Course Completion – Phoenix East Aviation: Forms

Please use the following form after completing a course at Phoenix East Aviation

Select Campus*
What campus is the student enrolled at? It is very important that you select the correct campus here to avoid any errors.
Course Completion Information
Student Name*
First Last
Please enter the full name as it appears on your Govt. Issued Photo ID
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please enter your full residential address
Email*
Phone*
Instructor Name*
Self or Non-Self Examining?*
Course*
This indicates that the final checkride will be an FAA Checkride with a DPE.
Course*
Part 141 or Part 61?*
Initial or Add-On?*
Graduation Date*
Date Format: MM slash DD slash YYYY
Name of Check Airman*
Please enter the full name of the Check Airman
Passed at first attempt?*
List down all the attempts for this checkride, starting from oldest to newest. The final attempt date needs to match the graduation date.
1st Attempt Check Airman
1st Attempt Date
Date Format: MM slash DD slash YYYY
2nd Attempt Check Airman
2nd Attempt Date
Date Format: MM slash DD slash YYYY
3rd Attempt Check Airman
3rd Attempt Date
Date Format: MM slash DD slash YYYY
4th Attempt Check Airman
4th Attempt Date
Date Format: MM slash DD slash YYYY
5th Attempt Check Airman
5th Attempt Date
Date Format: MM slash DD slash YYYY
Is this your last course at Phoenix East Aviation?*
If you're not sure or have not decided yet, select "No".
What is your next course?*
E.g. "141 Commercial ASEL" or "61 CFI Initial". Examiner should ask the student this question. If this course that you graduated from what the last course, please enter "N/A".
Does the student have an LOA with a Foreign License?*
If yes, please scan it along with the rest of the paperwork.
Extra Notes/Comments
If the check airman has other notes/comments, please enter them here.

Course Completion Information