SFS: Checkride Request Form This form is only to be used by students/instructors at Superior Flight School (SFS). "*" indicates required fields Student DetailsStudent Name* First Last Student Phone Number*Cell phone number is preferredStudent Email Address* You will receive a confirmation on this email. Please ensure you enter correctly.Pilot Certificate Number*Enter “PENDING” if not availableIACRA FTN Number*Can be found on the student’s IACRA DashboardIACRA Username*Username is case-sensitiveIACRA Password*Password is case-sensitiveType of CheckrideCheckride Attempt*Select belowFirst Attempt (Initial)Reattempt (Re-check)Select whether it’s the first attempt or re-attempt.Self or Non-Self Examining?*Please select the checkrideSelf Examining (In-House)Non-Self Examining (FAA)Is this for an in-house self-examining checkride or a FAA-checkride? If you’re not sure, please speak with the Flight Training dept.Type Of In-House Self-Examining Checkride*Please select the checkride141: Private141: Added Instrument141: AAR MELI (Private)141: AAR MELI (Commercial)141: Commercial ASEL (CPCC SE)141: Commercial AMEL (CPCC ME)Select the type of in-house, self-examining checkride that the student will be scheduled for.141 or 61?*Please select the checkride14161Select if the course is Part 141 or Part 61Type Of FAA Checkride*Please select the checkridePrivateInstrument RatingAAR MELI (Private)AAR MELI (Commercial)AAR SELCommercial ASELCommercial AMELCFI-A (Initial)CFI-I (Initial)ME-I (Initial)CFI-I (Add-on)MEI (Add-on)Select the type of FAA checkride that the student will be scheduled for.Since this is an FAA recheck, you need to ensure that you:(1) create a new IACRA application for the re-attempt (2) give the appropriate new endorsements and (3) see someone in the FT Dept. to ensure the new IACRA application is ready to be signed by you i.e. the RIOther InformationLatest Flight Review*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date of Flight Review Endorsement / Practical Test. If not applicable, simply enter today’s date.90-Day Endorsement*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date of Latest 90-Day Endorsement for the Student PilotCurrent License and Ratings Held By Student*E.g. Private Pilot ASEL or Commercial Pilot AMEL ASEL IA etc.Aircraft To Be Used for the Checkride*Please select belowCE-172-S G1000 SkyhawkPiper PA-34 SenecaDiamond DA-42 TwinstarOtherCourse Start Date* Month Day Year Select the date of the 1st activity in this courseRecommending InstructorName*Email Address* Phone Number*CFI Certificate Number*Checkride DetailsScheduled Checkride Date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Estimated Departure time from KRYY* Hours : Minutes We use this to assign an airplane to you on ETA. Please enter the time (in 24-hr format) at which you would require the airplane to DEPART from KRYY to reach your checkride destinationScheduled Start Time of Checkride* Hours : Minutes Enter the estimated start-time of meeting the FAA examiner to start the checkride. This is just for tracking and an estimate is fine.Estimated Duration of FAA checkride*e.g. “4 hours”DPE/Examiner Name*Location of Checkride*LiabilitiesPlease read the consent statements thoroughly. By checking each box, you acknowledge that you’ve read the statements and will abide by them.FAA Checkride Compensation Policy* I have received and agree to the SFS FAA CHECKRIDE COMPENSATION POLICY. Consent* I agree to the following policy placed by Superior Flight SchoolSuperior Flight School will not be held responsible for any checkride, examiner, or cancellation fee in case of a cancellation or a no-show. Additionally, if you have to reschedule a checkride, it is your sole responsibility to make necessary arrangements and cover all associated fees.Consent* I agree to the following policyI acknowledge that I have received the Pilot’s Bill of Rights Written Notification of Investigation and have reviewed the FAA Privacy Act Statement at the time of this applicationConsent* I agree to the following policyFor a 141 Course, your Graduation Certificate expires 60 days from the date of your End of Course. You MUST complete your FAA Checkride or get your Temporary Pilot Certificate from the Flight Dept. before your Graduation Certificate expires.Consent* I agree to the following policyI will inform Superior Flight School if my checkride is canceled or rescheduled and cancel my resource reservation at the earliest opportunity. Failure to do so may result in my account being charged for the reservation.SPAM PreventionPlease check the box to help us prevent spam submissions.