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(List any applicable conditions or limitations.) /s/ [date] J. I certify that (First name, MI, Last name) has received the requir ed training of 61.95(a)(1). 12-31-19 Aeronautical knowledge test: section 61.35(a)(1) and section 61.65(a) and (b). 12-31-19 Aeronautical Knowledge/Flight proficiency/practical test: section 61.65(a). 12-31-19 Prerequisites for Practical Tests: section 61.39(a) I certify that (First name, MI, Last name) has received and logged the required flight time/training of 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 he/she was shown to be deficient by the FAA airman knowledge test report. I have determined he/she is prepared for the CFI (aircraft category and class) practical test. I have determined that He/She is competent and possess instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures. 12/31/2010 NOTE: This spin training endorsement is only required of flight instructor applicants for the airplane and glider ratings.

I have determined that he/she is proficient to conduct solo flight operations at (name of ai rport). 12-31-19 Solo flight in Class B, C, and D airspace: 61.94(a). I certify that (First name, MI, Last name) has received the required training of 61.65(b). I certify that (First name, MI, Last name) has received the required training of 61.65(c) and 61.65(d). I have determined he/she is prepared for the Instrument(airplane, helicopter, or powered -lift) practical test. Ground Instructor Endorsement Ground instructor who does not meet the recent experience requirements: section 61.217(b).

12-31-19 NOTE: The endorsement for a practical test is required in addition to the 61.39 endorsements provided in endorsements 1 and 2 Flight instructor certificate with instrument (category/class) rating/practical test: 61.183(g), 61.187(a) and 61.187(b)(7) I certify that (First name, MI, Last name) has received the required CFII training of 61.187(b)(7). I have determined that he/she is competent in instructional skills for training stall awareness, spin entry, spins, and spin recovery procedures. I certify that has received the training as required by section 61.39(a)(6)(i) within the preceding two calendar months and have determined that he/she is prepared for the Sport Pilot practical test. 12/31/2010 Prerequisites for Practical Tests: section 61.39(a) I certify that has demonstrated satisfactory knowledge of subject areas shown to be deficient on his/her Sport Pilot Airman’s Knowledge Test as required by 61.39(a)(6)(iii). 12/31/2010 Other Sport Pilot Endorsements ⇪ has received the required training required in accordance with sections 61.309 and 61.311 and have determined that he/she is prepared for the (name the proficiency check). 12/31/2010 Passing flight proficiency check for different category or class of aircraft: section 61.309 and section 61.311.

12-31-19 Spin training: 61.183(i)(1) I certify that (First name, MI, Last name) has received the required training of 61.183(i). NOTE: Required by section 61.317, issued by a designated pilot examiner (DPE).

12-31-19 Multi Engine Endorsements ⇪ has received the training as required by section 61.63(b)(c) and find Him/Her proficient to pass the (Private or Commercial) pilot practical test for the Airplane Multi-engine (Land or Sea) rating. 12/31/2010 Note: Current solo endorsement and flight review required for practical test. 12/31/2010 NOTE: This endorsement is designed to allow operation at a satellite airport under or within airspace and allow the pilot to transit airspace to and from that airport; it is not intended for use as an endorsement to operate at a primary airport under an airspace. Solo flight to, from, or at an airport located in Class B, C, or D airspace or on an airport having an operational control tower: section 61.94(a) and section 91.131(b)(1).

12-31-19*Choose appropriate section for insertion: (d) single-engine land (e) multi-engine land (f) helicopter (g) gyroplane(h) powered-lift (i) glider (j) airship (k) balloon (l) powered parachute (m) weight-shift control aircraft 14-Mar-2020 22:03 Instructor Name, 1234567CFI, Exp.

that require a 61.39 "Meta endorsement" (And every endorsement should reference the appropriate CFR; hyperlinked below! 12-31-19 For a knowledge test, the instructor may complete the endorsement in the space provided at the bottom of the applicant’s airman knowledge test. I have determined he/she meets the applicable requirements of 61.87(p) and is proficient to make solo flights in (make and model). I certify that [First name, MI, Last name] has received the requir ed training of 61.93(b)(1). I have reviewed the cross -country planning of [First name, MI, Last name]. certify that (First name, MI, Last name) has received the required training of 61.183(i). I have determined that he/she is prepared for the Fundamentals of Instructing knowledge test. I certify that has received the required training in accordance with section 61.405(a)(1).

) I certify that [First name, MI, Last name] has received and logged the required flight time/training of 61.39(a) in preparation for the practical test within 2 calendar-months preceding the date of the test has satisfactory knowledge of the subject areas in which he/she was shown to be deficient by the FAA airman knowledge test report. For another practical test, logged training, a 61.49 endorsement in the logbook, and a new IACRA application are all required! 12-31-19 This is not a listing of all possible endorsements. 12-31-19 *Choose appropriate section for insertion: (d) single-engine land (e) multi-engine land (f) helicopter (g) gyroplane (h) powered-lift (i) glider (j) airship (k) balloon (l) powered parachute (m) weight-shift control aircraft Pre-solo flight training at night: section 61.87(c) and (o). 12-31-19 *Choose appropriate section for insertion: (d) single-engine land (e) multi-engine land (f) helicopter (g) gyroplane(h) powered-lift (i) glider (j) airship (k) balloon (l) powered parachute (m) weight-shift control aircraft Solo flight (first 90-day period): 61.87 (n) I certify that [First name, MI, Last name] has received the required training to qualify for solo flying. I have determined that he/she is proficient to practice solo takeoffs and landings at [airport name]. 12-31-19 Solo cross- country flight: 61.93(c)(1) and 61.93(c)(2). 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 (name the airports) in a (make and model aircraft) on (date). 12-31-19 Repeated solo cross-country flights not more than 50 nm from the point of departure: section 61.93(b)(2). I have determined that he/she is competent in instructional skills for training stall awareness, spin entry, spins, and spin recovery procedures. I have determined that He/She is prepared for the Fundamentals of Instruction Knowledge Test. 12/31/2010 Taking sport pilot flight instructor aeronautical knowledge test: section 61.35(a) (1) and section 61.405(a).I certify that has received the required training of section 61.101(d). I have determined He/She is 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 on an airport having an operational control tower. 12/31/2010 TSA Citizenship Verification Endorsement [AOPA] I certify that (First name, MI, Last name) has presented me a [insert type of document presented, such as a U. 12-31-19 Lapsed ground instructor (12 month activity): 61.217(b) I certify that (First name, MI, Last name) has demonstrated satisfactory proficiency on the appropriate ground instructor knowledge and training subjects of 61.213(a)(3) and 61.213(a)(4). 12/31/2010 NOTE: This endorsement is designed to allow operation at the primary airport under airspace and allow the pilot to transit airspace to and from that airport; it is intended for use as an endorsement to operate at a primary airport within the specific airspace. Pre-solo flight training at night: section 61.87(c) and (o). Prerequisites for all Practical Tests: section 61.39(a) 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 he/she is prepared for the required practical test for the issuance of (applicable) certificate. I certify that 14-Mar-2020 22:03 Instructor Name, 1234567CFI, Exp.I certify that (List all conditions which require endorsement, e.g., flight which requires communication with air traffic control, flight in an aircraft for which the pilot does not hold a category/class rating, etc.) 14-Mar-2020 22:03 Instructor Name, 1234567CFI, Exp.