsements", "title": "Solo flight (each additional 90-calendar-day period)", "reference": "14 CFR § 61.87(p)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training to qualify for solo flying. I have determined that they meet the applicable requirements of 14 CFR § 61.87(p) and are proficient to make solo flights in [M/M].", "template": "I certify that {{student_name}} has received the required training to qualify for solo flying. I have determined that they meet the applicable requirements of 14 CFR § 61.87(p) and are proficient to make solo flights in {{make_model}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training to qualify for solo flying. I have determined that they meet the applicable requirements of 14 CFR § 61.87(p) and are proficient to make solo flights in ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.8", "num": 8, "section": "Student Pilot Endorsements", "title": "Solo takeoffs and landings at another airport within 25 nautical miles (NM)", "reference": "14 CFR § 61.93(b)(1)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.93(b)(1). I have determined that they are 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.]", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.93(b)(1). I have determined that they are 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}}", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.93(b)(1). I have determined that they are proficient to practice solo takeoffs and landings at ", { "var": "airport_name", "label": "airport name", "original": "airport name" }, ". The takeoffs and landings at ", { "var": "airport_name", "label": "airport name", "original": "airport name" }, " are subject to the following conditions: ", { "var": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "original": "List any applicable conditions or limitations." } ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "airport_name", "label": "airport name", "type": "text", "scope": "local" }, { "key": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.9", "num": 9, "section": "Student Pilot Endorsements", "title": "Solo cross-country flight", "reference": "14 CFR § 61.93(c)(1) and (2)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required solo cross-country training. I find they have met the applicable requirements of 14 CFR § 61.93 and are proficient to make solo cross-country flights in a [M/M] aircraft, [aircraft category].", "template": "I certify that {{student_name}} has received the required solo cross-country training. I find they have met the applicable requirements of 14 CFR § 61.93 and are proficient to make solo cross-country flights in a {{make_model}} aircraft, {{aircraft_category}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required solo cross-country training. I find they have met the applicable requirements of 14 CFR § 61.93 and are proficient to make solo cross-country flights in a ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft, ", { "var": "aircraft_category", "label": "aircraft category", "original": "aircraft category", "choices": [ "airplane", "rotorcraft", "glider", "lighter-than-air", "powered-lift", "powered parachute", "weight-shift-control" ] }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" }, { "key": "aircraft_category", "label": "aircraft category", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.10", "num": 10, "section": "Student Pilot Endorsements", "title": "Solo cross-country flight", "reference": "14 CFR § 61.93(c)(3)", "guidance": null, "text": "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 [origination airport] to [origination airport] via [route of flight] with landings at [names of the airports] in a [M/M] aircraft on [date]. [List any applicable conditions or limitations.]", "template": "I have reviewed the cross-country planning of {{student_name}}. I find the planning and preparation to be correct to make the solo flight from {{origination_airport}} to {{destination_airport}} via {{route_of_flight}} with landings at {{names_of_the_airports}} in a {{make_model}} aircraft on {{date}}. {{list_any_applicable_conditions_or_limitations}}", "segments": [ "I have reviewed the cross-country planning of ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ". I find the planning and preparation to be correct to make the solo flight from ", { "var": "origination_airport", "label": "origination airport", "original": "origination airport" }, " to ", { "var": "destination_airport", "label": "destination airport (AC prints [origination airport])", "original": "origination airport" }, " via ", { "var": "route_of_flight", "label": "route of flight", "original": "route of flight" }, " with landings at ", { "var": "names_of_the_airports", "label": "names of the airports", "original": "names of the airports" }, " in a ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft on ", { "var": "date", "label": "Date", "original": "date" }, ". ", { "var": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "original": "List any applicable conditions or limitations." } ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "origination_airport", "label": "origination airport", "type": "text", "scope": "local" }, { "key": "route_of_flight", "label": "route of flight", "type": "text", "scope": "local" }, { "key": "names_of_the_airports", "label": "names of the airports", "type": "text", "scope": "local" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" }, { "key": "date", "label": "Date", "type": "date", "scope": "local" }, { "key": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "type": "text", "scope": "local" }, { "key": "destination_airport", "label": "destination airport (AC prints [origination airport])", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.11", "num": 11, "section": "Student Pilot Endorsements", "title": "Repeated solo cross-country flights not more than 50 NM from the point of departure", "reference": "14 CFR § 61.93(b)(2)", "guidance": null, "text": "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 they are proficient of 14 CFR § 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.]", "template": "I certify that {{student_name}} has received the required training in both directions between and at both {{airport_names}}. I have determined that they are proficient of 14 CFR § 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}}", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training in both directions between and at both ", { "var": "airport_names", "label": "airport names", "original": "airport names" }, ". I have determined that they are proficient of 14 CFR § 61.93(b)(2) to conduct repeated solo cross-country flights over that route, subject to the following conditions: ", { "var": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "original": "List any applicable conditions or limitations." } ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "airport_names", "label": "airport names", "type": "text", "scope": "local" }, { "key": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.12", "num": 12, "section": "Student Pilot Endorsements", "title": "Solo flight in Class B airspace", "reference": "14 CFR § 61.95(a)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.95(a). I have determined they are proficient to conduct solo flights in [name of Class B] airspace. [List any applicable conditions or limitations.]", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.95(a). I have determined they are proficient to conduct solo flights in {{name_of_class_b}} airspace. {{list_any_applicable_conditions_or_limitations}}", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.95(a). I have determined they are proficient to conduct solo flights in ", { "var": "name_of_class_b", "label": "name of Class B", "original": "name of Class B" }, " airspace. ", { "var": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "original": "List any applicable conditions or limitations." } ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "name_of_class_b", "label": "name of Class B", "type": "text", "scope": "local" }, { "key": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.13", "num": 13, "section": "Student Pilot Endorsements", "title": "Solo flight to, from, or at an airport located in Class B airspace", "reference": "14 CFR §§ 61.95(b) and 91.131(b)(1)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.95(b)(1). I have determined that they are proficient to conduct solo flight operations at [name of airport]. [List any applicable conditions or limitations.]", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.95(b)(1). I have determined that they are proficient to conduct solo flight operations at {{name_of_airport}}. {{list_any_applicable_conditions_or_limitations}}", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.95(b)(1). I have determined that they are proficient to conduct solo flight operations at ", { "var": "name_of_airport", "label": "name of airport", "original": "name of airport" }, ". ", { "var": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "original": "List any applicable conditions or limitations." } ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "name_of_airport", "label": "name of airport", "type": "text", "scope": "local" }, { "key": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.14", "num": 14, "section": "Student Pilot Endorsements", "title": "Endorsement of U.S. citizenship recommended by the Transportation Security Administration (TSA)", "reference": "Title 49 of the Code of Federal Regulations (49 CFR) § 1552.15(c)", "guidance": "The flight instructor must keep a copy of the documents used to provide proof of citizenship for 5 years or make the following endorsement in the student’s logbook and the instructor’s logbook or other record used to record flight student endorsements with the following:", "text": "I certify that [First name, MI, Last name] has presented me a [type of document presented, such as a U.S. birth certificate or U.S. passport, and the relevant control or sequential number on the document, if any] establishing that they are a U.S. citizen or national in accordance with 49 CFR § 1552.7(a).", "template": "I certify that {{student_name}} has presented me a {{type_of_document_presented_such_as_a_u_s_birth_c}} establishing that they are a U.S. citizen or national in accordance with 49 CFR § 1552.7(a).", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has presented me a ", { "var": "type_of_document_presented_such_as_a_u_s_birth_c", "label": "type of document presented, such as a U.S. birth certificate or U.S. passport, and the relevant control or sequential number on the document, if any", "original": "type of document presented, such as a U.S. birth certificate or U.S. passport, and the relevant control or sequential number on the document, if any" }, " establishing that they are a U.S. citizen or national in accordance with 49 CFR § 1552.7(a)." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "type_of_document_presented_such_as_a_u_s_birth_c", "label": "type of document presented, such as a U.S. birth certificate or U.S. passport, and the relevant control or sequential number on the document, if any", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.15", "num": 15, "section": "Additional Student Pilot Endorsements for Students Seeking Sport or Recreational Pilot Certificates", "title": "Solo flight in Class B, C, and D airspace", "reference": "14 CFR § 61.94(a)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.94(a). I have determined they are proficient to conduct solo flights in [name of Class B, C, or D] airspace and authorized to operate to, from, through, and at [name of airport]. [List any applicable conditions or limitations.]", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.94(a). I have determined they are proficient to conduct solo flights in {{name_of_class_b_c_or_d}} airspace and authorized to operate to, from, through, and at {{name_of_airport}}. {{list_any_applicable_conditions_or_limitations}}", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.94(a). I have determined they are proficient to conduct solo flights in ", { "var": "name_of_class_b_c_or_d", "label": "name of Class B, C, or D", "original": "name of Class B, C, or D" }, " airspace and authorized to operate to, from, through, and at ", { "var": "name_of_airport", "label": "name of airport", "original": "name of airport" }, ". ", { "var": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "original": "List any applicable conditions or limitations." } ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "name_of_class_b_c_or_d", "label": "name of Class B, C, or D", "type": "text", "scope": "local" }, { "key": "name_of_airport", "label": "name of airport", "type": "text", "scope": "local" }, { "key": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.16", "num": 16, "section": "Additional Student Pilot Endorsements for Students Seeking Sport or Recreational Pilot Certificates", "title": "Solo flight to, from, or at an airport located in Class B, C, or D airspace or at an airport having an operational control tower", "reference": "14 CFR §§ 61.94(a) and 91.131(b)(1)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.94(a)(1). I have determined that they are proficient to conduct solo flight operations at [name of airport located in Class B, C, or D airspace or an airport having an operational control tower]. [List any applicable conditions or limitations.]", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.94(a)(1). I have determined that they are proficient to conduct solo flight operations at {{name_of_airport_located_in_class_b_c_or_d_airspa}}. {{list_any_applicable_conditions_or_limitations}}", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.94(a)(1). I have determined that they are proficient to conduct solo flight operations at ", { "var": "name_of_airport_located_in_class_b_c_or_d_airspa", "label": "name of airport located in Class B, C, or D airspace or an airport having an operational control tower", "original": "name of airport located in Class B, C, or D airspace or an airport having an operational control tower" }, ". ", { "var": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "original": "List any applicable conditions or limitations." } ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "name_of_airport_located_in_class_b_c_or_d_airspa", "label": "name of airport located in Class B, C, or D airspace or an airport having an operational control tower", "type": "text", "scope": "local" }, { "key": "list_any_applicable_conditions_or_limitations", "label": "List any applicable conditions or limitations.", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.17", "num": 17, "section": "Sport Pilot Endorsements", "title": "Aeronautical knowledge test", "reference": "14 CFR §§ 61.35(a)(1) and 61.309", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required aeronautical knowledge training of 14 CFR § 61.309. I have determined that they are prepared for the [name of] knowledge test.", "template": "I certify that {{student_name}} has received the required aeronautical knowledge training of 14 CFR § 61.309. I have determined that they are prepared for the {{knowledge_test}} knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required aeronautical knowledge training of 14 CFR § 61.309. I have determined that they are prepared for the ", { "var": "knowledge_test", "label": "Knowledge test", "original": "name of" }, " knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "knowledge_test", "label": "Knowledge test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.18", "num": 18, "section": "Sport Pilot Endorsements", "title": "Taking flight proficiency check for different category or class of aircraft", "reference": "14 CFR §§ 61.309 and 61.311", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training in accordance with 14 CFR §§ 61.309 and 61.311 and have determined that they are prepared for the [name of] proficiency check.", "template": "I certify that {{student_name}} has received the required training in accordance with 14 CFR §§ 61.309 and 61.311 and have determined that they are prepared for the {{proficiency_check}} proficiency check.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training in accordance with 14 CFR §§ 61.309 and 61.311 and have determined that they are prepared for the ", { "var": "proficiency_check", "label": "Proficiency check", "original": "name of" }, " proficiency check." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "proficiency_check", "label": "Proficiency check", "type": "text", "scope": "local" } ], "notes": [ "Note: Cannot be provided to applicants seeking an airplane or helicopter privilege. Must accomplish a practical test, 14 CFR § 61.321(b)." ], "signature_examples": [ "/s/ [date] S. P. (Instructor name) 987654321 RE 12-31-2026" ], "signer": "Sport pilot instructor" }, { "id": "A.19", "num": 19, "section": "Sport Pilot Endorsements", "title": "Passing flight proficiency check for different category or class of aircraft", "reference": "14 CFR §§ 61.309 and 61.311", "guidance": null, "text": "I certify that [First name, MI, Last name] has met the requirements of 14 CFR §§ 61.309 and 61.311, and I have determined them proficient to act as pilot in command of [category and class of] aircraft.", "template": "I certify that {{student_name}} has met the requirements of 14 CFR §§ 61.309 and 61.311, and I have determined them proficient to act as pilot in command of {{category_and_class}} aircraft.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has met the requirements of 14 CFR §§ 61.309 and 61.311, and I have determined them proficient to act as pilot in command of ", { "var": "category_and_class", "label": "Category and class", "original": "category and class of" }, " aircraft." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "category_and_class", "label": "Category and class", "type": "text", "scope": "local" } ], "notes": [ "Note: Cannot be provided to applicants seeking an airplane or helicopter privilege. Must accomplish a practical test, 14 CFR § 61.321(b)." ], "signature_examples": [ "/s/ [date] S. P. (Instructor name) 987654321 RE 12-31-2026" ], "signer": "Sport pilot instructor" }, { "id": "A.20", "num": 20, "section": "Sport Pilot Endorsements", "title": "Taking sport pilot practical test", "reference": "14 CFR §§ 61.309, 61.311, and 61.313", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the training required in accordance with 14 CFR §§ 61.309 and 61.311 and met the aeronautical experience requirements of 14 CFR § 61.313. I have determined that they are prepared for the [type of] practical test.", "template": "I certify that {{student_name}} has received the training required in accordance with 14 CFR §§ 61.309 and 61.311 and met the aeronautical experience requirements of 14 CFR § 61.313. I have determined that they are prepared for the {{type_of_practical_test}} practical test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the training required in accordance with 14 CFR §§ 61.309 and 61.311 and met the aeronautical experience requirements of 14 CFR § 61.313. I have determined that they are prepared for the ", { "var": "type_of_practical_test", "label": "Type of practical test", "original": "type of" }, " practical test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "type_of_practical_test", "label": "Type of practical test", "type": "text", "scope": "local" } ], "notes": [ "Note: The endorsement for a practical test is required in addition to the 14 CFR § 61.39 endorsements provided in endorsements 1 and 2 (see paragraphs A.1 and A.2)." ], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.21", "num": 21, "section": "Sport Pilot Endorsements", "title": "Passing a sport pilot practical test", "reference": "14 CFR §§ 61.309, 61.311, and 61.313", "guidance": "This endorsement is required by 14 CFR § 61.317 and is issued by an examiner.", "text": "I certify that [First name, MI, Last name] has met the requirements of 14 CFR §§ 61.309, 61.311, and 61.313, and I have determined them proficient to act as pilot in command of [category and class of] aircraft.", "template": "I certify that {{student_name}} has met the requirements of 14 CFR §§ 61.309, 61.311, and 61.313, and I have determined them proficient to act as pilot in command of {{category_and_class}} aircraft.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has met the requirements of 14 CFR §§ 61.309, 61.311, and 61.313, and I have determined them proficient to act as pilot in command of ", { "var": "category_and_class", "label": "Category and class", "original": "category and class of" }, " aircraft." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "category_and_class", "label": "Category and class", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [ "/s/ [date] Examiner 987654321 RE 12-31-2026" ], "signer": "Examiner" }, { "id": "A.22", "num": 22, "section": "Sport Pilot Endorsements", "title": "Passing a sport pilot practical test with a simplified flight controls limitation", "reference": "14 CFR § 61.45(g)(4)(ii)", "guidance": "This endorsement is required by 14 CFR § 61.45 and is issued by an examiner.", "text": "I certify that [First name, MI, Last name] has successfully completed the practical test in [category/class/model] with simplified flight controls designation and is authorized to act as pilot in command in [aircraft category/class] limited to [aircraft model] with simplified flight controls designation.", "template": "I certify that {{student_name}} has successfully completed the practical test in {{category_class_model}} with simplified flight controls designation and is authorized to act as pilot in command in {{aircraft_category_class}} limited to {{aircraft_model}} with simplified flight controls designation.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has successfully completed the practical test in ", { "var": "category_class_model", "label": "category/class/model", "original": "category/class/model" }, " with simplified flight controls designation and is authorized to act as pilot in command in ", { "var": "aircraft_category_class", "label": "aircraft category/class", "original": "aircraft category/class" }, " limited to ", { "var": "aircraft_model", "label": "aircraft model", "original": "aircraft model" }, " with simplified flight controls designation." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "category_class_model", "label": "category/class/model", "type": "text", "scope": "local" }, { "key": "aircraft_category_class", "label": "aircraft category/class", "type": "text", "scope": "local" }, { "key": "aircraft_model", "label": "aircraft model", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [ "/s/ [date] Examiner 987654321 RE 12-31-2026" ], "signer": "Examiner" }, { "id": "A.23", "num": 23, "section": "Sport Pilot Endorsements", "title": "Class B, C, or D airspace; at an airport located in Class B, C, or D airspace; or to, from, through, or at an airport having an operational control tower", "reference": "14 CFR § 61.325", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.325. I have determined they are proficient to conduct operations in Class B, C, or D airspace; at an airport located in Class B, C, or D airspace; or to, from, through, or at an airport having an operational control tower.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.325. I have determined they are proficient to conduct operations in Class B, C, or D airspace; at an airport located in Class B, C, or D airspace; or to, from, through, or at an airport having an operational control tower.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.325. I have determined they are proficient to conduct operations in Class B, C, or D airspace; at an airport located in Class B, C, or D airspace; or to, from, through, or at an airport having an operational control tower." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.24", "num": 24, "section": "Sport Pilot Endorsements", "title": "Aircraft that has a maximum speed in level flight with maximum continuous power (VH) less than or equal to 87 Knots Calibrated Airspeed (KCAS)", "reference": "14 CFR § 61.327", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training in accordance with 14 CFR § 61.327(a) in a [M/M] aircraft. I have determined them proficient to act as pilot in command of an aircraft that has a VH less than or equal to 87 KCAS.", "template": "I certify that {{student_name}} has received the required training in accordance with 14 CFR § 61.327(a) in a {{make_model}} aircraft. I have determined them proficient to act as pilot in command of an aircraft that has a VH less than or equal to 87 KCAS.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training in accordance with 14 CFR § 61.327(a) in a ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft. I have determined them proficient to act as pilot in command of an aircraft that has a VH less than or equal to 87 KCAS." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.25", "num": 25, "section": "Sport Pilot Endorsements", "title": "Aircraft that has a VH greater than 87 KCAS", "reference": "14 CFR § 61.327", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training in accordance with 14 CFR § 61.327(b) in a [M/M] aircraft. I have determined them proficient to act as pilot in command of an aircraft that has a VH greater than 87 KCAS.", "template": "I certify that {{student_name}} has received the required training in accordance with 14 CFR § 61.327(b) in a {{make_model}} aircraft. I have determined them proficient to act as pilot in command of an aircraft that has a VH greater than 87 KCAS.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training in accordance with 14 CFR § 61.327(b) in a ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft. I have determined them proficient to act as pilot in command of an aircraft that has a VH greater than 87 KCAS." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.26", "num": 26, "section": "Sport Pilot Endorsements", "title": "Flight training at night", "reference": "14 CFR § 61.329", "guidance": null, "text": "I certify that [First Name, MI, Last Name], [grade of pilot certificate], [certificate number], has received the required training at night in a [category and class] aircraft. I have determined they meet all of the requirements of 14 CFR § 61.329(a) and are proficient to operate as a sport pilot at night.", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has received the required training at night in a {{category_and_class}} aircraft. I have determined they meet all of the requirements of 14 CFR § 61.329(a) and are proficient to operate as a sport pilot at night.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First Name, MI, Last Name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "grade of pilot certificate", "choices": [ "student", "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the required training at night in a ", { "var": "category_and_class", "label": "category and class", "original": "category and class" }, " aircraft. I have determined they meet all of the requirements of 14 CFR § 61.329(a) and are proficient to operate as a sport pilot at night." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_grade", "label": "Grade of pilot certificate", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "category_and_class", "label": "category and class", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.27", "num": 27, "section": "Sport Pilot Endorsements", "title": "To act as pilot in command (PIC) in an aircraft with retractable landing gear", "reference": "14 CFR § 61.331(a)", "guidance": null, "text": "I certify that [First Name, MI, Last Name], [certificate number], has received the required training of 14 CFR § 61.331(a) in an aircraft with retractable landing gear. I have determined that they are proficient in the operation of an aircraft with retractable landing gear when exercising their sport pilot privileges.", "template": "I certify that {{student_name}}, {{student_cert}}, has received the required training of 14 CFR § 61.331(a) in an aircraft with retractable landing gear. I have determined that they are proficient in the operation of an aircraft with retractable landing gear when exercising their sport pilot privileges.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First Name, MI, Last Name" }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the required training of 14 CFR § 61.331(a) in an aircraft with retractable landing gear. I have determined that they are proficient in the operation of an aircraft with retractable landing gear when exercising their sport pilot privileges." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.28", "num": 28, "section": "Sport Pilot Endorsements", "title": "To act as PIC in an airplane with a manual controllable pitch propeller", "reference": "14 CFR § 61.331(b)", "guidance": null, "text": "I certify that [First Name, MI, Last Name], [certificate number], has received the required training of 14 CFR § 61.331(b) in an airplane with a controllable pitch propeller. I have determined that they are proficient in the operation of an airplane with a controllable pitch propeller when exercising their sport pilot privileges.", "template": "I certify that {{student_name}}, {{student_cert}}, has received the required training of 14 CFR § 61.331(b) in an airplane with a controllable pitch propeller. I have determined that they are proficient in the operation of an airplane with a controllable pitch propeller when exercising their sport pilot privileges.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First Name, MI, Last Name" }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the required training of 14 CFR § 61.331(b) in an airplane with a controllable pitch propeller. I have determined that they are proficient in the operation of an airplane with a controllable pitch propeller when exercising their sport pilot privileges." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.29", "num": 29, "section": "Recreational Pilot Endorsements", "title": "Aeronautical knowledge test", "reference": "14 CFR §§ 61.35(a)(1), 61.96(b)(3), and 61.97(b)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.97(b). I have determined that they are prepared for the [name of] knowledge test.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.97(b). I have determined that they are prepared for the {{knowledge_test}} knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.97(b). I have determined that they are prepared for the ", { "var": "knowledge_test", "label": "Knowledge test", "original": "name of" }, " knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "knowledge_test", "label": "Knowledge test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.30", "num": 30, "section": "Recreational Pilot Endorsements", "title": "Flight proficiency/practical test", "reference": "14 CFR §§ 61.96(b)(5), 61.98(a) and (b), and 61.99", "guidance": "The endorsement for a practical test is required in addition to the 14 CFR § 61.39 endorsements provided in paragraphs A.1 and A.2.", "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR §§ 61.98(b) and 61.99. I have determined that they are prepared for the [name of] practical test.", "template": "I certify that {{student_name}} has received the required training of 14 CFR §§ 61.98(b) and 61.99. I have determined that they are prepared for the {{practical_test}} practical test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR §§ 61.98(b) and 61.99. I have determined that they are prepared for the ", { "var": "practical_test", "label": "Practical test", "original": "name of" }, " practical test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "practical_test", "label": "Practical test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.31", "num": 31, "section": "Recreational Pilot Endorsements", "title": "Recreational pilot to operate within 50 NM of the airport where training was received", "reference": "14 CFR § 61.101(b)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.101(b). I have determined that they are competent to operate at the [name of airport].", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.101(b). I have determined that they are competent to operate at the {{name_of_airport}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.101(b). I have determined that they are competent to operate at the ", { "var": "name_of_airport", "label": "name of airport", "original": "name of airport" }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "name_of_airport", "label": "name of airport", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.32", "num": 32, "section": "Recreational Pilot Endorsements", "title": "Recreational pilot to act as PIC on a flight that exceeds 50 NM of the departure airport", "reference": "14 CFR § 61.101(c)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required cross-country training of 14 CFR § 61.101(c). I have determined that they are proficient in cross-country flying of 14 CFR part 61 subpart E.", "template": "I certify that {{student_name}} has received the required cross-country training of 14 CFR § 61.101(c). I have determined that they are proficient in cross-country flying of 14 CFR part 61 subpart E.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required cross-country training of 14 CFR § 61.101(c). I have determined that they are proficient in cross-country flying of 14 CFR part 61 subpart E." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.33", "num": 33, "section": "Recreational Pilot Endorsements", "title": "Recreational pilot with less than 400 flight hours and no logged PIC time within the preceding 180 calendar days", "reference": "14 CFR § 61.101(g)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required 180-day recurrent training of 14 CFR § 61.101(g) in a [M/M] aircraft. I have determined them proficient to act as pilot in command of that aircraft.", "template": "I certify that {{student_name}} has received the required 180-day recurrent training of 14 CFR § 61.101(g) in a {{make_model}} aircraft. I have determined them proficient to act as pilot in command of that aircraft.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required 180-day recurrent training of 14 CFR § 61.101(g) in a ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft. I have determined them proficient to act as pilot in command of that aircraft." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.34", "num": 34, "section": "Recreational Pilot Endorsements", "title": "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", "reference": "14 CFR § 61.101(j)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.87 in a [M/M] aircraft. I have determined they are 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 air traffic control (ATC), flight in an aircraft for which the pilot does not hold a category/class rating, etc.).]", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.87 in a {{make_model}} aircraft. I have determined they are prepared to conduct a solo flight on {{date}} under the following conditions: {{list_all_conditions_which_require_endorsement_e_}}", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.87 in a ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft. I have determined they are prepared to conduct a solo flight on ", { "var": "date", "label": "Date", "original": "date" }, " under the following conditions: ", { "var": "list_all_conditions_which_require_endorsement_e_", "label": "List all conditions which require endorsement (e.g., flight which requires communication with air traffic control (ATC), flight in an aircraft for which the pilot does not hold a category/class rating, etc.).", "original": "List all conditions which require endorsement (e.g., flight which requires communication with air traffic control (ATC), flight in an aircraft for which the pilot does not hold a category/class rating, etc.)." } ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" }, { "key": "date", "label": "Date", "type": "date", "scope": "local" }, { "key": "list_all_conditions_which_require_endorsement_e_", "label": "List all conditions which require endorsement (e.g., flight which requires communication with air traffic control (ATC), flight in an aircraft for which the pilot does not hold a category/class rating, etc.).", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.35", "num": 35, "section": "Recreational Pilot Endorsements", "title": "Class B, C, or D airspace; at an airport located in Class B, C, or D airspace; or to, from, through, or at an airport having an operational control tower", "reference": "14 CFR § 61.101(d)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.101(d). I have determined they are proficient to conduct operations in Class B, C, or D airspace; at an airport located in Class B, C, or D airspace; or to, from, through, or at an airport having an operational control tower.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.101(d). I have determined they are proficient to conduct operations in Class B, C, or D airspace; at an airport located in Class B, C, or D airspace; or to, from, through, or at an airport having an operational control tower.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.101(d). I have determined they are proficient to conduct operations in Class B, C, or D airspace; at an airport located in Class B, C, or D airspace; or to, from, through, or at an airport having an operational control tower." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.36", "num": 36, "section": "Private Pilot Endorsements", "title": "Aeronautical knowledge test", "reference": "14 CFR §§ 61.35(a)(1), 61.103(d), and 61.105", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training in accordance with 14 CFR § 61.105. I have determined they are prepared for the [name of] knowledge test.", "template": "I certify that {{student_name}} has received the required training in accordance with 14 CFR § 61.105. I have determined they are prepared for the {{knowledge_test}} knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training in accordance with 14 CFR § 61.105. I have determined they are prepared for the ", { "var": "knowledge_test", "label": "Knowledge test", "original": "name of" }, " knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "knowledge_test", "label": "Knowledge test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.37", "num": 37, "section": "Private Pilot Endorsements", "title": "Flight proficiency/practical test", "reference": "14 CFR §§ 61.103(f), 61.107(b), and 61.109", "guidance": "The endorsement for a practical test is required in addition to the 14 CFR § 61.39 endorsements provided in paragraphs A.1 and A.2.", "text": "I certify that [First name, MI, Last name] has received the required training in accordance with 14 CFR §§ 61.107 and 61.109. I have determined they are prepared for the [name of] practical test.", "template": "I certify that {{student_name}} has received the required training in accordance with 14 CFR §§ 61.107 and 61.109. I have determined they are prepared for the {{practical_test}} practical test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training in accordance with 14 CFR §§ 61.107 and 61.109. I have determined they are prepared for the ", { "var": "practical_test", "label": "Practical test", "original": "name of" }, " practical test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "practical_test", "label": "Practical test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.38", "num": 38, "section": "Commercial Pilot Endorsements", "title": "Aeronautical knowledge test", "reference": "14 CFR §§ 61.35(a)(1), 61.123(c), and 61.125", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.125. I have determined that they are prepared for the [name of] knowledge test.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.125. I have determined that they are prepared for the {{knowledge_test}} knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.125. I have determined that they are prepared for the ", { "var": "knowledge_test", "label": "Knowledge test", "original": "name of" }, " knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "knowledge_test", "label": "Knowledge test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.39", "num": 39, "section": "Commercial Pilot Endorsements", "title": "Flight proficiency/practical test", "reference": "14 CFR §§ 61.123(e), 61.127, and 61.129", "guidance": "The endorsement for a practical test is required in addition to the 14 CFR § 61.39 endorsements provided in paragraphs A.1 and A.2.", "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR §§ 61.127 and 61.129. I have determined that they are prepared for the [name of] practical test.", "template": "I certify that {{student_name}} has received the required training of 14 CFR §§ 61.127 and 61.129. I have determined that they are prepared for the {{practical_test}} practical test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR §§ 61.127 and 61.129. I have determined that they are prepared for the ", { "var": "practical_test", "label": "Practical test", "original": "name of" }, " practical test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "practical_test", "label": "Practical test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.40", "num": 40, "section": "Airline Transport Pilot (ATP) Endorsements", "title": "Restricted privileges ATP Certificate, Airplane Multiengine Land (AMEL) rating", "reference": "14 CFR § 61.160", "guidance": "This certifying statement can only be provided by an authorized institution of higher education in accordance with its Letter of Authorization (LOA). Refer to AC 61-139, Institution of Higher Education’s Application for Authority to Certify its Graduates for an Airline Transport Pilot Certificate with Reduced Aeronautical Experience.", "text": "The [insert institution’s name] certifies that the recipient of this degree has successfully completed all of the aviation coursework requirements of 14 CFR § 61.160[(b), (c), or (d)] and therefore meets the academic eligibility requirements of 14 CFR § 61.160[(b), (c), or (d)].", "template": "The {{insert_institution_s_name}} certifies that the recipient of this degree has successfully completed all of the aviation coursework requirements of 14 CFR § 61.160{{b_c_or_d}} and therefore meets the academic eligibility requirements of 14 CFR § 61.160{{b_c_or_d}}.", "segments": [ "The ", { "var": "insert_institution_s_name", "label": "insert institution’s name", "original": "insert institution’s name" }, " certifies that the recipient of this degree has successfully completed all of the aviation coursework requirements of 14 CFR § 61.160", { "var": "b_c_or_d", "label": "(b), (c), or (d)", "original": "(b), (c), or (d)", "choices": [ "(b)", "(c)", "(d)" ] }, " and therefore meets the academic eligibility requirements of 14 CFR § 61.160", { "var": "b_c_or_d", "label": "(b), (c), or (d)", "original": "(b), (c), or (d)", "choices": [ "(b)", "(c)", "(d)" ] }, "." ], "blanks": [ { "key": "insert_institution_s_name", "label": "insert institution’s name", "type": "text", "scope": "local" }, { "key": "b_c_or_d", "label": "(b), (c), or (d)", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized institution of higher education" }, { "id": "A.41", "num": 41, "section": "Airline Transport Pilot (ATP) Endorsements", "title": "ATP Certification Training Program (CTP)", "reference": "14 CFR § 61.153(e)", "guidance": "This endorsement is only provided by an approved training provider of an ATP CTP and is found on the graduation certificate a pilot receives following completion of that training in accordance with 14 CFR § 61.156. Refer to AC 61-138, Airline Transport Pilot Certification Training Program.", "text": "The applicant named above has successfully completed the Airline Transport Pilot Certification Training Program as required by 14 CFR § 61.156, and therefore has met the prerequisite required by 14 CFR § 61.35(a)(2) for the Airline Transport Pilot Multiengine Airplane Knowledge Test.", "template": "The applicant named above has successfully completed the Airline Transport Pilot Certification Training Program as required by 14 CFR § 61.156, and therefore has met the prerequisite required by 14 CFR § 61.35(a)(2) for the Airline Transport Pilot Multiengine Airplane Knowledge Test.", "segments": [ "The applicant named above has successfully completed the Airline Transport Pilot Certification Training Program as required by 14 CFR § 61.156, and therefore has met the prerequisite required by 14 CFR § 61.35(a)(2) for the Airline Transport Pilot Multiengine Airplane Knowledge Test." ], "blanks": [], "notes": [], "signature_examples": [], "signer": "Approved ATP CTP training provider" }, { "id": "A.42", "num": 42, "section": "Instrument Rating Endorsements", "title": "Aeronautical knowledge test", "reference": "14 CFR §§ 61.35(a)(1) and 61.65(a) and (b)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.65(b). I have determined that they are prepared for the Instrument–[airplane, helicopter, or powered-lift] knowledge test.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.65(b). I have determined that they are prepared for the Instrument–{{airplane_helicopter_or_powered_lift}} knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.65(b). I have determined that they are prepared for the Instrument–", { "var": "airplane_helicopter_or_powered_lift", "label": "airplane, helicopter, or powered-lift", "original": "airplane, helicopter, or powered-lift", "choices": [ "airplane", "helicopter", "powered-lift" ] }, " knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "airplane_helicopter_or_powered_lift", "label": "airplane, helicopter, or powered-lift", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.43", "num": 43, "section": "Instrument Rating Endorsements", "title": "Flight proficiency/practical test", "reference": "14 CFR § 61.65(a)(6)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.65(c) and (d). I have determined they are prepared for the Instrument–[airplane, helicopter, or powered-lift] practical test.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.65(c) and (d). I have determined they are prepared for the Instrument–{{airplane_helicopter_or_powered_lift}} practical test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.65(c) and (d). I have determined they are prepared for the Instrument–", { "var": "airplane_helicopter_or_powered_lift", "label": "airplane, helicopter, or powered-lift", "original": "airplane, helicopter, or powered-lift", "choices": [ "airplane", "helicopter", "powered-lift" ] }, " practical test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "airplane_helicopter_or_powered_lift", "label": "airplane, helicopter, or powered-lift", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.44", "num": 44, "section": "Instrument Rating Endorsements", "title": "Prerequisites for instrument practical tests", "reference": "14 CFR § 61.39(a)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received and logged the required flight time/training of 14 CFR § 61.39(a) in preparation for the practical test within 2 calendar months preceding the date of the test and has satisfactory knowledge of the subject areas in which they were shown to be deficient by the FAA Airman Knowledge Test Report. I have determined they are prepared for the Instrument–[airplane, helicopter, or powered-lift] practical test.", "template": "I certify that {{student_name}} has received and logged the required flight time/training of 14 CFR § 61.39(a) in preparation for the practical test within 2 calendar months preceding the date of the test and has satisfactory knowledge of the subject areas in which they were shown to be deficient by the FAA Airman Knowledge Test Report. I have determined they are prepared for the Instrument–{{airplane_helicopter_or_powered_lift}} practical test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received and logged the required flight time/training of 14 CFR § 61.39(a) in preparation for the practical test within 2 calendar months preceding the date of the test and has satisfactory knowledge of the subject areas in which they were shown to be deficient by the FAA Airman Knowledge Test Report. I have determined they are prepared for the Instrument–", { "var": "airplane_helicopter_or_powered_lift", "label": "airplane, helicopter, or powered-lift", "original": "airplane, helicopter, or powered-lift", "choices": [ "airplane", "helicopter", "powered-lift" ] }, " practical test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "airplane_helicopter_or_powered_lift", "label": "airplane, helicopter, or powered-lift", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.45", "num": 45, "section": "Flight Instructor (Other Than Flight Instructors With a Sport Pilot Rating) Endorsements", "title": "Fundamentals of instructing knowledge test", "reference": "14 CFR § 61.183(d)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required fundamentals of instruction training of 14 CFR § 61.185(a)(1). I have determined that they are prepared for the Fundamentals of Instructing knowledge test.", "template": "I certify that {{student_name}} has received the required fundamentals of instruction training of 14 CFR § 61.185(a)(1). I have determined that they are prepared for the Fundamentals of Instructing knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required fundamentals of instruction training of 14 CFR § 61.185(a)(1). I have determined that they are prepared for the Fundamentals of Instructing knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.46", "num": 46, "section": "Flight Instructor (Other Than Flight Instructors With a Sport Pilot Rating) Endorsements", "title": "Flight instructor aeronautical knowledge test", "reference": "14 CFR § 61.183(f)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.185(a)[(2) or (3) (as appropriate to the flight instructor rating sought)]. I have determined that they are prepared for the [name of] knowledge test.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.185(a){{2_or_3_as_appropriate_to_the_flight_instructor_r}}. I have determined that they are prepared for the {{knowledge_test}} knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.185(a)", { "var": "2_or_3_as_appropriate_to_the_flight_instructor_r", "label": "(2) or (3) (as appropriate to the flight instructor rating sought)", "original": "(2) or (3) (as appropriate to the flight instructor rating sought)" }, ". I have determined that they are prepared for the ", { "var": "knowledge_test", "label": "Knowledge test", "original": "name of" }, " knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "2_or_3_as_appropriate_to_the_flight_instructor_r", "label": "(2) or (3) (as appropriate to the flight instructor rating sought)", "type": "text", "scope": "local" }, { "key": "knowledge_test", "label": "Knowledge test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.47", "num": 47, "section": "Flight Instructor (Other Than Flight Instructors With a Sport Pilot Rating) Endorsements", "title": "Flight instructor ground and flight proficiency/practical test", "reference": "14 CFR § 61.183(g)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.187(b). I have determined that they are prepared for the certificated flight instructor – [aircraft category and class] practical test.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.187(b). I have determined that they are prepared for the certificated flight instructor – {{aircraft_category_and_class}} practical test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.187(b). I have determined that they are prepared for the certificated flight instructor – ", { "var": "aircraft_category_and_class", "label": "aircraft category and class", "original": "aircraft category and class" }, " practical test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "aircraft_category_and_class", "label": "aircraft category and class", "type": "text", "scope": "local" } ], "notes": [ "Note: The endorsement for a practical test is required in addition to the 14 CFR § 61.39 endorsements provided in endorsements 1 and 2 (see paragraphs A.1 and A.2)." ], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.48", "num": 48, "section": "Flight Instructor (Other Than Flight Instructors With a Sport Pilot Rating) Endorsements", "title": "Flight instructor certificate with instrument–(category/class) rating/practical test", "reference": "14 CFR §§ 61.183(g) and 61.187(a) and (b)(7)", "guidance": "The endorsement for a practical test is required in addition to the 14 CFR § 61.39 endorsements provided in endorsements 1 and 2 (see paragraphs A.1 and A.2).", "text": "I certify that [First name, MI, Last name] has received the required certificated flight instructor - instrument training of 14 CFR § 61.187(b)(7). I have determined they are prepared for the certificated flight instructor - instrument–[airplane, helicopter, or powered-lift] practical test.", "template": "I certify that {{student_name}} has received the required certificated flight instructor - instrument training of 14 CFR § 61.187(b)(7). I have determined they are prepared for the certificated flight instructor - instrument–{{airplane_helicopter_or_powered_lift}} practical test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required certificated flight instructor - instrument training of 14 CFR § 61.187(b)(7). I have determined they are prepared for the certificated flight instructor - instrument–", { "var": "airplane_helicopter_or_powered_lift", "label": "airplane, helicopter, or powered-lift", "original": "airplane, helicopter, or powered-lift", "choices": [ "airplane", "helicopter", "powered-lift" ] }, " practical test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "airplane_helicopter_or_powered_lift", "label": "airplane, helicopter, or powered-lift", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.49", "num": 49, "section": "Flight Instructor (Other Than Flight Instructors With a Sport Pilot Rating) Endorsements", "title": "Spin training", "reference": "14 CFR § 61.183(i)(1)", "guidance": "The spin training endorsement is only required of flight instructor airplane and flight instructor glider applicants.", "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.183(i) in [an airplane, a glider]. I have determined that they are competent and possess instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.183(i) in {{an_airplane_a_glider}}. I have determined that they are competent and possess instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.183(i) in ", { "var": "an_airplane_a_glider", "label": "an airplane, a glider", "original": "an airplane, a glider", "choices": [ "an airplane", "a glider" ] }, ". I have determined that they are competent and possess instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "an_airplane_a_glider", "label": "an airplane, a glider", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.50", "num": 50, "section": "Flight Instructor (Other Than Flight Instructors With a Sport Pilot Rating) Endorsements", "title": "Helicopter Touchdown Autorotation", "reference": "FAA-S-8081-7, Flight Instructor Practical Test Standards for Rotorcraft Category Gyroplane Rating", "guidance": null, "text": "I certify that [First name, MI, Last name] has received training in straight-in autorotations in a single engine helicopter and autorotation with turns in a single engine helicopter to include touchdown. I have determined that they are competent in instructional knowledge relating to the elements, common errors, performance, and correction of common errors related to straight-in autorotations in a single engine helicopter and autorotation with turns in a single engine helicopter.", "template": "I certify that {{student_name}} has received training in straight-in autorotations in a single engine helicopter and autorotation with turns in a single engine helicopter to include touchdown. I have determined that they are competent in instructional knowledge relating to the elements, common errors, performance, and correction of common errors related to straight-in autorotations in a single engine helicopter and autorotation with turns in a single engine helicopter.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received training in straight-in autorotations in a single engine helicopter and autorotation with turns in a single engine helicopter to include touchdown. I have determined that they are competent in instructional knowledge relating to the elements, common errors, performance, and correction of common errors related to straight-in autorotations in a single engine helicopter and autorotation with turns in a single engine helicopter." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.51", "num": 51, "section": "Flight Instructor With a Sport Pilot Rating Endorsement", "title": "Fundamentals of instructing knowledge test", "reference": "14 CFR § 61.405(a)(1)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training in accordance with 14 CFR § 61.405(a)(1). I have determined that they are prepared for the Fundamentals of Instructing knowledge test.", "template": "I certify that {{student_name}} has received the required training in accordance with 14 CFR § 61.405(a)(1). I have determined that they are prepared for the Fundamentals of Instructing knowledge test.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training in accordance with 14 CFR § 61.405(a)(1). I have determined that they are prepared for the Fundamentals of Instructing knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.52", "num": 52, "section": "Flight Instructor With a Sport Pilot Rating Endorsement", "title": "Sport pilot flight instructor aeronautical knowledge test", "reference": "14 CFR §§ 61.35(a)(1) and 61.405(a)", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.405(a)(2). I have determined that they are prepared for the [name of the knowledge test].", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.405(a)(2). I have determined that they are prepared for the {{name_of_the_knowledge_test}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.405(a)(2). I have determined that they are prepared for the ", { "var": "name_of_the_knowledge_test", "label": "name of the knowledge test", "original": "name of the knowledge test" }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "name_of_the_knowledge_test", "label": "name of the knowledge test", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.53", "num": 53, "section": "Flight Instructor With a Sport Pilot Rating Endorsement", "title": "Flight instructor with a sport pilot rating flight proficiency check for additional category/class", "reference": "14 CFR §§ 61.409 and 61.419", "guidance": null, "text": "I certify that [First name, MI, Last name] has received the required training in accordance with 14 CFR §§ 61.409 and 61.419 and have determined that they are prepared for a proficiency check for the flight instructor with a sport pilot rating in a [aircraft category and class].", "template": "I certify that {{student_name}} has received the required training in accordance with 14 CFR §§ 61.409 and 61.419 and have determined that they are prepared for a proficiency check for the flight instructor with a sport pilot rating in a {{aircraft_category_and_class}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training in accordance with 14 CFR §§ 61.409 and 61.419 and have determined that they are prepared for a proficiency check for the flight instructor with a sport pilot rating in a ", { "var": "aircraft_category_and_class", "label": "aircraft category and class", "original": "aircraft category and class" }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "aircraft_category_and_class", "label": "aircraft category and class", "type": "text", "scope": "local" } ], "notes": [ "Note: Cannot be provided to applicants seeking an airplane or helicopter privilege. Must successfully accomplish a practical test per 14 CFR § 61.419(e)." ], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.54", "num": 54, "section": "Flight Instructor With a Sport Pilot Rating Endorsement", "title": "Flight instructor with a sport pilot rating proficiency check completion endorsement for additional category or class privilege", "reference": "14 CFR §§ 61.409 and 61.419", "guidance": null, "text": "I certify that [First name, MI, Last name] has successfully completed a proficiency check in accordance with 14 CFR §§ 61.409 and 61.419. I have determined that they are proficient and authorized for the additional [aircraft category and class] flight instructor privilege.", "template": "I certify that {{student_name}} has successfully completed a proficiency check in accordance with 14 CFR §§ 61.409 and 61.419. I have determined that they are proficient and authorized for the additional {{aircraft_category_and_class}} flight instructor privilege.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has successfully completed a proficiency check in accordance with 14 CFR §§ 61.409 and 61.419. I have determined that they are proficient and authorized for the additional ", { "var": "aircraft_category_and_class", "label": "aircraft category and class", "original": "aircraft category and class" }, " flight instructor privilege." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "aircraft_category_and_class", "label": "aircraft category and class", "type": "text", "scope": "local" } ], "notes": [ "Note: Not applicable to the airplane or helicopter privilege. Must successfully accomplish a practical test per 14 CFR § 61.419(e)." ], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.55", "num": 55, "section": "Flight Instructor With a Sport Pilot Rating Endorsement", "title": "Flight instructor with a sport pilot rating practical test endorsement", "reference": "14 CFR §§ 61.409 and 61.411", "guidance": "An endorsement is required in addition to the 14 CFR § 61.39 endorsements provided in paragraphs A.1 and A.2.", "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.409 and met the aeronautical experience requirements of 14 CFR § 61.411. I have determined that they are prepared for the flight instructor with a sport pilot rating practical test in a [aircraft category and class].", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.409 and met the aeronautical experience requirements of 14 CFR § 61.411. I have determined that they are prepared for the flight instructor with a sport pilot rating practical test in a {{aircraft_category_and_class}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.409 and met the aeronautical experience requirements of 14 CFR § 61.411. I have determined that they are prepared for the flight instructor with a sport pilot rating practical test in a ", { "var": "aircraft_category_and_class", "label": "aircraft category and class", "original": "aircraft category and class" }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "aircraft_category_and_class", "label": "aircraft category and class", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [ "/s/ [date] S. P. [Instructor name] 987654321 RE 12-31-2026" ], "signer": "Sport pilot instructor" }, { "id": "A.56", "num": 56, "section": "Flight Instructor With a Sport Pilot Rating Endorsement", "title": "Flight instructor with a sport pilot rating practical test completion endorsement", "reference": "14 CFR §§ 61.409 and 61.411", "guidance": "This endorsement is required by 14 CFR § 61.417 and is issued by an authorized evaluator.", "text": "I certify that [First name, MI, Last name] has met the requirements in accordance with 14 CFR §§ 61.409 and 61.411 and successfully completed the practical test. I have determined that they are proficient and authorized for the [aircraft category and class] flight instructor privilege.", "template": "I certify that {{student_name}} has met the requirements in accordance with 14 CFR §§ 61.409 and 61.411 and successfully completed the practical test. I have determined that they are proficient and authorized for the {{aircraft_category_and_class}} flight instructor privilege.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has met the requirements in accordance with 14 CFR §§ 61.409 and 61.411 and successfully completed the practical test. I have determined that they are proficient and authorized for the ", { "var": "aircraft_category_and_class", "label": "aircraft category and class", "original": "aircraft category and class" }, " flight instructor privilege." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "aircraft_category_and_class", "label": "aircraft category and class", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [ "/s/ [date] S. P. [Examiner name] 987654321 RE 12-31-2026" ], "signer": "Authorized evaluator" }, { "id": "A.57", "num": 57, "section": "Flight Instructor With a Sport Pilot Rating Endorsement", "title": "Flight instructor with a sport pilot rating to train sport pilots on flight by reference to instruments", "reference": "14 CFR § 61.412", "guidance": "This endorsement from an instructor certificated under 14 CFR part 61 subpart H to a flight instructor with a sport pilot rating (14 CFR part 61 subpart K) authorizes the 14 CFR part 61 subpart K instructor to train sport pilot candidates on control and maneuvering an airplane solely by reference to the instruments.", "text": "I certify that I have given [First name, MI, Last name] 3 hours of flight training and 1 hour of ground instruction specific to providing flight training on control and maneuvering an airplane solely by reference to the instruments in accordance with 14 CFR § 61.412. I have determined that they are proficient and authorized to provide training on control and maneuvering an airplane solely by reference to the flight instruments to this instructor’s sport pilot candidate, who intends to operate an aircraft with a VH greater than 87 KCAS on a cross-country flight.", "template": "I certify that I have given {{student_name}} 3 hours of flight training and 1 hour of ground instruction specific to providing flight training on control and maneuvering an airplane solely by reference to the instruments in accordance with 14 CFR § 61.412. I have determined that they are proficient and authorized to provide training on control and maneuvering an airplane solely by reference to the flight instruments to this instructor’s sport pilot candidate, who intends to operate an aircraft with a VH greater than 87 KCAS on a cross-country flight.", "segments": [ "I certify that I have given ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " 3 hours of flight training and 1 hour of ground instruction specific to providing flight training on control and maneuvering an airplane solely by reference to the instruments in accordance with 14 CFR § 61.412. I have determined that they are proficient and authorized to provide training on control and maneuvering an airplane solely by reference to the flight instruments to this instructor’s sport pilot candidate, who intends to operate an aircraft with a VH greater than 87 KCAS on a cross-country flight." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [ "/s/ [date] Subpart H Instructor 987654321 RE 12-31-2026" ], "signer": "Subpart H instructor" }, { "id": "A.58", "num": 58, "section": "Flight Instructor With a Sport Pilot Rating Endorsement", "title": "Spin training", "reference": "14 CFR § 61.405(b)(1)(ii)", "guidance": "This spin training endorsement is only required for flight instructor airplane and flight instructor glider applicants.", "text": "I certify that [First name, MI, Last name] has received the required training of 14 CFR § 61.405(b)(1)(ii). I have determined that they are competent and possess instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures.", "template": "I certify that {{student_name}} has received the required training of 14 CFR § 61.405(b)(1)(ii). I have determined that they are competent and possess instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has received the required training of 14 CFR § 61.405(b)(1)(ii). I have determined that they are competent and possess instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.59", "num": 59, "section": "Ground Instructor Endorsement", "title": "Ground instructor who does not meet the recent experience requirements", "reference": "14 CFR § 61.217(d)", "guidance": "This endorsement is issued by an authorized instructor (ground or flight) as defined in 14 CFR § 61.1(b).", "text": "I certify that [First name, MI, Last name] has demonstrated knowledge in the subject areas prescribed for a [basic, advanced, instrument] ground instructor under 14 CFR § 61.213(a)(3) and (a)(4), as appropriate.", "template": "I certify that {{student_name}} has demonstrated knowledge in the subject areas prescribed for a {{basic_advanced_instrument}} ground instructor under 14 CFR § 61.213(a)(3) and (a)(4), as appropriate.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, " has demonstrated knowledge in the subject areas prescribed for a ", { "var": "basic_advanced_instrument", "label": "basic, advanced, instrument", "original": "basic, advanced, instrument", "choices": [ "basic", "advanced", "instrument" ] }, " ground instructor under 14 CFR § 61.213(a)(3) and (a)(4), as appropriate." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "basic_advanced_instrument", "label": "basic, advanced, instrument", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.60", "num": 60, "section": "Special Federal Aviation Regulation (SFAR) 73, Robinson Helicopter Company, Robinson R-22/R-44 Special Training and Experience Requirements, Endorsements", "title": "R-22/R-44 ground training", "reference": "SFAR 73, section 2(a)(1) or (2)", "guidance": null, "text": "I certify that [First name, MI, Last name, Pilot Certificate No. ] has received the ground training required by SFAR 73, section 2(a)(3)(i)–(v).", "template": "I certify that {{student_name}}, Pilot Certificate No. {{student_cert}} has received the ground training required by SFAR 73, section 2(a)(3)(i)–(v).", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", Pilot Certificate No. ", { "var": "student_cert", "label": "Pilot certificate number", "original": "" }, " has received the ground training required by SFAR 73, section 2(a)(3)(i)–(v)." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.61", "num": 61, "section": "Special Federal Aviation Regulation (SFAR) 73, Robinson Helicopter Company, Robinson R-22/R-44 Special Training and Experience Requirements, Endorsements", "title": "R-22 solo endorsement", "reference": "SFAR 73, section 2(b)(3)", "guidance": null, "text": "I certify that [First name, MI, Last name, Pilot Certificate No. ] meets the experience requirements of SFAR 73, section 2(b)(3) and has been given training specified by SFAR 73, section 2(b)(3)(i)–(iv). They have been found proficient to solo the R-22 helicopter.", "template": "I certify that {{student_name}}, Pilot Certificate No. {{student_cert}} meets the experience requirements of SFAR 73, section 2(b)(3) and has been given training specified by SFAR 73, section 2(b)(3)(i)–(iv). They have been found proficient to solo the R-22 helicopter.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", Pilot Certificate No. ", { "var": "student_cert", "label": "Pilot certificate number", "original": "" }, " meets the experience requirements of SFAR 73, section 2(b)(3) and has been given training specified by SFAR 73, section 2(b)(3)(i)–(iv). They have been found proficient to solo the R-22 helicopter." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.62", "num": 62, "section": "Special Federal Aviation Regulation (SFAR) 73, Robinson Helicopter Company, Robinson R-22/R-44 Special Training and Experience Requirements, Endorsements", "title": "R-22 PIC endorsement", "reference": "SFAR 73, section 2(b)(1)(ii)", "guidance": null, "text": "I certify that [First name, MI, Last name, Pilot Certificate No. ] has been given training specified by SFAR 73, section 2(b)(1)(ii)(A)–(D) for Robinson R-22 helicopters and is proficient to act as pilot in command. An annual flight review must be completed by [date 12 calendar months after date of this endorsement] unless the requirements of SFAR 73, section 2(b)(1)(i) are met.", "template": "I certify that {{student_name}}, Pilot Certificate No. {{student_cert}} has been given training specified by SFAR 73, section 2(b)(1)(ii)(A)–(D) for Robinson R-22 helicopters and is proficient to act as pilot in command. An annual flight review must be completed by {{date_12_calendar_months_after_date_of_this_endorsement}} unless the requirements of SFAR 73, section 2(b)(1)(i) are met.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", Pilot Certificate No. ", { "var": "student_cert", "label": "Pilot certificate number", "original": "" }, " has been given training specified by SFAR 73, section 2(b)(1)(ii)(A)–(D) for Robinson R-22 helicopters and is proficient to act as pilot in command. An annual flight review must be completed by ", { "var": "date_12_calendar_months_after_date_of_this_endorsement", "label": "Date 12 calendar months after date of this endorsement", "original": "date 12 calendar months after date of this endorsement" }, " unless the requirements of SFAR 73, section 2(b)(1)(i) are met." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "date_12_calendar_months_after_date_of_this_endorsement", "label": "Date 12 calendar months after date of this endorsement", "type": "date", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.63", "num": 63, "section": "Special Federal Aviation Regulation (SFAR) 73, Robinson Helicopter Company, Robinson R-22/R-44 Special Training and Experience Requirements, Endorsements", "title": "R-22 flight instructor endorsement", "reference": "SFAR 73, section 2(b)(5)(iv)", "guidance": "This endorsement may only be issued by an FAA aviation safety inspector (ASI) or authorized designated examiner per SFAR 73, section 2(b)(5)(iv).", "text": "I certify that [First name, MI, Last name], holder of CFI Certificate No. [ ], meets the experience requirements and has completed the flight training specified by SFAR 73, section 2(b)(5)(i)–(ii) and (iii)(A)–(D), and has demonstrated an ability to provide instruction on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified in SFAR 73, section 2(b)(5)(iii) in a Robinson R-22 helicopter.", "template": "I certify that {{student_name}}, holder of CFI Certificate No. {{cfi_holder_cert}}, meets the experience requirements and has completed the flight training specified by SFAR 73, section 2(b)(5)(i)–(ii) and (iii)(A)–(D), and has demonstrated an ability to provide instruction on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified in SFAR 73, section 2(b)(5)(iii) in a Robinson R-22 helicopter.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", holder of CFI Certificate No. ", { "var": "cfi_holder_cert", "label": "CFI certificate number", "original": " " }, ", meets the experience requirements and has completed the flight training specified by SFAR 73, section 2(b)(5)(i)–(ii) and (iii)(A)–(D), and has demonstrated an ability to provide instruction on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified in SFAR 73, section 2(b)(5)(iii) in a Robinson R-22 helicopter." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "cfi_holder_cert", "label": "CFI certificate number", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [ "/s/ [date] J. J. Jones DPE Designation Number, Exp. 12-31-2026; or", "/s/ [date] I. M. Inspector FAA Aviation Safety Inspector" ], "signer": "DPE or FAA Aviation Safety Inspector" }, { "id": "A.64", "num": 64, "section": "Special Federal Aviation Regulation (SFAR) 73, Robinson Helicopter Company, Robinson R-22/R-44 Special Training and Experience Requirements, Endorsements", "title": "Flight review in an R-22 helicopter", "reference": "SFAR 73, section 2(c)(1) and (3)", "guidance": null, "text": "I certify that [First name, MI, Last name, Pilot Certificate No. ] has satisfactorily completed the flight review in an R-22 required by 14 CFR § 61.56 and SFAR 73, section 2(c)(1) and (3), on [date of flight review].", "template": "I certify that {{student_name}}, Pilot Certificate No. {{student_cert}} has satisfactorily completed the flight review in an R-22 required by 14 CFR § 61.56 and SFAR 73, section 2(c)(1) and (3), on {{date_of_flight_review}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", Pilot Certificate No. ", { "var": "student_cert", "label": "Pilot certificate number", "original": "" }, " has satisfactorily completed the flight review in an R-22 required by 14 CFR § 61.56 and SFAR 73, section 2(c)(1) and (3), on ", { "var": "date_of_flight_review", "label": "Date of flight review", "original": "date of flight review" }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "date_of_flight_review", "label": "Date of flight review", "type": "date", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.65", "num": 65, "section": "Special Federal Aviation Regulation (SFAR) 73, Robinson Helicopter Company, Robinson R-22/R-44 Special Training and Experience Requirements, Endorsements", "title": "R-44 solo endorsement", "reference": "SFAR 73, section 2(b)(4)", "guidance": null, "text": "I certify that [First name, MI, Last name, Pilot Certificate No. ] meets the experience requirements of SFAR 73, section 2(b)(4) and has been given training specified by SFAR 73, section 2(b)(4)(i)–(iv). They have been found proficient to solo the R-44 helicopter.", "template": "I certify that {{student_name}}, Pilot Certificate No. {{student_cert}} meets the experience requirements of SFAR 73, section 2(b)(4) and has been given training specified by SFAR 73, section 2(b)(4)(i)–(iv). They have been found proficient to solo the R-44 helicopter.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", Pilot Certificate No. ", { "var": "student_cert", "label": "Pilot certificate number", "original": "" }, " meets the experience requirements of SFAR 73, section 2(b)(4) and has been given training specified by SFAR 73, section 2(b)(4)(i)–(iv). They have been found proficient to solo the R-44 helicopter." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.66", "num": 66, "section": "Special Federal Aviation Regulation (SFAR) 73, Robinson Helicopter Company, Robinson R-22/R-44 Special Training and Experience Requirements, Endorsements", "title": "R-44 PIC endorsement", "reference": "SFAR 73, section 2(b)(2)(ii)", "guidance": null, "text": "I certify that [First name, MI, Last name, Pilot Certificate No. ] has been given training specified by SFAR 73, section 2(b)(2)(ii)(A)–(D) for Robinson R-44 helicopters and is proficient to act as pilot in command. An annual flight review must be completed by [date 12 calendar months after date of this endorsement] unless the requirements of SFAR 73, section 2(b)(2)(i) are met.", "template": "I certify that {{student_name}}, Pilot Certificate No. {{student_cert}} has been given training specified by SFAR 73, section 2(b)(2)(ii)(A)–(D) for Robinson R-44 helicopters and is proficient to act as pilot in command. An annual flight review must be completed by {{date_12_calendar_months_after_date_of_this_endorsement}} unless the requirements of SFAR 73, section 2(b)(2)(i) are met.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", Pilot Certificate No. ", { "var": "student_cert", "label": "Pilot certificate number", "original": "" }, " has been given training specified by SFAR 73, section 2(b)(2)(ii)(A)–(D) for Robinson R-44 helicopters and is proficient to act as pilot in command. An annual flight review must be completed by ", { "var": "date_12_calendar_months_after_date_of_this_endorsement", "label": "Date 12 calendar months after date of this endorsement", "original": "date 12 calendar months after date of this endorsement" }, " unless the requirements of SFAR 73, section 2(b)(2)(i) are met." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "date_12_calendar_months_after_date_of_this_endorsement", "label": "Date 12 calendar months after date of this endorsement", "type": "date", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.67", "num": 67, "section": "Special Federal Aviation Regulation (SFAR) 73, Robinson Helicopter Company, Robinson R-22/R-44 Special Training and Experience Requirements, Endorsements", "title": "R-44 flight instructor endorsement", "reference": "SFAR 73, section 2(b)(5)(iv)", "guidance": "This endorsement may only be issued by an FAA ASI or authorized Designated Pilot Examiner (DPE) per SFAR 73, section 2(b)(5)(iv).", "text": "I certify that [First name, MI, Last name], holder of CFI Certificate No. [ ], meets the experience requirements and has completed the flight training specified by SFAR 73, section 2(b)(5)(i)–(ii) and (iii)(A)–(D), and has demonstrated an ability to provide instruction on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified in SFAR 73, section 2(b)(5)(iii) in a Robinson R-44 helicopter.", "template": "I certify that {{student_name}}, holder of CFI Certificate No. {{cfi_holder_cert}}, meets the experience requirements and has completed the flight training specified by SFAR 73, section 2(b)(5)(i)–(ii) and (iii)(A)–(D), and has demonstrated an ability to provide instruction on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified in SFAR 73, section 2(b)(5)(iii) in a Robinson R-44 helicopter.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", holder of CFI Certificate No. ", { "var": "cfi_holder_cert", "label": "CFI certificate number", "original": " " }, ", meets the experience requirements and has completed the flight training specified by SFAR 73, section 2(b)(5)(i)–(ii) and (iii)(A)–(D), and has demonstrated an ability to provide instruction on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified in SFAR 73, section 2(b)(5)(iii) in a Robinson R-44 helicopter." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "cfi_holder_cert", "label": "CFI certificate number", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [ "/s/ [date] J. J. Jones DPE Designation Number, Exp. 12-31-2026; or", "/s/ [date] I. M. 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[..] OF A WINGS PROGRAM ON [DATE].", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has satisfactorily completed Level: {{basic_advanced_master_as_appropriate}}, PHASE NO. {{wings_phase}} OF A WINGS PROGRAM ON {{date}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "grade of pilot certificate", "choices": [ "student", "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has satisfactorily completed Level: ", { "var": "basic_advanced_master_as_appropriate", "label": "Basic/Advanced/Master, as appropriate", "original": "Basic/Advanced/Master, as appropriate", "choices": [ "Basic", "Advanced", "Master" ] }, ", PHASE NO. 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J. Jones 987654321" ], "signer": "Pilot who conducted the towing flights" }, { "id": "A.85", "num": 85, "section": "Additional Endorsements", "title": "Glider and unpowered ultralight vehicle towing ground and flight", "reference": "14 CFR § 61.69(a)(3)", "guidance": null, "text": "I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the required ground and flight training in [a glider or unpowered ultralight vehicle, as applicable]. I have determined that they are proficient in the techniques and procedures essential to the safe towing of [gliders or unpowered vehicles, as applicable], including airspeed limitations, emergency procedures, signals used, and maximum angles of bank.", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has received the required ground and flight training in {{a_glider_or_unpowered_ultralight_vehicle_as_appl}}. I have determined that they are proficient in the techniques and procedures essential to the safe towing of {{gliders_or_unpowered_vehicles_as_applicable}}, including airspeed limitations, emergency procedures, signals used, and maximum angles of bank.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "grade of pilot certificate", "choices": [ "student", "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the required ground and flight training in ", { "var": "a_glider_or_unpowered_ultralight_vehicle_as_appl", "label": "a glider or unpowered ultralight vehicle, as applicable", "original": "a glider or unpowered ultralight vehicle, as applicable", "choices": [ "a glider", "an unpowered ultralight vehicle" ] }, ". 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I have determined that they are prepared for the [name of] knowledge test.", "template": "I certify I have reviewed the home-study curriculum of {{student_name}}. I have determined that they are prepared for the {{knowledge_test}} knowledge test.", "segments": [ "I certify I have reviewed the home-study curriculum of ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ". I have determined that they are prepared for the ", { "var": "knowledge_test", "label": "Knowledge test", "original": "name of" }, " knowledge test." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "knowledge_test", "label": "Knowledge test", "type": "text", "scope": "local" } ], "notes": [ "Note: This endorsement cannot be used for the ATP Airplane Multiengine Knowledge Test." ], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.87", "num": 87, "section": "Additional Endorsements", "title": "Aeronautical experience credit—ultralight vehicles", "reference": "14 CFR § 61.52", "guidance": null, "text": "I certify that I have reviewed the records of [First name, MI, Last name], as required by 14 CFR § 61.52(c). I have determined that they may use [number of hours] aeronautical experience obtained in an ultralight vehicle to meet the requirements for [certificate/rating/privilege].", "template": "I certify that I have reviewed the records of {{student_name}}, as required by 14 CFR § 61.52(c). I have determined that they may use {{number_of_hours}} aeronautical experience obtained in an ultralight vehicle to meet the requirements for {{certificate_rating_privilege}}.", "segments": [ "I certify that I have reviewed the records of ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", as required by 14 CFR § 61.52(c). I have determined that they may use ", { "var": "number_of_hours", "label": "number of hours", "original": "number of hours" }, " aeronautical experience obtained in an ultralight vehicle to meet the requirements for ", { "var": "certificate_rating_privilege", "label": "certificate/rating/privilege", "original": "certificate/rating/privilege" }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "number_of_hours", "label": "number of hours", "type": "text", "scope": "local" }, { "key": "certificate_rating_privilege", "label": "certificate/rating/privilege", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.88", "num": 88, "section": "Night Vision Goggles Operations (NVGO)", "title": "Endorsement required for ground training to act as PIC of an aircraft using night vision goggles (NVG)", "reference": "14 CFR § 61.31(k)(1)", "guidance": "This training and endorsement must be given by an authorized instructor, which is one who meets the requirements of 14 CFR § 61.195(k)(1)–(7). Refer to 14 CFR § 61.31(k)(3) for exceptions to this required ground training.", "text": "I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the ground training required by 14 CFR § 61.31(k)(1), (i) through (v) to conduct night vision goggle operations.", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has received the ground training required by 14 CFR § 61.31(k)(1), (i) through (v) to conduct night vision goggle operations.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "grade of pilot certificate", "choices": [ "student", "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the ground training required by 14 CFR § 61.31(k)(1), (i) through (v) to conduct night vision goggle operations." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_grade", "label": "Grade of pilot certificate", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.89", "num": 89, "section": "Night Vision Goggles Operations (NVGO)", "title": "Endorsement required for flight training and statement of proficiency to act as PIC of an aircraft using NVG", "reference": "14 CFR § 61.31(k)(2)", "guidance": "This training and endorsement must be given by an authorized instructor, which is one who meets the requirements of 14 CFR § 61.195(k)(1)–(7). Refer to 14 CFR § 61.31(k)(3) for exceptions to this required flight training.", "text": "I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the flight training on night vision goggle operations required by 14 CFR § 61.31(k)(2), (i) through (iv). I find them proficient in the use of night vision goggles.", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has received the flight training on night vision goggle operations required by 14 CFR § 61.31(k)(2), (i) through (iv). I find them proficient in the use of night vision goggles.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "grade of pilot certificate", "choices": [ "student", "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the flight training on night vision goggle operations required by 14 CFR § 61.31(k)(2), (i) through (iv). I find them proficient in the use of night vision goggles." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_grade", "label": "Grade of pilot certificate", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.90", "num": 90, "section": "Night Vision Goggles Operations (NVGO)", "title": "Endorsement required to provide training for NVGOs", "reference": "14 CFR § 61.195(k)(7)", "guidance": "“Position,” as mentioned in the signature block of the endorsement, is a person who is authorized by the FAA to provide that logbook endorsement. Refer to FAA Order 8900.1, Flight Standards Information Management System.", "text": "I certify that [First name, MI, Last name], holder of CFI Certificate No. [ ], meets the night vision goggle instructor requirements of 14 CFR § 61.195(k) and is authorized to perform the night vision goggle pilot-in-command qualification and recent flight experience requirements under 14 CFR §§ 61.31(k) and 61.57(f) and (g). This endorsement does not provide the authority to endorse another flight instructor as a night vision goggle instructor.", "template": "I certify that {{student_name}}, holder of CFI Certificate No. {{cfi_holder_cert}}, meets the night vision goggle instructor requirements of 14 CFR § 61.195(k) and is authorized to perform the night vision goggle pilot-in-command qualification and recent flight experience requirements under 14 CFR §§ 61.31(k) and 61.57(f) and (g). This endorsement does not provide the authority to endorse another flight instructor as a night vision goggle instructor.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", holder of CFI Certificate No. ", { "var": "cfi_holder_cert", "label": "CFI certificate number", "original": " " }, ", meets the night vision goggle instructor requirements of 14 CFR § 61.195(k) and is authorized to perform the night vision goggle pilot-in-command qualification and recent flight experience requirements under 14 CFR §§ 61.31(k) and 61.57(f) and (g). This endorsement does not provide the authority to endorse another flight instructor as a night vision goggle instructor." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "cfi_holder_cert", "label": "CFI certificate number", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [ "/s/ [date] I. M. Inspector 987654321CFI RE Date 12-31-24 Position" ], "signer": "Authorized FAA position" }, { "id": "A.91", "num": 91, "section": "Enhanced Flight Vision System (EFVS)", "title": "Endorsement for EFVS ground training", "reference": "14 CFR § 61.66(a)", "guidance": null, "text": "I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has satisfactorily completed the ground training required by 14 CFR § 61.66(a) appropriate to the [appropriate aircraft category] category of aircraft.", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has satisfactorily completed the ground training required by 14 CFR § 61.66(a) appropriate to the {{appropriate_aircraft_category}} category of aircraft.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "pilot certificate", 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"Enhanced Flight Vision System (EFVS)", "title": "Endorsement for EFVS flight training", "reference": "14 CFR § 61.66(b)", "guidance": null, "text": "I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has received the flight training required by 14 CFR § 61.66(b) and is proficient in the use of EFVS in the [appropriate aircraft category in which the flight training was conducted] category of aircraft for EFVS operations conducted under [14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)].", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has received the flight training required by 14 CFR § 61.66(b) and is proficient in the use of EFVS in the {{appropriate_aircraft_category_in_which_the_fligh}} category of aircraft for EFVS operations conducted under {{14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "pilot certificate", "choices": [ "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the flight training required by 14 CFR § 61.66(b) and is proficient in the use of EFVS in the ", { "var": "appropriate_aircraft_category_in_which_the_fligh", "label": "appropriate aircraft category in which the flight training was conducted", "original": "appropriate aircraft category in which the flight training was conducted" }, " category of aircraft for EFVS operations conducted under ", { "var": "14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b", "label": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "original": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "choices": [ "14 CFR § 91.176(a)", "14 CFR § 91.176(b)", "both 14 CFR § 91.176(a) and (b)" ] }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_grade", "label": "Grade of pilot certificate", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "appropriate_aircraft_category_in_which_the_fligh", "label": "appropriate aircraft category in which the flight training was conducted", "type": "text", "scope": "local" }, { "key": "14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b", "label": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.93", "num": 93, "section": "Enhanced Flight Vision System (EFVS)", "title": "Endorsement for EFVS ground and flight training", "reference": "14 CFR § 61.66(a) and (b)", "guidance": null, "text": "I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has satisfactorily completed the ground training required by 14 CFR § 61.66(a) and has received the flight training required by 14 CFR § 61.66(b) for EFVS operations and is proficient in the use of EFVS in the [appropriate aircraft category in which the ground and flight training was conducted] category of aircraft for EFVS operations conducted under [14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)].", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has satisfactorily completed the ground training required by 14 CFR § 61.66(a) and has received the flight training required by 14 CFR § 61.66(b) for EFVS operations and is proficient in the use of EFVS in the {{appropriate_aircraft_category_in_which_the_groun}} category of aircraft for EFVS operations conducted under {{14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "pilot certificate", "choices": [ "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has satisfactorily completed the ground training required by 14 CFR § 61.66(a) and has received the flight training required by 14 CFR § 61.66(b) for EFVS operations and is proficient in the use of EFVS in the ", { "var": "appropriate_aircraft_category_in_which_the_groun", "label": "appropriate aircraft category in which the ground and flight training was conducted", "original": "appropriate aircraft category in which the ground and flight training was conducted" }, " category of aircraft for EFVS operations conducted under ", { "var": "14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b", "label": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "original": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "choices": [ "14 CFR § 91.176(a)", "14 CFR § 91.176(b)", "both 14 CFR § 91.176(a) and (b)" ] }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_grade", "label": "Grade of pilot certificate", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "appropriate_aircraft_category_in_which_the_groun", "label": "appropriate aircraft category in which the ground and flight training was conducted", "type": "text", "scope": "local" }, { "key": "14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b", "label": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.94", "num": 94, "section": "Enhanced Flight Vision System (EFVS)", "title": "Endorsement for EFVS supplementary training", "reference": "14 CFR § 61.66(c)", "guidance": null, "text": "I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has satisfactorily completed the required ground and flight training required by 14 CFR § 61.66(c) for EFVS operations and is proficient in the use of EFVS in the [appropriate aircraft category in which the supplementary ground and flight training was conducted] category of aircraft for EFVS operations conducted under [14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)].", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has satisfactorily completed the required ground and flight training required by 14 CFR § 61.66(c) for EFVS operations and is proficient in the use of EFVS in the {{appropriate_aircraft_category_in_which_the_suppl}} category of aircraft for EFVS operations conducted under {{14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b}}.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First name, MI, Last name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "pilot certificate", "choices": [ "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has satisfactorily completed the required ground and flight training required by 14 CFR § 61.66(c) for EFVS operations and is proficient in the use of EFVS in the ", { "var": "appropriate_aircraft_category_in_which_the_suppl", "label": "appropriate aircraft category in which the supplementary ground and flight training was conducted", "original": "appropriate aircraft category in which the supplementary ground and flight training was conducted" }, " category of aircraft for EFVS operations conducted under ", { "var": "14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b", "label": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "original": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "choices": [ "14 CFR § 91.176(a)", "14 CFR § 91.176(b)", "both 14 CFR § 91.176(a) and (b)" ] }, "." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_grade", "label": "Grade of pilot certificate", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "appropriate_aircraft_category_in_which_the_suppl", "label": "appropriate aircraft category in which the supplementary ground and flight training was conducted", "type": "text", "scope": "local" }, { "key": "14_cfr_91_176_a_b_or_both_14_cfr_91_176_a_and_b", "label": "14 CFR § 91.176(a), (b), or both 14 CFR § 91.176(a) and (b)", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.95", "num": 95, "section": "Simplified Flight Controls", "title": "To act as PIC in an aircraft with a simplified flight controls designation", "reference": "14 CFR §§ 61.31(l) and 61.45(h)(1)", "guidance": null, "text": "I certify that [First Name, MI, Last Name], [grade of pilot certificate], [certificate number], has received the required training of 14 CFR § 61.31(l)(1) in a [M/M] aircraft with simplified flight controls designation. I have determined that [pilot name] is proficient in the operation of an [category and class, M/M] aircraft with simplified flight controls.", "template": "I certify that {{student_name}}, {{student_grade}}, {{student_cert}}, has received the required training of 14 CFR § 61.31(l)(1) in a {{make_model}} aircraft with simplified flight controls designation. I have determined that {{student_name}} is proficient in the operation of an {{category_and_class_m_m}} aircraft with simplified flight controls.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First Name, MI, Last Name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "grade of pilot certificate", "choices": [ "student", "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the required training of 14 CFR § 61.31(l)(1) in a ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft with simplified flight controls designation. I have determined that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "pilot name" }, " is proficient in the operation of an ", { "var": "category_and_class_m_m", "label": "category and class, M/M", "original": "category and class, M/M" }, " aircraft with simplified flight controls." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_grade", "label": "Grade of pilot certificate", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" }, { "key": "category_and_class_m_m", "label": "category and class, M/M", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [], "signer": "Authorized instructor" }, { "id": "A.96", "num": 96, "section": "Simplified Flight Controls", "title": "Initial cadre training in an aircraft with simplified flight controls", "reference": "14 CFR § 61.195(n)", "guidance": null, "text": "I certify that [First Name, MI, Last Name], [grade of pilot certificate], [certificate number], has received the required training of 14 CFR § 61.195(n)(2)(ii) in a [M/M] aircraft with simplified flight controls designation. 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I have determined that {{student_name}} is proficient in the operation of an {{category_and_class_m_m}} aircraft with simplified flight controls.", "segments": [ "I certify that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "First Name, MI, Last Name" }, ", ", { "var": "student_grade", "label": "Grade of pilot certificate", "original": "grade of pilot certificate", "choices": [ "student", "sport", "recreational", "private", "commercial", "airline transport" ] }, ", ", { "var": "student_cert", "label": "Pilot certificate number", "original": "certificate number" }, ", has received the required training of 14 CFR § 61.195(n)(2)(ii) in a ", { "var": "make_model", "label": "Make and model", "original": "M/M" }, " aircraft with simplified flight controls designation. I have determined that ", { "var": "student_name", "label": "Name (First, MI, Last)", "original": "pilot name" }, " is proficient in the operation of an ", { "var": "category_and_class_m_m", "label": "category and class, M/M", "original": "category and class, M/M" }, " aircraft with simplified flight controls." ], "blanks": [ { "key": "student_name", "label": "Name (First, MI, Last)", "type": "text", "scope": "global" }, { "key": "student_grade", "label": "Grade of pilot certificate", "type": "text", "scope": "global" }, { "key": "student_cert", "label": "Pilot certificate number", "type": "text", "scope": "global" }, { "key": "make_model", "label": "Make and model", "type": "text", "scope": "local" }, { "key": "category_and_class_m_m", "label": "category and class, M/M", "type": "text", "scope": "local" } ], "notes": [], "signature_examples": [ "Signature of Instructor Pilot _________ Print Name _____________ Cert No. _________ Date ______" ], "signer": "Instructor pilot" } ] }