GLIDER PILOT CHECKRIDE Name: ______________________________________________________________ Date: _______________________________________________________________ Pilot Certificate: E-mail: Address: Driver’s License /Passport Number: Phone: Applicant FTN Number: Application ID Number: Medical: Aircraft Make and Model: Date: Aircraft N number: Aircraft, Certificate, Equipment, Logs: IACRA 8710-1 or 8710-11 Signed: Knowledge Test Results: Endorsements: Location: Certificates and Ratings: Date: Retest: Special Considerations/Drug Convictions: Aero Tow Launch: Have you schedule a tow pilot and ground launch crew? Winch Launch:
GLIDER PILOT CHECKRIDE Name: ______________________________________________________________ Date: _______________________________________________________________ Pilot Certificate: E-mail: Address: Phone: Driver’s License /Passport Number: Applicant FTN Number: Application ID Number: Medical: Date: Aircraft Make and Model: Aircraft N number: Aircraft, Certificate, Equipment, Logs: IACRA 8710-1 or 8710-11 Signed: Knowledge Test Results: Location: Date: Endorsements: Certificates and Ratings: Retest: Special Considerations/Drug Convictions: Aero Tow Launch: Winch Launch: Have you schedule a tow pilot and ground launch crew?
GliderCheckrideInduction_003.docx